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Vasectomy – Frequently Asked Questions:
- How will the vasectomy
affect me? Vasectomy
generally does not affect sex drive, penile sensation or testosterone
production. Sperm continue to be made in the testicles, but they are
trapped and then reabsorbed by the body.
- What is the advantage
of a vasectomy? Vasectomy is an office procedure which accomplishes
permanent birth control. After vasectomy, one is able to enjoy the spontaneity
which arises from not having to worry about using other means of birth
control such as condoms or diaphragm.
- What are alternatives
to vasectomy? Non-surgical alternatives include but are not limited
to: birth control pills, condoms, diaphragm, IUD (intrauterine device)
and abstinence.
- Is there anything I need
to do before vasectomy? Avoid any medications which may decrease
coagulation or "thin" the blood for 1 week before. This includes but
is not limited to advil, aspirin, motrin, and ginko biloba. Shower and
wash the scrotum with anti-bacterial soap on the day of the procedure.
You can eat a light meal before the procedure; you do not need to fast.
- What actually happens
during the procedure? You will remove your trousers and underwear
and lie on the examining table. Your doctor may shave a small area on
your scrotum. He will prepare the area with an antiseptic solution and
drape off the area with sterile towels. A local anesthetic will be administered,
and then the vasectomy will be performed. This can be accomplished through
either one or two small openings. A small piece of the vas is removed.
The ends of the vas are sealed to prevent reconnection. The opening
is closed with an absorbable suture.
- What is a scalpel free
vasectomy? This is actually very similar to a standard vasectomy.
The main difference is that instead of using a scalpel to create a small
opening, a sharp clamp is poked into the skin and spread to make the
opening.
- What is the success rate?
Over 99%. Persistent sperm has been noted in the ejaculate in 2-6/1000
cases. This can be due to a recanalization or spontaneous re-connection
of the 2 ends.
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