What is the treatment?
A vasectomy surgery is considered to be a method of birth control that can last for an entire lifetime. It is performed to prevent a man from releasing sperms when he ejaculates. In this treatment, the ducts which carry the sperms, known as vas deferens are cut, clamped or sealed in each testicle. This will prevent the sperm from getting mixed with the semen that is ejaculated from the penis. As an egg from the female ovary can never get fertilized without the sperms in the semen, it eliminates any chances of pregnancy. The testicles will continue producing sperms after the surgery, but they will be absorbed by your body.
It should be kept in mind that it generally takes a few months after you have undergone a vasectomy surgery for all your remaining sperms to be reabsorbed or ejaculated. You must test your semen sample to be sure that you have a zero sperm count. Otherwise, there may be chances of your partner getting pregnant.
There are two methods of performing a vasectomy surgery. One is the conventional method where small cuts are made on each side of the scrotum to reach out to the vas deferens to cut or seal them. The cuts are then closed. The other method is the no-scalpel vasectomy where a small clamp will hold the vas deferens in position. A small hole is made on the skin of a man’s scrotum, and the surgeon cuts away a piece of the vas deferens before sealing it up.
Vasectomy is considered to be a highly effective and one-time procedure. The surgery can also be performed on an outpatient basis.
How is the treatment done?
The treatment of vasectomy involves the following steps:
- Firstly, the scrotum and the testicles will be shaved and cleaned with some antiseptic to clear the area from all kind of germs.
- A medicine will be given to you either in the form of a tablet or through an IV (intravenous) channel. This is mainly to reduce the anxiety.
- The surgeon will locate your vas deferens by touch and inject the area with a local anesthesia.
- The doctor then makes a small opening in the scrotum, and both the vas deferens will be cut. The two ends of each of the vas deferens will be tied, sealed or stitched. Sometimes, the ends can be sealed with heat by the process of electrocautery. Scar tissues from the surgery will also help in blocking the tubes.
- The vas deferens will be then replaced back in your scrotum. The skin will be closed with stitches that can dissolve by itself. There would be no need to remove them. The procedure takes about half an hour and can be done in the doctor’s clinic.
- In the case of a non-scalpel vasectomy, a clamp is used to poke through the skin of your scrotum to make an opening. This procedure has fewer complications and less bleeding compared to the conventional method.
Who is eligible for the treatment? (When is the treatment done?)
A man would want to undergo vasectomy surgery in the following situations:
- If he wishes to have no children in the future
- If he is in a physical relationship with a woman who has health problems, making pregnancy unsafe for her
- If both the partners have genetic disorders which they do not wish to pass on
- If he and his partner are not interested in other birth control measures
Who is not eligible for the treatment?
People who are not eligible for vasectomy include:
- If someone is suffering from a hernia in the groin. A hernia has to be treated first and then a vasectomy surgery can be performed.
- Skin infection in the scrotum
- If the tip of the penis is inflamed or swollen at the time of surgery
- Undescended testicles in each side
Are there any side effects?
The side effects of vasectomy surgery include:
- Bleeding under your skin can cause bruising or swelling
- There can be chances of an infection at the place of incision. In rare cases, the infection may develop inside your scrotum.
- Leaking of sperm from the vas deferens and formation of a lump. This condition can be treated with medicines and adequate rest.
- The tubes that move the sperm from the testicles can suffer from inflammation
- In very rare cases, the vas deferens grows back together, and the man becomes fertile again.
What are the post-treatment guidelines?
Listed below are some post treatment guidelines that a man who has undergone vasectomy can follow:
- The scrotum generally stays numb 1 to 2 hours after the surgery. You can apply cold packs in that area for comfort.
- Change the dressing if it is stained or soiled
- You can take a bath from the day after you have undergone the surgery
- You must lie on your back on that whole day after the surgery was performed
- A jockstrap will provide protection to the area and at the same time keep you comfortable
- It is recommended to avoid heavy lifting for at least a week
How long does it take to recover?
It normally takes one or two days to get back to your daily routine. The surgery does not affect your sexual activities, but you must use some other form of birth control until you check with your doctor to confirm zero sperm count. You must go for a follow-up test for your sperm count 2 months after the vasectomy has been performed on you.
What is the price of the treatment in India?
The cost of a vasectomy surgery in India ranges from Rs. 85,102 to Rs. 1, 04,740. The prices may vary in different clinics and cities.
Are the results of the treatment permanent?
The failure rate of vasectomy has been observed to be very low. It is considered to be one of the most effective forms of birth control. By any chance, if sperms are found in your semen, there may be a requirement for a second vasectomy.
What are the alternatives to the treatment?
The alternatives to vasectomy surgery would include using condoms during the intercourse to prevent your partner from getting pregnant. Apart from this, you and your partner can mutually decide and she can opt for birth control pills, cervical cap or diaphragm to prevent unplanned pregnancies."