Page 1 - Vasectomy
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Urological Health


                                 Vasectomy








        A vasectomy is a minor surgical procedure performed for permanent birth control.


             ou are considering having a vasectomy as a
        Ymeans of permanent contraception (birth-                               Area to be shaved:
        control). This is minor surgery in which the vas deferens        front and both sides of the scrotum
        on each side of the scrotum (the “sac”) is divided and
        blocked. The vas is a long tube that runs from each
        testicle to the urethra (urinary passage). It conducts
        sperm at the time of ejaculation.  When the vas is
        divided and blocked, the ejaculation fluid (semen) is
        free of sperm and the egg produced by the woman
        cannot be fertilized to start a pregnancy.







                                       bladder
                                                                               Area to be shaved: front and
                                      prostate                    Vasectomies are usually performed with local
                                                                                both sides of the scrotum
                                       urethra                    anesthesia. The skin and vas are “frozen” with an
                                       vas deferens               anesthetic solution injected through a fine needle.
                                                                  This blocks the sensation of pain, although you may
                                                                  still notice some pressure and pulling.
                                       testicle
                                      scrotum                     A small opening is made in the scrotal skin over the
                                                                  vas. Each vas is then divided, and blocked off with
                                                                  clips or sutures. Any bleeding which might occur is
                                                                  controlled. A dissolving stitch may be used to close
                                                                  the skin opening. The procedure is completed usually
        This procedure should be considered a permanent           in about 20 minutes. A small dressing may be applied,
        form of birth control. Although the vas can often be      which you can remove the next day.
        reconnected, achieving a pregnancy may be more
        difficult due to a number of factors affecting the
        quality of the sperm and the tubes’ ability to heal.      After the procedure

        The procedure will be performed in your urologist’s       You may be required to have someone acompany
        office or at your local hospital. On the day of your      you home after your vasectomy.
        vasectomy, before your appointment, you may be
        asked to shave the hair from the front part of the        Plan to restrict your activities for the first two or three
        scrotum, if advised to do so by your urologist.           days after your vasectomy. Avoid strenuous physical
                                                                  activity, heavy lifting, or exercise for about one week.
        Snug underwear or a scrotal support will keep you         Any strain may cause bleeding or swelling of the
        more comfortable after the procedure. Bring these         scrotum.
        items with you for your vasectomy.
                                                                  Use the pain medications as directed by your physician.
                                                                                                         TM
        The procedure                                             You may take acetaminophen (i.e. Tylenol ) or
                                                                  ibuprofen (i.e. Advil ) early after the procedure to
                                                                                    TM
                                                                  help with any discomfort.
        On the day of your vasectomy, you will be taken
        to a treatment room and asked to lie down on an           Some scrotal swelling after the procedure is common.
        examination table. Your scrotal skin will be cleaned      An ice pack applied to the scrotum for no more than
        with an antiseptic solution, after which you will be      20 minutes at a time, three to four times a day, will
        covered with a sterile sheet to minimize the risk of      help with pain and swelling.
        infection.

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