What are the effects of testicular circumcision?

After the testicles are removed, there will definitely be some adverse effects on male friends. The most typical one is that it will make many male friends unable to have children. However, most male friends undergo this operation because they want to prevent pregnancy. Generally speaking, as long as the operation is successful, it will not cause serious effects. However, after the operation, there is no way to restore fertility.

This is a permanent contraceptive method. The principle of contraception is to cut off the vas deferens that transports sperm from the testicles to the penis, so that the sperm cannot enter the semen and is excreted from the body. This permanent contraceptive method is only suitable for couples who do not want to have children anymore. After a male sterilization operation, it does not immediately have a permanent contraceptive effect, so other reliable contraceptive measures must be used after the operation. Only after two sperm tests have been performed, it can be proved that there is no sperm at all, and then contraceptive measures can be abandoned. In very rare cases, the vas deferens that has been cut open will be reopened, thus restoring fertility. Generally, minor complications caused by the operation include swelling and pain at the wound.

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.

Surgical procedures

1. The patient lies supine with his lower limbs slightly apart.

2. The doctor uses his left thumb, index finger and middle finger to fix the vas deferens on the right side of the patient, open the patient's scrotal skin, and push the spermatic cord blood vessels. First, ligate one side, then the other side. During this process, the doctor is required to fix the vas deferens with his fingers to prevent it from slipping.

3. The puncture site during the operation is selected at the upper part of both sides of the scrotum. Use a fine needle to puncture the scrotal skin and inject procaine solution.

4. Use vas deferens separation forceps to enlarge the puncture hole.

5. To fix the vas deferens, insert the vas deferens fixing clamp through the skin tear, open the clamp ring, and with the cooperation of the middle finger of the left hand, push the vas deferens into the clamp ring and tighten it.

6. Lift the vas deferens out of the cleft to expose the milky white vas deferens wall. Use the vas deferens lifting hook to lift the vas deferens out of the adventitia incision.

7. Separate a 1.5 cm long section of the vas deferens and perform ligation. The ligation should be done with appropriate tightness.

8. Use phenylmercuric acetate to slowly inject spermicide solution, at which time the patient will feel like urinating.

9. Ligate the distal end of the vas deferens, hold the hemostat to fold the proximal (or distal) end of the vas deferens, and use the proximal (or distal) ligature to ligature again at the folded part.

10. If there is no bleeding after examination, cut the ligature short and return the vas deferens to the scrotum. Cover the puncture site with a small piece of gauze.