![]() In a vasectomy, the tube that carries sperm from each testicle (vas deferens) is cut and sealed. Some family medicine or general practice doctors do vasectomies, but most are done by doctors who specialize in the male reproductive system (urologists).Ī vasectomy is usually done at a doctor's office or surgery center under local anesthesia, which means you'll be awake and have medicine to numb the surgery area. What vasectomy surgery and recovery involves, and possible complications.Other methods of birth control available to you.Whether you have children and how your partner feels about the decision, if you're in a relationship.Your understanding that vasectomy is permanent, and that it isn't a good choice if there's any chance you might want to father a child in the future.What you can expect Before the procedureīefore doing a vasectomy, your doctor will want to meet with you to be sure it's the right form of birth control for you.Īt the initial appointment (consultative visit), be prepared to discuss: Trim hair if necessary.Īrrange for a ride home after your surgery to avoid movement and pressure on the surgery area caused by driving. Be sure to wash your genital area thoroughly. Shower or bathe on the day of the surgery. Clothing and personal itemsīring a pair of tightfitting underwear or an athletic supporter to wear after the procedure to support the scrotum and minimize swelling. These can include warfarin (Coumadin, Jantoven, others), heparin and over-the-counter pain medications such as ibuprofen (Advil, Motrin IB, others). Your doctor will probably ask you to stop taking aspirin, nonsteroidal anti-inflammatory drugs or other blood-thinning medications several days before your surgery. Likewise, after surgery you might have some pain, but for most men the pain is minor and goes away after a few days. You might feel minor pain and pulling or tugging during surgery, but severe pain is rare. As with cancer fears, there doesn't appear to be any link between vasectomy and heart problems. Although there have been some concerns about a possible link between vasectomy and testicular or prostate cancer in the past, there's no proven link. Increase your risk of certain cancers.In extremely rare cases, injury to the blood supply can lead to the loss of a testicle, but that is unlikely to happen if your surgeon is skilled. There's very little risk that your testicles, penis or other parts of your reproductive system will be injured during surgery. Permanently damage your sexual organs.Men have even reported higher sexual satisfaction after a vasectomy. A vasectomy won't affect your sex drive or your masculinity in any way other than preventing you from fathering a child. Many men worry that a vasectomy could cause serious problems - but these fears are unfounded. A fluid-filled sac (hydrocele) surrounding a testicle that causes swelling in the scrotum.An abnormal cyst (spermatocele) that develops in the small, coiled tube located on the upper testicle that collects and transports sperm (epididymis).Pregnancy, in the event that your vasectomy fails, which is rare.Inflammation caused by leaking sperm (granuloma). ![]() Fluid buildup in the testicle, which can cause a dull ache that gets worse with ejaculation.Chronic pain, which can happen for 1% to 2% of people who have surgery.Bleeding or a blood clot (hematoma) inside the scrotum. ![]() Side effects right after surgery can include: For most men, a vasectomy doesn't cause any noticeable side effects, and serious complications are rare. If you have chronic testicular pain or testicular disease, you're not a good candidate for a vasectomy. Before you get a vasectomy, be certain you don't want to father a child in the future. However, these techniques are expensive and not always effective. Other techniques also are available to father a child following vasectomy, such as in vitro fertilization. Reversal surgery is more complicated than vasectomy, can be expensive and is ineffective in some cases. Although it might be possible to reverse your vasectomy, there's no guarantee it will work. A potential concern with vasectomy is that you might later change your mind about wanting to father a child. ![]()
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