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Vasectomy Or Male Sterilization

Vasectomy or male sterilization (surgical sterilization for male)



What is Vasectomy?

Surgical sterilization of the male is called vasectomy or male sterilization. This is a very minor operation. The tubes that carry the sperm from the testes to the penis are cut and tied. It just requires 15-20 minutes of time and done under a local anesthetic (your scrotum and testicles will be numbed but you will be awake). The patient needs to stay in a hospital for a half day.

This is much simpler than female sterilization, relatively quick and painless. Male sterilization can be reversible in 70 percent of the cases.


There are two types of vasectomy:

The traditional technique (called conventional vasectomy): This procedure involves making two small incisions in the scrotum using a surgical knife (scalpel)

No-scalpel vasectomy: This procedure is a newer one, surgery without a knife. During this procedure there may be very little bleeding but no stitches. The procedure is thought to be less painful and less likely to cause any complications than a conventional vasectomy.

After the operation your intercourse and sexual desire remain unchanged.

Vasectomy will not protect you against sexually transmitted infections or HIV/AIDS.


After the vasectomy

It is quite common to have some mild discomfort, swelling or bruising of your scrotum for fewer days after the vasectomy. You can take painkillers for this.

It is also common to have blood in your semen during the first few ejaculations after a vasectomy.

Can return to work one or two days after the operation but should avoid sports and heavy lifting for one week after the surgery.

You can resume to your sexual life as soon as feel comfortable to do so, but it is suggested to wait for a couple of days. You will still have sperms in your semen after the operation, as it takes time to clear the remaining sperms in your tubes, which takes about 20-30 ejaculations to clear the sperm from your tubes.

You need to produce a semen sample for testing eight weeks after the procedure, as there are cases in which the tubes rejoin themselves. You can resume to your sexual life without contraception if your semen test result shows it is free of sperms.

After the operation, as a result of bacterial entering via the cuts made in scrotum you may be at a risk of developing an infection.
Therefore, it is advised to keep your genital areas dry and clean after the operation.

When the tubes are cut, sperms can sometimes leak from the tubes and in very rare cases collect in the surrounding tissues forming hard lumps (known as sperm granulomas). They are not painful usually, if they becomes large or painful then needs to be removed surgically.

After vasectomy, some men feel pain in one or both of their testicles.  This can happen immediately, a few months or a few years after the procedure. This may be occasional or frequent, but needs no special attention until and unless it is a long term pain.

Some men after vasectomy develop the sensation that their testicles are fuller than normal. It should pass in its own in a few weeks.