vasectomy is an operation to cut and seal off the tubes (each
called the vas deferens) that carry sperm from each of your
testicles to your penis. This means that you are no longer
able to have children.
vasectomy will not affect your sex drive or ability to enjoy
sex. You will still have erections and produce the same amount
of fluid when you ejaculate. It is important to note that
a vasectomy does not protect you from getting sexual transmitted
showing the male reproductive system
a vasectomy work?
shows that vasectomy is a very reliable form of contraception.
It's estimated that over a lifetime the failure rate is 1
in 2,000 men who have had a vasectomy.
a vasectomy be reversed?
vasectomy should be considered a permanent operation. A vasectomy
reversal operation rejoins each of the tubes that carry sperm
from the testicles to the penis, which were cut during a vasectomy.
However, this doesn't guarantee that your fertility will be
should I expect before the operation?
surgery you will talk to your surgeon about the operation
and you will be asked to sign a consent form. This confirms
that you understand the risks, benefits and possible alternatives
to the procedure and have given your permission for it to
operation usually lasts about 15-30 minutes and is performed
as a day case, which means that you can have the operation
and go home the same day. The procedure is usually performed
under local anaesthesia that numbs the area but you will be
awake. Less commonly a general anaesthetic is used, in which
you are asleep throughout the procedure and feel no pain.
the anaesthetic has taken effect, I will make tiny cuts (about
1cm) in both sides of your scrotum .A section of the vas deferens
will be carefully pulled out through the cut or small opening.
Each tube will be cut and a small section will be removed.
The ends of the tubes will then be closed off by either tying
them or sealed off using diathermy (an instrument that heats
to a high temperature). The cuts will be closed using dissolvable
stitches. The dissolvable stitches will disappear after about
a week. Often a dressing is not required.
sections of the tubes that are removed maybe examined in a
lab to confirm they are each vas deferens.
discharge your doctor or nurse will give you advice about
caring for your wounds. You will be asked to wear tight underwear
to help relieve any discomfort from your testicles, which
will be sore for a few days. This discomfort can be relieved
by taking painkillers that you would normally take for a headache.
will need to arrange for someone to drive you home and then
stay with you for the first 24 hours.
sensible to take it easy for a couple of days, but you can
drive and go back to work as soon as you feel able.
as long as you need, wear close-fitting underwear, such as
a jock strap, day and night. This will support your scrotum
and help to ease any discomfort and swelling.
do any heavy lifting or vigorous exercise during the first
week after the operation. You can bathe and shower but you
should dry the area gently and thoroughly.
can have sex as soon as you feel comfortable but you should
use another form of contraception until the live sperm that
remain in the tubes have gone.
will need to have two semen tests at 10 and 12 weeks after
surgery to ensure that your tubes are clear of sperm. When
tests show that your semen is clear of sperm, you will no
longer need to use other methods of contraception.
are the unwanted but mostly temporary effects of a successful
procedure. Anyone having a vasectomy can expect a sore and
tender scrotum for a few days. You may also have some bruising
are unexpected problems that can occur during or after the
procedure. Most men are not affected. The main complications
of any operation are bleeding during or soon after the procedure,
infection and an abnormal reaction to the anaesthetic.
complications of vasectomy are rare but include those below.
inside the scrotum can make it swollen and painful. This
is called a haematoma and may require further surgery.
is possible for sperm to leak out of the cut tubes and collect
in surrounding tissues. If this happens, hard lumps, called
sperm granulomas, can form. Sperm granulomas are not harmful,
and can be treated with anti-inflammatory medicines. However,
occasionally they can be painful and need to be removed.
- A small
proportion of men develop long-term testicular pain. This
may be due to pinched nerves or scarring, and may require
men develop a full feeling in their testicles. This is caused
by the epididymis (sperm sacks near the surface of each
testicle) filling with stored sperm. This usually goes away
after a few weeks.
rarely, even when performed correctly, there is a very small
risk (about 1 in 2000) the tubes can rejoin naturally and
you will become fertile again.