YOUR HEALTH, OUR MISSION

VASECTOMY

DISCOVER AND LEARN

GROUP 2
ASSIGNED MEMBERS:
PILONES,CHRISTINE RADEN B.
ANTIPORTA, CARL PATRICK
 INTRODUCTION
A VASECTOMY PROCEDURE IS A PERMANENT METHOD OF
BIRTH CONTROL FOR MEN WHERE THE SURGEON CUTS AND
SEALS OFF A SECTION OF THE MALE REPRODUCTIVE TRACT IN
ORDER TO PREVENT SPERM FROM EXITING THE MAN'S BODY
DURING EJACULATION.

VASECTOMY MAY CHOOSE A BIRTH CONTROL METHOD FROM ONE

OF SEVERAL CATEGORIES ABSTINENCE TO COMPLETELY AVOID
PREGNANCY BY NOT HAVING SEXUAL INTERCOURSE
CONTRACEPTION TO TEMPORARILY AVOID PREGNANCY THROUGH
USE OF VARIOUS METHODS DURING SEXUAL INTERCOURSE OR
STERILIZATION TO PERMANENTLY AVOID PREGNANCY BY HAVING A
MEDICAL PROCEDURE A VASECTOMY IS ONE FORM OF
STERILIZATION BEFORE THE PROCEDURE BEGINS YOU WILL BE
GIVEN INJECTIONS OF A LOCAL ANESTHETIC TO NUMB THE AREA.

THE PROCEDURE IS DONE BY DOCTORS MOSTLY UROLOGIST AND

IN AN IN-PATIENT DEPARTMENT OR CLINICAL SETUP.

.
 History of Vasectomy

·First recorded vasectomy 1823 by Cooper from England

·After a short time a barber R. Harrison by profession perform first
human vasectomy in 1924
·First program on a national scale launched in 1954 in India.

Case selection and indication

·When person are in relationship and both partner did not want any
children
·They are in relationship and any partner having health problem that
would make pregnancy unsafe
·If one or both partner having any genetic disorder.

Important social facts to know about vasectomy

·In rare cases, the vas deferens joins back naturally (recanlilization),
and the man becomes fertile again after many years.
·Hence any unexpected pregnancy after many years should be first
investigated by a sperm count in vasectomized male partner before
accusing the wife of infidelity.
 01.
·Conventional vasectomy(scalpel)
-The oldest method
-Total 3 incision, 1 on each side and 1 in
the middle of the scrotum
-Closure by suture, high risk of infection

02.
·Non scalpel vasectomy
-Two special forceps vas ring clamp and

3 TYPES OF VASECTOMY vas dissectors

-Less complication and not required suture

03.
·Minimally invasive
-It is also type of non scalpel
-Minor complications and low risk of
infection
HOW TO PREPARE BEFORE VASECTOMY
For a vasectomy we have to go over a few things one of the issues
is that they will need to have an explanation of what vasectomy is
after they have essentially decided that they want to proceed with
this procedure we'll have them sign a consent form that will help
them to make sure that they are indicating in writing that they
want to have a permanent solution for contraception so that they
want to have permanent sterilization after they have signed a
consent form the physician will review with them of what they
need to do to preparing for the procedure.Prior to the procedure a
few steps will really help with the comfort during the procedure
and also to help them with

Medications before the procedure so that the procedure is generally

more comfortable the physician will give the patients usually a
prescription for sedatives such as pain medications approximately one
hour before having the procedure they can take one tablet of a
painkiller to be able to have less discomfort also if they don't have a
problem with taking they can take milligrams of ibuprofen prior to the
procedure.

The hair of the scrotum be trimmed so that it's makes the procedure
easier.
 WHAT TO THINK BEFORE VASECTOMY?
·Vasectomy is a permanent method of birth control and not easily reversible
·Vasectomy is a safe and effective and is a day care procedure requiring hospitalization for a
few hours only
DURING THE PROCEDURE
Numb the surgery area by injecting a local anesthetic into the skin of
your scrotum with a small needle.

Make a small cut (incision) in the upper part of your scrotum once the
surgery area is numb. Or with the "no-scalpel" technique, make a
small puncture in the scrotum instead of an incision.

Locate the tube that carries semen from your testicle (vas deferens).

Withdraw part of the vas deferens through the incision or puncture.

Cut the vas deferens where it has been pulled out of the scrotum.

Seal the vas deferens by tying it, using heat (cauterizing), surgical
clips or a combination of methods. Then your doctor will return the
ends of the vas deferens to the scrotum.

Close the incision at the surgery area. Stitches or glue may be used.
In some cases, the wound may be left to close on its own over time.
WHAT TO EXPECT AFTER THE PROCEDURE
·The scrotum will be numb for 1 to 2 hrs after a vasectomy
·Wearing snug underwear or a jockstrap will help ease discomfort and
protect the area
·There might be some swelling and minor pain in the scrotum for several
days after surgery
·The patient can resume normal activities same day
·Ecosprin and anticoagulants to be stopped 48 hrs before surgery
·Analgesics will be required
·The patient can resume sexual intercourse once pain and swelling subsides
·But the partner can still get pregnant until the sperm count is zero
·Another method of birth control should be adopted until the patient has a
follow-up sperm count test, 6 weeks after the vasectomy or after 10 to 20
ejaculations.

Complications
·Bleeding under the skin, which may cause swelling or bruising
·Infection at the site of the incision
·Sperm leaking from a vas deferens into the tissue around it and forming a
small lump (sperm granuloma)
·Inflammation of the tubes that move sperm from the testicles (epididymitis)
 WHAT ARE THE RISKS?
Right after surgery, there’s a small risk of bleeding into
the scrotum. If you notice that your scrotum has gotten
much bigger or you are in pain, call your urologist right
away. If you have a fever, or your scrotum is red or sore,
you should have your urologist check for infection. There
is a small risk for post-vasectomy pain syndrome. This
occurs in 1 or 2 men out of 100 vasectomies.

Post-vasectomy pain syndrome is a pain that can follow a

vasectomy. It isn’t clear what causes this in many cases,
but it’s most often treated with anti-swelling meds. If this
occurs, see your urologist as sometimes the specific
cause can be treated with medicine or a minor procedure.
Studies show men who have had a vasectomy are not at a
higher risk for any other medical conditions such as heart
disease, prostate cancer, testicular cancer, or other
health problems.
 RESULTS
A vasectomy doesn't provide immediate protection against pregnancy. Use an alternative form of birth control until your doctor
confirms there are no sperm in your semen. Before having unprotected sex, you'll need to wait several months or longer and
ejaculate 15 to 20 times or more to clear any sperm from your semen.

Most doctors do a follow-up semen analysis six to 12 weeks after surgery to be certain that no sperm are present. You'll need to
give your doctor sperm samples to examine. To produce a sperm sample, your doctor will have you masturbate and ejaculate into
a container or use a special condom without lubrication or spermicide to collect semen during intercourse. Your semen is then
examined under a microscope to see whether sperm are present.

Vasectomy is an effective form of birth control, but it won't protect you or your partner from sexually transmitted infections,
such as chlamydia or HIV/AIDS. For that reason, you should use other forms of protection such as condoms if you are at risk of
acquiring a sexually transmitted infection — even after you have a vasectomy.