Vasectomy

Description:
Vasectomy is usually done in the surgeon's office while the patient is awake but pain-free (using local anesthesia). A small incision is made in the upper part of the scrotum , under the penis . The tubes (vas deferens) are tied off and cut apart. The skin incision is stitched closed. The patient is able to return home immediately.

Indications:
Vasectomy may be recommended for adult men who are certain that they wish to prevent future pregnancies (permanent sterilization). Vasectomy is not recommended as a temporary or reversible procedure.

What to Expect After:
Most men recover quickly with no problems.

The sperm count gradually decreases after vasectomy. At 4 to 6 weeks sperm are no longer present in the semen. A semen specimen must be examined and found to be totally free of sperm a month or more after vasectomy before the patient can rely on the vasectomy for birth control .

Continued use of contraception is recommended until 2 to 3 sperm count tests are negative, indicating that the patient is sterile.

Convalescence:
Wearing a scrotal supporter is recommended for 3 to 4 days after the procedure. An ice pack may be used to prevent or reduce swelling . Oral pain medications can usually easily manage the pain. Most men return to work within 2 to 3 days. Sexual intercourse can be resumed as soon as the patient feels ready (usually about a week after the surgery).

Risks:
Some swelling and bruising of the scrotum is common. There is no serious risk to vasectomy. The post-operative semen specimen examination ensures that all sperm have disappeared from the semen and that both tubes (vasa) were divided.

Cost:
The cost of a vasectomy is about $300 to $400. Most medical insurance plans will pay for vasectomy. No anesthesiologist is needed because the surgeon uses a local anesthetic. Hospital or office charges are minimal.