What is a vasectomy?

In medicine, vasectomy refers to a type of male sterilization surgery, in which the male's vasectomy is removed through surgery, so that the male semen cannot be discharged normally from the body. This method can achieve the effect of contraception. There are many ways to perform vasectomy, which requires a physical examination before the operation, as well as psychological preparation, and also requires good ideological work.

What is a vasectomy?

Vasectomy is a type of vasectomy. Vasectomy involves ligating and removing a small section of the vas deferens, which prevents sperm from being expelled from the body, thus achieving the purpose of infertility. There are many methods for vasectomy, and the most commonly used method is clamping. In addition, there are also small incision methods with needle fixation, needle picking, and threading.

Anesthesia and preoperative preparation

1. Anesthesia method

Local infiltration anesthesia.

2. Preoperative preparation

(1) Provide thorough explanations to the patient and eliminate any concerns.

(2) For acute and chronic urinary tract infections, scrotal skin diseases and scrotal diseases, vasectomy should be performed after the disease is cured.

(3) Pay attention to the history of drug allergy and perform a procaine skin test.

(4) Take a shower and clean your vulva the night before surgery. Shave your pubic hair before surgery.

(5) Wash the penis and scrotum with soapy water for 5 minutes, and disinfect the skin with 1:1000 gentamicin solution before surgery.

Indications

1. A married man undergoes bilateral vasectomy for family planning with the consent of both spouses.

2. Vasectomy is performed due to other circumstances. For example, if one side has epididymal tuberculosis and the patient does not want to have children, the vas deferens on the other side can be ligated when the diseased epididymis is removed to prevent the disease from spreading to the other side. When prostatectomy is performed for prostatic hypertrophy, bilateral vasectomy can also be performed to prevent postoperative complications of epididymitis.

Contraindications

1. Patients with hemorrhagic diseases, mental illness, severe neurological disorders, sexual dysfunction, acute or severe chronic diseases.

2. Acute or chronic inflammation of the urogenital system should be cured before surgery or other contraceptive measures.

3. Patients with acute or chronic inflammation of the scrotal skin, lymphedema or other skin diseases that hinder surgery should wait until they are cured before undergoing surgery.

4. For diseases within the scrotum, surgery should be considered only after the disease is cured, or vasectomy can be performed at the same time as surgery for diseases within the scrotum.

Surgical procedures

1. Separation incision.

2. Separate the vas deferens.

3. Seminal vesicle perfusion.

4. The vas deferens can be directly fixed through the skin with a vas deferens clamp. Lift the clamp outwards and cut or separate the skin to see the vas deferens. Then use a vas deferens lifting hook to hook out the vas deferens or directly use a vas deferens separation clamp to lift out the vas deferens, then use another vas deferens clamp to fix it, and then continue to separate and ligate. Use the same method to ligate the opposite vas deferens.

5. Return the vas deferens.