NAME OF THE SUBJECTS : Obstetrics and gynaecology

UNIT :
NAME OF THE TOPIC : Vasectomy
PLACE : BSc. Nursing 4th year class room
GROUP : GNM 3rd year
DATE : 02/03/2021
TIME :20 MINUTES
SIZE OF THE GROUP : 30 Students
AV AIDS USED : PPT, black board, pamphlet, hand out, fannel board
METHOD OF TEACHING : Lecture cum discussion method
NAME OF THE EVALUATOR :
NAME OF THE STUDENT TEACHER : Anusikta Panda
PREVIOUS KNOWLEDGE OF THE STUDENTS: Students have some knowledge regarding vasectomy
GENERAL OBJECTIVES : At the end of the class the students will able to-
Describe vasectomy, Discriminate different method of vasectomy, apply the role during or after procedure.
SL TIME SPECIFIC OBJECTIVE CONTENT TEACHING LEARNING AV EVALUATION
NO ACTIVITY AIDS

1 30sec Self introduction

2 30sec INTRODUCTION:
Vasectomy is also called as a male
sterilization, a surgical procedure
which aim to prevent conception
and prevent from pregnancy. The
procedure is done by doctor
mostly urologist and in an in
patient department or clinical
setup. In the procedure the small
tube which are called vas defernas
are cut , blocked or tied.
3 ANNOUNCEMENT OF TOPIC:
VASECTOMY

4 2min Define the topic DEFINITION: Teacher defines the vasectomy, Flannel What is the
Vasectomy is a surgical procedure for male sterilization and a students nodded their head and board meaning of
method of permanent birth control , in which the vas defernas of a took the note. vasectomy?
man are tied and separate to prevent sperms to entering into
seminal stream which results to prevent conception.
5 1min Enlist the history of HISTORY OF VASECTOMY: Teacher enlisted the history of PPT When the first
vasectomy  First recorded vasectomy 1823 by Coper from England. vasectomy, students nodded their vasectomy
 After a short time a barber R. Harrison by profession performed head and took the note. recorded?
first human vasectomy in 1924.
 First programme on a national scale launched 1954 in India.
6 1min Explain the case selection CASE SELECTION AND INDICATION : Teacher explained the case PPT Who can go for the
and indication  When person are in relationship and both partner did not want selection and indication criteria, vasectomy
any children. students took the notes. procedure?
 They are in relationship and any partner having health problem
that would make pregnancy unsafe.
 if one or both partner having any genetic disorder.
8 1min Explain the types of TYPES OF VASECTOMY: Teacher explained the types of Pamphle Which one is having
vasectomy. There are mainly 3types of procedure: Convential vasectomy, students took the t more risk for
vasectomy(scalpel): - notes. infection?
 The oldest method. - Total 3 incision ,1 on each side and 1 in
middle of scrottum. (1.5 -3 cm. on each side). - Closure by
sutures ,High risk for infection.
 Non scalpel vasectomy: - Two special forceps Vas ring clamp
and vas dissectors. - Less complication and not required sutures.
  Minimally invasive: It is also type of non scalpel , Minor
complications and low risk of infection.
9 2min Enumerate the vasectomy PROCEDURE: Teacher enumerated the PPT, Where the incision
procedure.  The testicles and scrotum are cleaned with an antiseptic and procedure of vasectomy, students video is being given in
shaved. listened carefully. vasectomy
 Each vas deferens is located by touch. procedure?
 A local anesthetic is injected into the area.
 Two small openings in the scrotum are made through an
opening, the two vas deferens tubes are cut.
 The two ends of the vas deferens are tied, cut and separated.
 The vas deferens is then replaced inside the scrotum and the
skin is closed with stitches that dissolve and do not have to be
removed.
 The procedure takes about 20 to 30 minutes and can be done in
an clinic. It is best done by a Urologist.
10 1min Describe the expectations WHAT TO EXPECT AFTER SURGERY: Teacher described the expectation PPT When to come for
of after surgery.  The patient can resume sexual intercourse once pain and after surgery, students listened follow up?
swelling subsides. carefully and took the notes.
 But the partner can still get pregnant until the sperm count is
zero.
 Till that another birth control methods can be used , until the
patient has follow up sperm count test, 6 weeks after the
vasectomy or 10 to 20 ejaculations.
11 1min Narrate the pre and post Pre operative evaluation: Teacher narrated the pre and post Hand out Why bleeding
operative evaluation  Complete history collection and physical examination. operative evaluation, students disorder history is
 Bleeding disorders & any surgical history related to genito listened carefully and took notes. being taken during
urinary tract. history taking?
 Avoid aspirin and NSAID drugs 24 to 48 hrs prior.
 Anxiolytic drugs administer before the procedure.
Post operative evaluation:
 Rest for next 24 hrs.. Light work 2-3 days.
 Do not put heavy weight upto 7 days.
 Scrotal support and pressure bandaging should apply.
 No sexual activity till 3 days.
12 1min List out the advantages and Advantages: Teacher list outs the advantages Pamphle What are the other
disadvantages of  An effective and permanent way to prevent pregnancy for that and dis advantages of vasectomy, t disadvantages of
vasectomy. couple who did not want children. students took note and listen vasectomy?
 It does not affect sexual activity. carefully.
 More easier and less expansive then female contraception.
Disadvantages:
 It does not protect against STDs.
 Other short term risks are: swelling , bleeding , blood presence
 in the semen and infection
13 1min Explain the complications. COMPLICATIONS: Teacher explained the PPT How to reduce
 Bleeding and bruising. complication, students took the infection chances
 Infection at the site. note and listened carefully. after vasectomy?
 Sperm leaking from a vas defernas into the tissue around it &
forming a small lump.
14 1min Describe the nurses role NURSES ROLE: Teacher describes the nurses role, PPT What can be the
 Asses the patient carefully. students nodded their head. other nurses role?
 Note if any complication seen.
 Some times the sedation and pain will be feels after operation
so analgesics can be given.
 Advice them about next 7 days of life style changes.
15 1min To summarize the topic SUMMARY:
A vasectomy is a small
operation to prevent pregnancy. It
blocks sperm from getting to your
semen when you ejaculate. With
no sperm leaving your body, you
can’t get someone pregnant. You
can still have an orgasm and
ejaculate. Your doctor can do your
vasectomy, a routine procedure
that takes about 30 minutes, in
their office. You'll go home
afterward. Your doctor may call it
male sterilization. Your friends
might refer to it as “the snip” or
“getting snipped.” For this type,
the doctor makes cuts in your
scrotum to reach two tubes. Each
tube is called a "vas deferens," and
you have one for each testicle.
Your doctor may remove a small
piece of each tube and leave a
short gap between the two ends.
They might sear each end, but
they will tie each one off with a
stitch. When each vas deferens has
been cut, sperm can no longer
reach your semen or leave your
body.
 16 1min To conclude the topic CONCLUSION:
Vasectomy is a surgical procedure
for male sterilization or
permanent contraception. During
the procedure, the male vasa
deferentia are cut and tied or
sealed so as to
prevent sperm from entering into
the urethra and thereby
prevent fertilization of a female
through sexual intercourse.
Vasectomies are usually
performed in a physician's office,
medical clinic, or, when performed
on an animal, in a veterinary clinic
—hospitalization is not normally
required as the procedure is not
complicated, the incisions are
small, and the necessary
equipment routine.

ASSIGNMENT:
What is non-scalp vasectomy. Write in detail regarding the procedure of non-scalp vasectomy? (10)
BIBLIOGRAPHY:
1. Dutta DC. Textbook of obstetrics. 9th edition. New delhi: jaypee brothers medical publication; 2019, page no 512-513.
2. Suddarth’s, brunner. Textbook of medical surgical nursing: volume 2. 13 th edition. New delhi: wolters kluwer publication; 2014, page no 1744-1745.
3. Sharma J B. Textbook of obstetrics. 1st edition. New delhi: avichal publication company; page no 698-700.
4. Weiske WH. Vasectomy. Andrologia. 2001 May;33(3):125-34.
5. https://www.slideshare.net/RamayyaPramilaUrolog/vasectomy-25010496
6. https://www.slideshare.net/AbinoDavid/non-scalpel-vasectomy-14479986
7. https://www.fptraining.org/content/presentation-slides-vasectomy