A vasectomy is a surgical process to make a man infertile. After surgery, sperm can no longer mix with semen. This is the fluid that’s ejected from the penis.
No scalpel vasectomy
A vasectomy requires a scalpel to make two minor cuts in the scrotum. A no-scalpel vasectomy has become a well-liked option for many men in the United States. The no-scalpel procedure results in less bleeding and quick recovery while being a conventional vasectomy. About 500,000 men in the United States undergo vasectomy each year. They do so as a means of birth control. About 5 percent of married men of reproductive age have a vasectomy. They do so to avoid reproducing any children if they already have their kids.
Difference between no scalpel and conventional vasectomy
The main difference between no scalpel and conventional vasectomies is how the doctor obtains the vas deferens. The vas deferens are the ducts that carry sperm from the testicles to the urethra, where it mixes with sperm. With conventional surgery, a cut is made on each side of the scrotum to reach the vas deferens. With a no-scalpel vasectomy, the vas deferens are grasped with a clip from outside the scrotum and a needle is used to make a small hole in the scrotum for entry to the ducts.
Our urologic specialists, In the 48 hours before having a no-scalpel vasectomy, avoid aspirin and other nonsteroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen (Advil) and naproxen (Aleve). Having these medications in your system before any surgery can increase your chances of bleeding problems. Also, ask our urologic specialists about any other medications they take. A vasectomy is an outpatient process. This means you can go home on the same day as the surgery. Wear pleasant clothing to the doctor’s office. You may be advised to trim the hair in and around the scrotum. It can also be done at the doctor’s office before the procedure. Check with your urologist’s office about anything you may need to do to prepare. Your doctor should give you a list of guidance in the days leading up to the vasectomy. In the operating room, you’ll wear a hospital gown only. Our urologic specialists will give you a local anesthetic. It’ll be inserted in the scrotum to numb the area so you won’t feel any pain or soreness. You may also be given medication to help you relax before your vasectomy. Your doctor will feel for the vas deferens under the skin for the actual procedure. Once located, the ducts will be placed just under the skin with a unique clip from outside the scrotum. A needle-like tool is used to insert one small hole in the scrotum. Sprays are drawn through the holes and cut. They’re then sealed with stitches. The doctor then places the vas deferens back into their normal position.
After the operation, our urologic specialists will advise you with some painkillers. It’s acetaminophen (Tylenol). Our urologic specialists will also give instructions on caring for the scrotum during recovery. The holes will heal on their own, without stitches. However, there is gauze over the holes that must be changed at home. Some bleeding is normal. It should be over in the first 24 hours. You won’t need the gauze later, but you’ll want to keep the area clean. Showering is safe after a day, but be careful when drying the scrotum. Use a towel to pat the area. Ice packs or bags of frozen vegetables can help reduce swelling and pain during the first 36 hours after a vasectomy. Fold the ice pack or frozen vegetables in a towel before applying to the skin. Also, avoid heavy weightlifting and running for at least a week. You may return to work and normal activities within 48 hours.
Some discomfort is expected during the first few days after the surgery. Problems are rare. If they occur, they can include redness, swelling, or bleeding from the scrotum (signs of infection), trouble urinating, and pain that can’t be controlled with your prescription medications. Another post-vasectomy problem can be a buildup of sperm that forms a knob in your testicles. This is called a sperm granuloma. Taking an NSAID may help ease some of the discomfort and reduce inflammation around the knob. Granulomas disappear on their own, though an injection of a steroid may be needed to speed up the process.
Similarly, hematomas resolve without treatment. But if you experience pain or swelling in the weeks following your procedure, schedule a follow-up appointment soon with our neurologist. One other critical thought is the possibility of remaining fertile during the first several weeks after a vasectomy. Your semen may contain sperm for up to six months after the procedure, so use other birth control methods until you are sure that your semen is sperm-free. Urologic specialists may advise you to ejaculate several times in the first couple of months after a vasectomy and then bring in a semen sample for investigation.
According to Planned Parenthood, any vasectomy can cost up to$1,000 without insurance. Some insurance companies, Medicaid, and other government-sponsored programs may cover the cost. Check with your insurance company or local public health office to learn more about payment options for the surgery.
Vasectomy reversal to restore fertility is possible for many men who have undergone the procedure. A vasectomy reversal involves the connection of the severed vas deferens. It’s often requested by men who have one or more children with one partner and want to start a new family later. Sometimes, a couple changes their minds about having children and seeks a reversal. Vasectomy reversal does not always guarantee fertility recovery.
Pregnancy after a vasectomy is rare – only about 1-2 women in 1,000 become pregnant within a year of their partner’s vasectomy. But it is essential to check your procedure by checking the sperm. Sample for sperm. This is done about 8 weeks or 20 ejaculations after the vasectomy. During that time, you’ll want to use a different form of birth prevention.
Post-vasectomy pain syndrome
PVPS is defined as scrotal pain that is continuous over at least 3 months. In many cases, the pain spreads during or after sexual activity. You may also experience pain, which may be acute without any activity triggering it.PVPS sometimes appears soon after a vasectomy, but it can develop months or even years later. The causes of PVPS are not yet known but may include nerve damage
- pressure within the scrotum
- scar tissue affecting the vas deferens
- epididymitis, which is an inflammation of the epididymis
One way to treat PVPS is with a vasectomy reversal, which restores the ability to have children. Suggests that vasectomy reversal is the best solution to PVPS, assuming that scar tissue or other inhibition in the vas deferens is the cause of pain.Although rare, surgery to free the trapped nerve may also be an option. Our urologic specialists monitor the health and wellness space, and we update our articles when new information becomes available.
The no-scalpel vasectomy is effective at 99.7% ., But this is based on the man using backup birth control until he has been cleared by the doctor that there is no sperm left in his semen. Less than 1 in 100 women whose partners have a non-scalpel vasectomy and follow-up tests to ensure its effectiveness will become pregnant each year.
Is a no-scalpel vasectomy reversible?
Yes, but the procedure is complex and can depend on different factors, including how long it’s been since you had the original method. If you are considering a vasectomy reversal, talking to our Urologic specialists can help determine whether the procedure is correct for you.