Describe the male vasectomy process for birth control.?

Question

Describe the male vasectomy process for birth control.?

Answer 1

ok..

in male vasectomy ,the vas deferans,which connects the testes to the urethra, is blocked so that the sperms wont be able to reach the urethra.

So, it is a birth control operation

Answer 2

They make a small incision in the s*****m, and simply snip the vas deferens, which delivers the sperm during intercourse. They seal it up and its over, very simple procedure.

Answer 3

Under local anesthesia a small incision is given on the upper lateral s*****m .Tunica vaginalis testis is pulled out. Hard cord like Vas is identified ,exposed and cut in between two pairs of artery forceps.Vas is cut after two ends are ligated. The process is repeated on the other side. Incisions closed with a single or two suture.

Answer 4

Through a small incision, the tubes are identified and separated or ligated. The technique varies with some leaving the testicular tube "open" and others close this tube. It should be considered permanent, although reversal can be done and ie eventually chosed by 2-4% of men, some for pain, others to regain fertility.

Following vasectomy, spermatogenesis (sperm production) continues, the human epididymis and ductus deferens may distend and leak, and the extravasated spermatozoa stimulate formation of a sperm granuloma. Granulomas may occur at 60% of vasectomy sites and are usually asymptomatic and relieve intraluminal pressure. About 3-5% of patients experience pain. Intraluminal phagocytosis may explain why some reproductive tracts become depleted of spermatozoa. Distension of the epididymis is common after vasectomy and may lead to granuloma formation there. Up to 6% of patients have symptoms, but many with epididymal changes have no discomfort. Most episodes of painful epididymitis and granulomas resolve with conservative treatment, but  about 1% of men require vasectomy reversal or, if this is ineffective, excision of the epididymis and obstructed ductus deferens.

McDonald SW. Vasectomy review: sequelae in the human epididymis and ductus deferens. Clin Anat. 1996;9:337-42.

In a survey by postal questionnaire and telephone interview of 172 patients 4 years after vasectomy to assess the incidence of chronic testicular pain. Significant early post-operative complications occurred in 6 patients (3.5%): 2 infection, 3 hematoma and 1 orchitis. Chronic testicular discomfort was present in 56 patients (33%), considered by 26 (15%) to be troublesome but not by the other 30 (17%). Testicular discomfort related to sexual intercourse occurred in 9 cases (5%). Of the 9 patients who had sought further medical help only 2 had had further surgery (1 an epididymectomy and 1 excision of a hydrocele). Only 3 patients regretted having had the vasectomy because of chronic pain. On ultrasound examination, epididymal cysts were a common finding on both asymptomatic and symptomatic patients following vasectomy. Prior to vasectomy, all patients should be counselled with regard to the risk of chronic testicular pain."

500,000 to 1 million vasectomies are performed annually with only a 2-3% acute complication rate. (bleeding, infection, etc.) However, despite the low complication and failure rates of the procedure, vasectomy is a leading cause of urological litigation. The authors conducted an outcomes analysis to determine the incidence of post-vasectomy complications, particularly the incidence of chronic scrotal pain related to vasectomy and its impact upon quality of life. A questionnaire of 154 questions addressing post-vasectomy complications, incidence of post-vasectomy scrotal pain, and quality of life issues was sent to 470 patients selected from the Henry Ford Hospital database who underwent vasectomy between January 1988 and November 1992. Follow-up telephone surveys were conducted. 182 patients responded to the questionnaires. The participants were followed for a mean period of 4.8 years. The most common complication was post-vasectomy scrotal pain in 34 men, which adversely affected the quality of life in four. 71.4% of the men were, however, satisfied with having decided to undergo vasectomy, 19.3% had equivocal feelings, and 9.3% were dissatisfied. (Please note the four with quality of life concerns signals an incidence of 4 in 182 or roughly 1 in 45, not “1 in 1000”.)

As the numbers of vasectomized men have increased, the numbers of men affected by post-vasectomy complications have also risen and become a focus for clinical studies. In fact, I Googled “Post Vasectomy Pain Syndrome” while writing this article and got 1,190,000 hits. The incidence of post-vasectomy testicular pain has been variously reported in the literature. In one study, (Br J Urol. 1992 Feb;69(2):188-91.) the incidence of chronic testicular pain was reported to be 33%, with about half of these men reporting it to be “troublesome”, and about 5% of patients had testicular pain related to intercourse. That would seem to put a damper on ones sexual function and interest. Three of the 179 survey respondents regretted having the vasectomy due to chronic pain. The incidence of regret (1 in 60) for an essentially irreversible procedure seems high and merits mention in the informed consent for this procedure. In fact, this study’s conclusion was, “Prior to vasectomy, all patients should be counseled with regard to the risk of chronic testicular pain.”

There are a plethora of studies highlighting these post-vasectomy complications, but when you talk people about vasectomy, it seems few are aware of these issues. In another study (BJU Int. 2004 Mar;93(4):571-4), they compared two groups of men that were either one or ten years post-vasectomy and found that: “In group A, (ten years post-vasectomy) 25 of 180 (13.8%) had a new onset of scrotal pain of some nature… Three of the 25 regretted having a vasectomy because of pain. In group B (one year post-vasectomy), 36 of 214 (16.8%) reported persistent scrotal pain… Six of the 36 regretted having a vasectomy because of the pain.” They concluded: “Chronic scrotal pain after vasectomy is more common than previously described, affecting almost one in seven patients. All patients undergoing vasectomy must receive appropriate preoperative counseling about this. The incidence of this complication does not appear to increase with time.”

Can you imagine telling a prospective vasectomy patient that, “ Besides the acute post-operative pain, swelling, and bruising, that we have spoken about, which most men find are very time-limited, fairly trivial, and manageable with ice and Tylenol, I need to tell you about the risk of chronic testicular or epididymal pain. It may be as high as thirty percent or as low as 1 to 2%. Some men find it “troubling”, while others find it to be a “nuisance”. A small percentage of men develop severe pain and find it affects their quality of life or causes pain during s*x. If you end up in this latter group, your treatment options will include warm soaks, Motrin, and time. If it does not resolve, you may need a vasectomy reversal and it may not be covered by insurance. You have a 70% chance of responding to the reversal. Of course if you have a reversal, you will be fertile again. If the reversal is ineffective, you might have to consider further surgery that could include removal of your epididymus (a mushy organ connected to the t******e) or removal of the t******e itself. Now, step through here and we will get you ready for your procedure…”

If you are considering vasectomy, please do yourself a favor and do a bit of reading prior to the procedure. The current informed consent is generally inadequate and if you are in the unlucky group with post-vasectomy pain, your quality of life and sexual function may suffer.

Answer 5

Under local anesthesia, the vas tubes are severed and sealed shut.  This insures that a man's s***n will contain no sperm.  He will then have sexual freedom.

I had a vasectomy when I was 21.  I am now 42, and very happily child free.