What are the contraindications to vasectomy?

Where does sperm come from? In layman's terms, sperm is produced in the testicles, and then, under the stimulation of sexual life, it goes directly from the vas deferens to the urethra and then is ejected. However, in order to prevent the woman from getting pregnant, some men will undergo vasectomy, but the operation is not something that can be done at will. So, what are the contraindications of vasectomy?

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 of the epididymis has 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.