Vasectomy is the most effective form of permanent contraception. This minor procedure consists of the cutting and sealing of the vas deferens tubes, which are responsible for transporting sperm to the prostate for ejaculation. The testes will continue to produce sperm, but it will be absorbed back into the body soon after production and will not be present in semen. However, it can take up to three months post-surgery before the patient is completely sterile. This is due to sperm lingering within the various tubes of the penile anatomy and may require upwards of twenty ejaculations to ensure complete sterility.
The vasectomy operation is an out-patient procedure and can be performed right in the surgeon's office. The duration of the surgery is normally twenty to thirty minutes and requires only local anesthesia. If employed at a desk job, the patient can return to work within one or two days. If they are a manual laborer, a longer period of time will be needed. The scrotum can become sore and swollen during this period, although the situation will improve rapidly. It is important to note that sexual activity can still produce a pregnancy at this time. A follow-up sperm count test is recommended after two months to ensure sterility as well as a second testing one month afterwards to confirm it.
Varicocelectomy (Correction of varicocele in the scrotum)
A varicocele is a form of varicose veins specific to the male scrotum. The vein responsible for draining the testes is prone to becoming enlarged due to failure of the valves within it. Common symptoms include a noticeable vein, weighty feeling in the testicles, atrophy of the testicles and infertility. If the patient is experiencing discomfort, a surgical procedure known as varicocelectomy may be performed. This operation primarily targets the enlarged vein, which is tied off to prevent blood flow to it. This allows the blood to pass through the surrounding, functional veins.
Vasovasostomy (Vasectomy Reversal)
Vasectomy is a procedure in which the tubes of the vas deferens are cut and sealed, no longer allowing the transport of sperm to the prostate for ejaculation. This renders a man sterile. However, some men eventually decide to undergo surgery to reverse their prior vasectomy. During this procedure, the tubes are re-attached and sperm can once again travel to the prostate. It will be possible to impregnate a woman.
Vasectomy reversal has a higher success rate the sooner it is done after a vasectomy. Typically performed as an outpatient procedure, a vasectomy reversal requires either general or local anesthetic. The surgeon makes an incision in the rear of the scrotum, entering the testicle for access to the vas deferens. As long as the sperm appears healthy, the ends of these tubes can be stitched back together to provide the sperm with a pathway once again.
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