The Vasectomy for Male Sterilization
The vasectomy is a procedure performed for male sterilization. It has been performed for many years upon men with excellent results and minimal complications. This information sheet will briefly describe the procedure.
First, a quick anatomy lesson: sperm are made in the testicles. They then travel trough the vas deferens and into the prostate and urethra where they are emitted in the semen during ejaculation. Most of the fluid in the semen is not sperm, but rather comes from other glands. Therefore, the amount of fluid emitted during ejaculation does not significantly change if the vas deferens is cut. The fluid will simply not contain any sperm.
The vasectomy is performed in the office with some local anesthesia. This allows the urologist to work without causing significant pain. A single, small incision is made in the middle of the scrotum. Through this opening, both the right and left vas deferens are identified, cut, tied and then cauterized to ensure a complete interruption. All stitches used are self-absorbing so nothing needs to be removed later.
Following the procedure, we advise all patients to take the rest of the day off. Usually, the testicles are sore for 2-3 days, but the pain is controllable with icepacks, supportive underwear (i.e. jock straps), Tylenol or Motrin. We do not recommend strenuous activity such as jogging, heavy lifting, etc for 2-3 days. Most people who have the procedure on Friday are back to work on Monday.
It takes several weeks for all the sperm to clear from the ejaculate. You MUST submit a sperm sample and then get the report from our office before you can assume that you are now sterile. Before that time, you must continue to use contraceptives. A small minority of patients undergoing vasectomies may experience some swelling, bruising or bleeding from the incision. This problem is usually self-limited and will improve with time. Infections are minimized with the use of sterile techniques and anti-septic solutions. Vasectomies are considered an irreversible procedure, but under certain circumstances, they can be reversed.
Further details regarding the procedure are available through our office and 24 hour answering service. Please call us with any questions or to schedule an appointment.
Contacting Your Physician
Your doctor can be contacted by calling (734) 595-1166 during business hours. If the office is closed, call the answering service at (313) 396-0736. Finally, you may call the hospital at (734) 467-4000 to have them contact us. Please do not hesitate to call with any questions or concerns.