How much does it cost for a man to have a vasectomy?

Male sterilization is a permanent contraceptive method. The principle of the contraceptive measure is to cut off the ejaculatory duct that transports sperm from the testicles to the genitals, so that the sperm cannot enter the semen and is discharged from the body. This permanent contraceptive method is only suitable for couples who do not want to get pregnant again.

After a man undergoes a sterilization operation, it will not immediately produce a permanent contraceptive effect, so other reliable contraceptive methods should be used after the operation. Contraceptive methods can only be abandoned after two sperm tests have confirmed the existence of complete azoospermia.

Male sterilization surgery

1. Disinfect the surgical field three times with warm 0.1% benzalkonium bromide solution (1:1000 new gentamicin solution), and cover the hole with a towel. Use the thumb and middle thumb of the right hand to find the ejaculatory duct in the front of the scrotum, and squeeze it firmly into the subcutaneous tissue, and pinch the firm ejaculatory duct. Apply local anesthesia to the skin where the ejaculatory duct is fixed, and push the medicine while inserting the needle, so that the medicine diffuses from the skin to the periphery of the ejaculatory duct.

2. Use a small sharp knife to make a small incision at the local anesthesia injection site, with the incision length no more than 0.4 cm. Separate the ejaculatory duct and fix it with a clamp to go straight through the ejaculatory duct, and slightly separate it along the longitudinal axis of the ejaculatory duct. Then insert the ejaculatory duct fixing clamp into the incision, pinch the ejaculatory duct and pull it out of the incision.

3. Use mosquito forceps to separate the tunica vaginalis and blood vessels of the ejaculatory duct. After the ejaculatory duct is excised 1-1.5 cm, use two mosquito hemostatic forceps to clamp the ejaculatory duct on the left and right sides of the separated section, and then remove the fixed forceps.

4. Cut off and ligate part of the ejaculatory duct, twist it with hemostats, and use No. 1 thread to ligate both sides with a 1.5cm interval. Cut off about 1cm of the ejaculatory duct with the ligature thread, check for bleeding, cut off the ligature thread, and protect the separated broken end with the distal end with the external muscular fascia of the spermatic flexor. Then put it into the skin wound, and promote blood circulation carefully. The skin wound does not need sutures, but the two ends of the skin edge must be aligned.

5. Use the same method to solve the ejaculatory duct on the other side. After the operation, cover the wound with sterile gauze and fix it with tape.