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Vasectomy

Overview | How vasectomy works | Surgical Procedure | Possible Complications | Is sex different after vasectomy? | What are the risks of vasectomy? | Is a vasectomy effective? | Vasectomy reversal | Female sterilization

Overview

A vasectomy is a simple office surgical procedure for male sterilization or permanent contraception. The procedure takes 10 minutes and is performed in the office under local anesthesia. Plan to rest at home the day of the procedure and the next day to prevent post procedure pain or other complications. The patient may resume sexual activity and heavy exercise one week after the procedure.

The Vas Deferens are tubes that carry the sperm from the testicles to the urethra at the time of ejaculation. A small segment of each Vas is removed and the free ends are then sealed to prevent passage of the sperm. The sperm only accounts for a small portion of the fluid emitted at the time of ejaculation (which will not be noticed by the patient). Furthermore, there will be no change to the sensation of sexual activity after a vasectomy. A vasectomy is the most effective form of birth control of all of the standard treatments available including birth control pills and tubal ligation.

Urology Clinics of North Texas physicians have performed thousands of vasectomys from patients across Dallas, Fort Worth, Plano, Allen, Lewisville, Flower Mound, Grapevine, Southlake, Rockwall, McKinney and many other North Texas cities.

How vasectomy works

Sperm are formed in a man's testes, and they mature in an area attached to the testes called the epididymis. It takes nearly 90 days from the time of sperm production for them to travel gradually up two tubes called the vas deferentia and then become available for ejaculation. Penis vasectomy Dallas Fort WorthBefore ejaculation, fluids from the seminal vesicles and the prostate are combined with sperm to form semen. Vasectomy interrupts this process by closing off the vas deferentia, preventing the sperm from joining the other fluids. Because the sperm's contribution to volume is less than 5 percent, there is no noticeable change in the man's semen.

A man's virility is not affected by vasectomy, because it doesn't change the testes' production of the male hormone, testosterone. His sex drive, potency, male characteristics, and sexual pleasure should be unchanged. In fact, roughly 30 percent of men report improved sexuality after a vasectomy, most likely because the worry of pregnancy is eliminated. After a vasectomy, sperm continue to be produced but at a decreased rate. Those that are produced die and are absorbed by the body.

Vasectomy Surgical Procedure

Vasectomy is a minor surgical procedure completed in the doctor's office that removes a small section of each vas deferens and seals off the ends. Prior to the late 1980s, most vasectomies were done using a small scalpel, took about 30 minutes, and required a couple of days for full recovery. Around 1988, though, a Chinese technique was introduced to the United States. Penis vasectomy DFW TexasThe no-scalpel vasectomy simplifies the procedure, reducing the total time to between 8 and 10 minutes. As no incision is made, no stitches are required. Discomfort during and after the procedure is reduced, complications such as bleeding are minimal, and recovery is quicker.

‘No scalpel vasectomy’ is done with a special tool that creates the least amount of disturbance. For most men, the prick of the needle for the local anesthetic is about the extent of the pain. In many cases men do not even need over-the counter-medication afterward, let alone prescription medication.

Though it is not always necessary, it is advised to have someone come along to drive you home. Resting and applying an ice pack to your scrotum for a couple of days following the procedure will significantly speed your recovery and reduce the risk of complications.

If you are perhaps considering a vasectomy in Dallas Fort Worth area, contact us at 214-691-1902.

Possible Complications

Without a doubt, the most common complication we see is swelling of the scrotum and this is seen when men refuse to take it easy for a couple of days after a vasectomy. Regrettably, once the swelling starts, it may take two weeks for it to reduce completely, so prevention is the best method.

Penis vasectomy Lewisville TexasComplications are typically minor and only occur in about 10 percent of vasectomy procedures. Additionally, there has never been a death with a vasectomy. As is the case with any surgical procedure, there's always a minor risk for bleeding, infection, or allergic reaction to the anesthetic, causing a rash. Complications specific to vasectomy include the possibility of a sperm granuloma, testicular pain, and epididymitis. Also, in very rare instances, a man could lose a testicle.

A sperm granuloma occurs if sperm leak from the vasectomy site or a rupture in the epididymis and provoke an inflammatory reaction. About a half-inch in diameter, they require further attention in only about two percent of men. About one percent of men experience aching testicles from congestion in the epididymis. This usually disappears within six months. Epididymitis is an inflammation at the vasectomy site, usually taking place within the first year. Heat and anti-inflammatory medicine usually clear it up in about a week.

Is sex different after vasectomy?

Not at all. Because the testicles supply less than 5 percent of the ejaculate, there's no noticeable difference in the semen. Erections and sex drive are unaffected. Freedom from worry of pregnancy often enhances a couple's sex life.

What are the risks of vasectomy?

One study has shown that men who have had a vasectomy have an increased occurrence of prostate cancer after 20 years. Since this study, other results have noted that there is not an increase in frequency of prostate cancer. A panel of experts was convened by the National Institutes of Health to study the available research, and it concluded that the evidence for a link between vasectomy and prostate cancer was inconsistent and insufficient. No changes were recommended, including no increased screening for prostate cancer among men who have had vasectomies.

It is advised to use another form of birth control, for at least the first six weeks after the procedure. Subsequently, the man's semen is checked to ensure no sperm are present. The total charge for a vasectomy is typically less than $900.

Is a vasectomy effective?

While, the overall failure rate for vasectomy rate is 0.15 percent, this does not give an accurate picture of its real effectiveness. The majority of vasectomy failures happen during the first couple of months after the procedure, when live sperm may still exist in a man's semen. Couples must continue to use another method of birth control until the man has ejaculated about 20 times over as long as six months and tests have shown that no live sperm remain. If these tests are passed on, you may live to regret. There is a failure rate of 0.025 percent (one of every 4,000) because the vas deferentia manages to reconnect.

Vasectomy reversal - What if I change my mind?

A vasectomy reversal is a procedure that attempts to undo the effects of a vasectomy. During a vasectomy, the vas deferens, which carry sperm to the penis, are cut. The surgeon reconnects these tubes when performing a vasectomy reversal.

Penis vasectomy Dallas Fort Worth North Texas It is easier to plan for the future than to predict the future. Nearly 1 in 100 men who undergo a vasectomy will attempt vasectomy reversal. Fortunately, microsurgical techniques developed in recent years have greatly improved the likelihood of success. Two types of surgical procedures are used to reverse vasectomy. In men who still have sperm present in their vas deferentia, vasovasostomy reconnects the vas. When no sperm are found (about one-third of all cases), the far ends of the vas deferentia can be directly connected to the epididymis, using a technique called vasoepididymostomy.

Neither method of reconnection is easy, definite or cheap. While both methods can often be done at an ambulatory surgery center, with the man going home the same day, vasovasostomy takes two to three hours, and vasoepididymostomy can take five. The range of cost is between $5,000 and $15,000. Overall, the rates of pregnancy are about 50 percent and 20 percent respectively, but the chances also depend on how recently the man had the vasectomy. For vasovasostomy, the chances of pregnancy are as high as three-quarters for the first three years, declining to about half for years three through eight, and as low as one-third after the fifteenth year. Vasectomy reversal actually turns up sperm in semen considerably more often than the pregnancy numbers suggest. It is commonly known that presence of sperm does not guarantee pregnancy, and pregnancy is the goal.

If reconnection fails, there is yet another option for couples who want children. In this procedure, sperm are aspirated directly from a man's testicle and injected into an egg removed from the woman. Once fertilization takes place, the egg can be implanted in the woman, where normal gestation can take place. Obviously, this is more complicated and expensive than reconnection, and the odds of success are lower.

What is female sterilization?

A procedure in which a woman's fallopian tubes are severed or sealed off, which prevents the egg from being fertilized by sperm is known as tubal ligation. In contrast to vasectomy, which is a simple outpatient procedure, tubal ligation usually is more complex and may require a hospital stay. Occasionally tubal ligation can be performed at an ambulatory surgery center.

The most common tubal ligation procedure involves sealing off the woman's fallopian tubes with tiny metal rings or clips. This requires two incisions be made just below the navel. Tubal ligation charges, including surgeon's fees, operating room facility, and anesthesiologist's charges, range anywhere from $1,500 to $2,500. The procedure requires a general or regional anesthetic. A current study showed that there was an 18 percent incidence of reconnection after tubal ligation.

Regardless of the obvious advantages of vasectomy, more tubal ligations (about 600,000) than vasectomies (about 500,000) are performed each year. This is most likely due to the fact that women have traditionally taken the responsibility for birth control.

If you are considering any procedure listed above, give us a call at 214-691-1902 or make an appointment at one of our Dallas, Fort Worth, Plano, Allen, Lewisville, Flower Mound, Grapevine, Southlake, Rockwall, McKinney and many other North Texas locations.