Is male vasectomy good?

The implementation of family planning has made many families start using contraception after having their first child. Generally, girls use intrauterine devices for contraception. Because it seems that this is the most effective and quickest contraceptive method that everyone accepts. However, it is also possible for men. Vasectomy is also an effective contraceptive method, but almost no men are willing to do this operation. However, many times, men have to do this operation for some reasons.

Vasectomy is a permanent birth control measure for men. It blocks the flow of sperm through vasectomy, ligation, or electrocoagulation, embolization, or chemical drugs to block the internal organs of the vas deferens, thereby achieving the purpose of contraception. It is suitable for married men who require sterilization; those who are not suitable for reproduction due to certain genetic diseases; and those who have sterilization requirements. Vasectomy can be performed at the same time as surgery for hydrocele, inguinal hernia, or varicocele.

Complications and Prevention

Common complications include bleeding, infection, painful nodules and epididymal stasis, etc. These complications have common factors. If the following aspects can be done well, their occurrence can be prevented to a large extent.

(1) Strictly understand the indications and contraindications of surgery; ① Those with coagulation disorders or bleeding tendency should not undergo surgery to avoid bleeding or hematoma. ② Those with chronic genital inflammation should be cured before surgery to reduce the occurrence of postoperative infection.

(2) Perform preoperative cleaning and disinfection of the surgical field skin; strict aseptic operation during surgery can effectively reduce the infection rate and consequences such as tissue adhesion caused by infection.

(3) Be familiar with the local anatomy of the scrotum and testicles. If there are abundant venous clusters in the scrotum and spermatic cord, and the local tissues are loose, damage to blood vessels or incomplete hemostasis during surgery can cause bleeding and hematoma, and secondary infection is likely to occur. The surgical operation should be careful and gentle to reduce excessive tissue damage or bleeding. The length of vasectomy and excision should be appropriate, and other tissues should not be brought in during ligation. The tightness and thickness of the ligature should be appropriate, and less thread ends should be left to help reduce local tissue reactions and adhesions. When ligating the vas deferens near the epididymis, a certain distance should be left to accommodate the vas deferens and epididymis fluid.

(4) Rest in bed for at least 2 hours after surgery and avoid heavy physical labor, strenuous exercise or sexual intercourse within 2 weeks.

Notes

1. Strictly follow aseptic operation. Cut open the spermatic cord fascia and the outer membrane of the vas deferens.

2. The vas deferens must be properly fixed to prevent it from slipping.

3. The operation must be gentle, and the incision should be made in the avascular area of ​​the scrotal skin, and the bleeding must be stopped carefully.

4. When freeing the vas deferens, the tunica vaginalis should be peeled off cleanly, the ligature should not be too thick, and other tissues should not be pierced.

5. To ensure the effect, spermicide can be injected into the seminal vesicle before ligation. Commonly used spermicides include 1% procaine, vitamin C and 0.01% phenylmercuric acetate, 2-3 ml is injected on each side.

6. Patients with hemorrhagic constitution, scrotal dermatitis or skin disease, spermatic cord inflammation, epididymitis, seminal vesiculitis, prostatitis, or severe neurological dysfunction should not undergo this surgery.

7. Be familiar with the local anatomy of the scrotum and testicles. If there are abundant venous clusters in the scrotum and spermatic cord, and the local tissues are loose, damage to blood vessels or incomplete hemostasis during surgery can cause bleeding and hematoma, and secondary infection is easy to occur. The operation should be careful and gentle to reduce excessive tissue damage or bleeding. The length of vas deferens stripping and removal should be appropriate, and other tissues should not be brought in during ligation. The tightness and thickness of the ligature should be appropriate, and less thread ends should be left to reduce the reaction of local tissues and adhesions. When ligating the vas deferens near the epididymis, a distance should be left to accommodate the vas deferens and epididymis fluid.

I think that husband and wife are equal. If a man really loves his wife, it is best not to let his wife get an IUD, because many female diseases are easily contracted after the IUD is installed. Therefore, a man who loves his wife will definitely be willing to get a sterilization for the sake of the family. However, now that the second-child policy has been liberalized, many families will want a second child.