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Vasectomy in General

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Vasectomy: A Permanent Contraception Option for Men

A vasectomy is a permanent form of contraception for men, which involves blocking the tubes that carry sperm from the testicles. Traditionally, this procedure requires an incision in the front of the scrotum, through which the tubes are pulled up and cut. In contrast, the no-scalpel technique involves making a small puncture in the front of the scrotum, through which the vas tubes are gently drawn. This modern method significantly reduces the risk of complications and typically results in greater comfort for the patient.

Pre-Vasectomy Preparation

Before undergoing a vasectomy, it is crucial to be certain about your decision for permanent contraception. Although vasectomy reversals, known as vasovasostomy, are possible, their success rates range from 50% to 80%, depending on the time elapsed since the vasectomy and the location of the reversal. Therefore, you must be sure that you do not want to have children in the future.

Pre-vasectomy counselling is also essential. At Vasectomy Ireland, this service is usually provided on the day of the procedure but can be scheduled beforehand if preferred.

How to Prepare for a Vasectomy

  • Shave the Area: Shave the front of the scrotum and the base of the penis the day before your vasectomy to create a hair-free zone, making the procedure easier for the doctor.
  • Shower: Take a regular shower with soap on the morning of your procedure. No special soap is needed; normal bath soap is sufficient.
  • Wear Clean Underwear: Wear clean, snug underwear to your appointment.
  • Medication: If you are taking aspirin or any blood-thinning medications, this will be discussed prior to the procedure.

During Your Vasectomy

Many men are surprised at how gentle the no-scalpel vasectomy is. The procedure typically takes between ten to thirty minutes, depending on individual factors. You will review the procedure with the physician, ask any questions, and then proceed.

The process involves:

  • Letting your pants and underwear fall to your knees.
  • Being covered with a surgical drape.
  • Applying a special antiseptic solution (inform the doctor of any skin-cleaning product allergies).
  • Examining the scrotum and tubes, and administering a local anaesthetic using a “hypospray,” which delivers anaesthetic without a needle, enhancing comfort.
  • Accessing the vas tubes through a tiny skin opening, then cauterising and cutting the tubes. For extra security, the tubes are tied or clipped with a titanium clip to prevent them from rejoining.
  • The small orifice usually doesn’t even require a bandage post-procedure.

After Your Vasectomy

Post-procedure, you will receive detailed instructions. Here’s a general overview:

  • Immediate Care: The small puncture will be covered with sterile gauze, and you should pull up your underwear tightly. Plan to rest in a comfortable chair or couch, limiting movements. Ice packs, such as frozen peas, can help with comfort, applied for 5 to 10 minutes every hour.
  • Next Day: You can shower (avoid bathing for at least a week). Remove the gauze pad in the shower and replace it with a new one when dry. Continue wearing tight underwear over the gauze.
  • Resuming Activities: Gentle work can typically be resumed within a few days. Those with heavy physical labor jobs should take it easy for the next five days. Arrange for light duties with your employer in advance.
  • Sexual Activity: You can resume sexual activities in about a week, but it's advisable to take it easy for the first two weeks.
  • You will receive follow-up instructions, pain medication, and details for a semen analysis. It’s crucial to send a semen sample for analysis as directed, as there’s a small chance the tubes can grow back together. Continue to consider yourself fertile until you receive confirmation of non-fertility from the semen analysis.

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If you have any questions or need more information, click the button below to speak with the Vasectomy Ireland team. We’re here to ensure you feel confident about your decision.

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