What is vasectomy?

Vasectomy is a procedure that involves interrupting the flow of sperm by cutting or blocking the vas deferens, the tubes responsible for carrying sperm from the testicles to the urethra. This contraceptive method aims to prevent pregnancy. A vasectomy is a reliable and safe surgical procedure that offers men a permanent form of contraception.

When is a vasectomy performed?

A vasectomy is typically considered by men who have completed their families or have decided not to have children in the future. It is a commonly favoured option among couples seeking a dependable and irreversible method of contraception, eliminating the necessity for other forms of birth control.

Vasectomy is an elective procedure that can be performed on an outpatient basis. It is crucial to understand that vasectomy does not immediately provide contraception. After the procedure, it takes several months and multiple semen analyses to confirm the absence of viable sperm in the ejaculate. Until sterility is confirmed, it is important to use alternative methods of birth control.

How is a vasectomy performed?

Vasectomy is a straightforward surgical procedure that may be performed either in the urologist's office or at an outpatient surgical facility. Typically taking approximately 30 minutes, the procedure is carried out under local anaesthesia.

During the vasectomy procedure, the healthcare provider makes one or two minor incisions in the scrotum to gain access to the vas deferens. The vas deferens on each side are then cut, sealed, or blocked using various techniques, which may include:

• Conventional Vasectomy: In this technique, the healthcare provider incises a portion of the vas deferens, removes a small segment, and subsequently seals the ends using sutures or cauterisation.
• No-Scalpel Vasectomy: This technique involves using a special instrument to puncture the skin of the scrotum, creating a small hole through which the vas deferens can be accessed. The vas deferens are then cut, sealed, or blocked in a similar manner to the conventional method.

After the vas deferens are treated, the incisions are closed with dissolvable sutures or adhesive strips. No stitches need to be removed afterwards.

Following the procedure, it is typical to experience mild discomfort, swelling, and bruising in the scrotal region. Using conservative treatments like ice packs and over-the-counter pain relievers can provide relief from these symptoms. It is crucial to rest and abstain from strenuous activities for a few days to facilitate the healing process.

In the weeks and months following a vasectomy, it is necessary to provide semen samples for analysis to confirm the absence of sperm. Once two consecutive semen samples show no presence of sperm, it is considered safe to rely on vasectomy as a permanent form of contraception.