What Is Vasectomy?
The procedure of disconnecting or disrupting the flow/passage of sperms from the scrotum to the urethra by cutting the vas deferens is known as vasectomy. Vas deferens is the duct present bilaterally responsible for the passage of semen from the testicles to the urethra and thus to the penis for ejaculation. Vasectomy is an excellent method for male contraception since no sperms are available during intercourse to bring about fertilization of the female egg.
Why Is Vasectomy Needed?
The procedure of vasectomy involves ligation/cauterization/clamping of the vas deferens ducts. Once this is done, the semen produced by the testicles containing the sperms no longer can pass via the ducts. Thus they get absorbed by the body, within the scrotum. Since no sperm is now available for female egg fertilization, the chances of pregnancy are absolutely nil. Thus males undergoing vasectomy are totally sterilized and can be considered as impotence induced.
Signs and Symptoms A Vasectomy Is Needed:
- The need to undergo vasectomy arises not out of any disease, but the desire to not have children beyond a certain limit/number and age.
- Males in the age range of 35 to 40 years who already have 1/2 children of their own in the family, are sexually active and further plan on having no children.
- Men who wish to stay sexually active till a long age without having to enter fatherhood every time they have intercourse!
Diagnosis Required Prior To Vasectomy:
- Physical examination: A general physical examination is needed to rule out the possibility of any major underlying disease the male may be suffering from. This includes examination of the pulse, heart rate, blood pressure, body temperature, airway and breathing. The scrotum, penis and pubic area are also palpated to rule out any existing pathology in the male reproductive system.
- History taking: Men are asked about their sexual life, any procedures done in the past to sterilize them and similar procedures done on their fathers and grand fathers. The frequency of their intercourse with their respective partners, ejaculation, any protection that they use and masturbation are also recorded. This will help the surgeon in deciding the need for vasectomy. In case there lies a family history of prostate cancer, men need to undergo screening for the same prior to undergoing the vasectomy procedure.
- Blood tests: These are done in order to know the count of the red and white blood cells, the hemoglobin levels. Tests to evaluate the blood sugar and thyroid levels can also be carried out.
- Sperm count/motility test: This is done to avoid the need for vasectomy. If the sperm count or the motility is well below the level required to fertilize female egg and induce pregnancy, the male already is considered impotent/sterile and the need for vasectomy can be avoided.
Vasectomy Treatment Procedures:
A general trend is to perform the procedure under local anesthesia. The entire procedure takes about thirty to forty minutes to complete. The patient is given discharge the same day with a few instructions to be followed. Various approaches can be made to complete the vasectomy procedure. These are as follows:
- Standard procedure: This involves the use of one or two small incisions in the scrotum. This is done under local anesthesia; patient may feel mild discomfort but when the numbness seeps in the patient can relax. Vas deferens on either side is gently separated from its surrounding blood vessels, nerves and muscle layers. Next it is manipulated it such a way so as to prevent its recanalization which would cause a failure after the procedure has been completed. The main aim of the procedure is to cause a discontinuation of the vas deferens so that sperms produced in the scrotum do not travel upto the urethra. The methods of discontinuation include cauterization of the lumen of the vas deferens, ligation with a clip or suture or transposition of a tissue between the cut ends of the vas deferens.
- No Scalpel Vasectomy NSV: This is a procedure which does use the scalpel and is quite an advanced technique The No-Scalpel Vasectomy uses an advanced technique to access the vas deferens. The instruments which replace the scalpel are a ring fixation forcep and a dissecting forcep. This procedure has a few advantages over the traditional method. As for example, the chance of hematoma, infections is lesser by ten percent as compared to the standard method. Bleeding and pain are also comparatively lesser. This method has a widespread popularity which sees a major patient satisfaction and is considered as an effective and safe method for permanent male sterilization.
- No Needle Vasectomy: In this method, lasers replace the use of conventional means for vasectomy. The use of laser is required to make incisions into the scrotal area and bring about manipulation in the vas deferens at both the sides. Once this is done, the ligation, suturing or the clamping can be done again with the help of lasers and wound closed. The chance of bleeding, infections and bruising are 60 percent lesser with lasers when compared with the standard technique.
Complications And Risk Factors Associated With Vasectomy:
- Bleeding can persist for days to come after the vasectomy procedure has been done.
- Infections in the wound area get common if the hygiene maintenance is improper.
- Congestive epididymitis, also known as post vasectomy pain syndrome is the most common complication occurring in almost 90 percent of men undergoing the vasectomy procedure. It involves pain and swelling along the course of the vas deferens, discomfort while sitting and walking.
- It is quite common to find hematoma in the pubic area immediately after the vasectomy has been done. However if it is seen even after a week, it may cause swelling discomfort.
- Many men may find it difficult to resume their sexual life after the procedure has been done. This can be both a difficulty in penile erection or ejaculation.
- Pain, swelling and discomfort in the groin also can last for a longer period of time.
- In the long term, the testosterone levels are reduced drastically. This may lead to an increased chance of getting prostate cancer in future.
Am I Good Candidate For Vasectomy?
If you fall into any of the below criteria, you can consider yourself as an ideal candidate for vasectomy:
- You have discussed it at length with your partner, and under no circumstances do you wish to father a child.
- You are content having one child/two or more children, have a family of your own, are above 35 years of age
- You are devoid of any sexually transmitted diseases.
- You are not under any medications for regulating your hormonal balance
- You do not suffer from any major systemic conditions such as a raised blood pressure, increased heart rate, nephrotic syndrome, diabetes.
- You know you or spouse are capable of transmitting a genetic disorder to your offspring, so you avoid getting pregnant and getting into parenthood with a syndromic child.
- The procedure takes about thirty to forty minutes and the patient can be discharged just a few hours after it has been done.
- Bleeding usually stops after a day’s time, followed by pain and discomfort which subside after a period on two to three days after which the individual can resume his daily routine.
- The individual will have similar sex drive, erection and ejaculation as before; the only difference being there will be absence of sperms in the semen.
- To be on the safer side, the patient is advised to ejaculate 15 times during a period of 6 weeks after which he can continue back with his normal sex life with his partner.
Success Rate Of Vasectomy Surgery::
The success rate for a vasectomy is nearly 100 percent. One in a 100 cases may fail after five years. This occurs due to recanalization of the previously manipulated vas deferens. This relapse may occur either unilaterally or bilaterally.
Benefits Of Vasectomy Surgery:
Following are the benefits of a vasectomy procedure:
- The male is permanently sterilized/castrated.
- The sexual life can be enjoyed for as long as the couple wants without having the fear to step into parenthood.
- The procedure is less invasive, does not require an extensive hospital stay or heavy sedation/general anesthesia.
- It is an effective permanent and irreversible method of male contraception, practiced all around the globe with minimal side effects.
Cost Comparisons for Vasectomy:
The cost for a vasectomy in India is 85,000 INR to 1,00,000 INR. This is roughly around 40 percent less as compared to what you are required to pay in places such as Australia, UK or the US. The amount in INR probably may be the fees you will be supposed to pay for the hospital stay in places abroad!
Why Choose India?
Team MedcureIndia is representative of India where we make sure we portray medical tourism in its finest form. Procedures such as vasectomy are very well practiced all over India with great skill, ensuring least complications and fast recovery along with bare minimum charges and fees payment.