Scalpel and No-Scalpel Vasectomy
To understand how a vasectomy works, you need to know how sperm are produced and released by the reproductive system. The testes are glands that produce tiny sperm and male hormones. The vas deferens are tiny tubes that carry the sperm from the testicles to the penis. The seminal vesicles and the prostate gland secrete certain fluids and nutrients to carry the sperm along the urethra out of the penis. Before someone undergoes a vasectomy the sperm are released out of the penis during ejaculation. After a vasectomy, that cut vas deferens prevents sperm from reaching the penis. It should be noted however that for several months after the procedure some viable sperm may remain in the upper portion of the vas deferens and can still cause pregnancy.
When a vasectomy is performed, the two vas deferens are cut to keep sperm from traveling from the testicles to the penis. This will be the only change in your reproductive system. The testes will continue to produce sperm and testosterone (male hormone), but since the sperm have nowhere to go they will die and will be absorbed by your body. Your prostate and the seminal vesicles will continue to produce fluids (semen without sperm) that come out during ejaculation, therefore your semen will not look or feel any different. Your testosterone levels will also remain the same, so that your hair distribution, the pitch of your voice, your overall strength, and your sexual drive will not change.
- Bleeding or infections are risks associated with any type of procedure, even with a no -scalpel vasectomy. Additional unique side effects associated with vasectomy include the following:
- The vas deferens can reconnect. In rare cases this can make you fertile again and can result in an unwanted pregnancy.
- Epididymitis is an inflammation of the epididymis that can cause scrotal pain. Th is usually can go away without any treatment but may require anti-inflammatory medications for relief.
- Sperm buildup can cause some soreness in the testicles and anti-infl ammatory medications can help with providing relief
- Sperm Granuloma is a small and harmless lump that can form where the vas deferens is sealed off .
- Long-term orchalgia or testicular discomfort can occur in very rare cases aft er this type of procedure.
A doctor is available 24 hours a day take your calls.
Call us if you notice any of the following aft er the procedure:
- Trouble with urination
- Increasing redness, swelling, and drainage from the incision
- Fever (Temperature of 101 degrees) or chills
- Black and blue areas or growing lump
As mentioned above some sperm can remain in the upper portion of the vas deferens after the procedure. It is absolutely necessary the you continue to use a form of birth control after your vasectomy until you have had a semen analysis that shows that your sperm count is zero. Please make sure to schedule this for approximately 2 months aft er your vasectomy.
You will be given pain medications to help you relax, and you will be required to have an adult drive you home. The local anesthetic will begin to wear off after approximately a few hours. You will experience some discomfort and swelling but this is usually very mild. We also ask that you place an icepack on the scrotum for 24 hours aft er the procedure to help with the pain. Additional things that you can do to help with your recovery:
- Make sure to stay off your feet as much is possible for the first 24 to 48 hours to decrease the chance of any swelling. The ice pack will also help with this.
- Continue to wear cotton briefs or the athletic support.
- Avoid heavy lift ing or exercise for at least five days.
- You a you can return to having sex within about 5 to 7 days as long as it is not uncomfortable for you.