How to perform sterilization surgery for men

Contraceptive surgery is not only suitable for women, but also for men. However, we generally call male contraceptive surgery sterilization. There are certain conditions and precautions for male sterilization. This surgery also has certain risks. The operation process of male contraceptive surgery is also very complicated. Many people don't know much about this surgery. So how to do male contraceptive surgery?

Disinfect the surgical field three times with warm 0.1% benzalkonium bromide solution (1:1000 new gentian solution) and lay a towel over the hole. Use the thumb and middle finger of your left hand to find the vas deferens in the front and outside of the scrotum, and squeeze it under the skin. Feel and pinch the tough vas deferens. Apply local anesthesia to the skin where the vas deferens is fixed, and push the medicine while inserting the needle, so that the liquid medicine diffuses from the skin to the surrounding of the vas deferens.

Use a small sharp knife to make a small incision at the local anesthesia needle hole, with the incision length not exceeding 0.4cm. Use the separation clamp to fix the vas deferens directly to the vas deferens and slightly separate it along the longitudinal axis of the vas deferens. Then extend the vas deferens fixation clamp into the incision to clamp the vas deferens and pull it out of the incision.

Use mosquito forceps to separate the tunica vaginalis and blood vessels of the vas deferens. After freeing the vas deferens 1-1.5 cm, use two mosquito hemostatic forceps to clamp the vas deferens at the upper and lower separated sections, and then remove the fixing forceps.

Cut and ligate the free part of the vas deferens, twist it with a hemostat, and then ligate both ends with No. 1 silk thread, with a distance of 1.5 cm. Lift the ligature and cut off about 1 cm of the vas deferens. Check for bleeding, cut the ligature, and separate the separated broken end from the distal end with the spermatic cord fascia, then put it into the skin wound and stop the bleeding carefully. The skin wound does not need to be sutured, but the skin edges must be aligned.

Treat the other side of the vas deferens in the same way. After the operation, cover the wound with sterile gauze and fix it with tape.

Notes:

1. Provide preoperative consultation and relieve concerns;

2. If there are small purple patches around the scrotal incision after surgery, there is no need to seek medical attention. However, if the scrotum is swollen and the skin is gradually purple or bleeding, you should seek medical attention immediately.

3. No sexual intercourse within two weeks after the operation, pay attention to rest, avoid heavy physical labor and strenuous exercise;

4. Contraception needs to be continued for 3 months after the operation

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