Where should a man get a vasectomy?

Many people don’t know that males can also get sterilized. The sterilization is done on the scrotum. The principle is to cut off the vas deferens, so that males will not ejaculate, thus achieving the effect of contraception. Male sterilization is a relatively mature procedure, and there is no need to stay in the hospital after the operation. You only need to take good care of the wound.

Male sterilization is a permanent form of contraception. 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 contraception method is only suitable for couples who do not want to have children anymore. After a man undergoes sterilization, it will not immediately produce permanent contraceptive effects, 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 severed vas deferens will be reopened, thus restoring fertility. Generally, minor complications caused by surgery include wound swelling and pain.

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 method

1. Disinfect the surgical field three times with warm 0.1% benzalkonium bromide solution (1:1000 new gentamicin 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 to diffuse the liquid from the skin to the surrounding of the vas deferens.

2. Use a small sharp knife to make a small incision at the local anesthesia needle hole. The incision length should not exceed 0.4 cm. 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.

3. 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.