Vasectomy is a method of birth control performed by ligating the tubes carrying sperm in men. The number of men using this method is increasing day by day, because vasectomy is a low-risk surgery, it is possible to be reversed and it is a relatively easy procedure.
What is Vasectomy?
Throughout history, unintended pregnancies have been Many different methods have been developed to prevent its occurrence. With the increase in people's knowledge in the field of medicine and the development of technology, these methods have been constantly improved and the complications related to the control method have been tried to be reduced. Today, there are many different methods for this purpose, such as the use of male or female condoms (condoms), insertion of a spiral device for the uterus, the use of birth control pills, and the ligation of the tubes where fertilization takes place in the female reproductive system. While each of these methods has advantages in various issues, it can also have disadvantages in some areas. For example, although the use of male condoms is protective for many sexually transmitted diseases, most men do not want to use this method because they think that condom reduces pleasure from sexual intercourse. is coming. With vasectomy surgery, the tubes carrying sperm in men are cut and their ends are closed. Thus, the sperms are prevented from passing into the semen that is expelled by ejaculation. Since there is no sperm in the semen fluid, the risk of pregnancy is eliminated.
Why Vasectomy is Performed?
Vasectomy is a birth control method that can be applied by men who do not want to have children. Some of the reasons why vasectomy is popular among birth control methods can be listed as follows:
- The rate of vasectomy to prevent unwanted pregnancies is close to 100%.
- People who have had vasectomy are usually discharged without hospitalization and complications related to vasectomy surgery The rate of vasectomy is low.
- Vasectomy is a more cost-effective method compared to the operation where the tubes are tied (tubal ligation) or the use of long-term birth control pills in women.
- Vasectomy surgery is the last Men do not need to use birth control methods such as wearing a condom before sexual intercourse.
Who Is Vasectomy Applied to?
Vasectomy is a health-related procedure for this procedure. It can be applied to all men without disabilities. The person who will have a vasectomy procedure should be sure that they do not want children. Therefore, fathers who already have children and do not want any more, and men who do not want to have any children may prefer this procedure. Although the vasectomy procedure can be a reversible procedure, sterilization is considered permanently before the procedure is performed. Because it may not always be possible to fully reverse the operation. In some cases, even if the reversal operation is successfully performed, the person may have trouble conceiving a child.
Vasectomy surgery is usually a one-day procedure that does not require hospitalization. Before this operation, regularly used drugs, if any, should be rearranged under the control of a doctor. Ibuprofen group anti-inflammatory drugs and blood thinners may need to be discontinued a few days before the procedure. In order to prevent swelling that may occur in the scrotum after the operation, underwear that supports the scrotum should be preferred. People who want to have vasectomy surgery should talk to their doctor in detail before finalizing their decision, and carefully consider whether they want to have children in the future and whether other birth control methods are a reasonable option for them. . Vasectomy is mostly done by urologists. Vasectomy operation takes about 10-30 minutes. The surgery is performed under local (regional) anesthesia. Therefore, during vasectomy, the person does not feel pain or pain at the operation site, but is aware of the procedures performed. The procedures performed during vasectomy are as follows:
- Local anesthetic is injected into the scrotum with the help of a needle.
- In the classical method, a small incision is made on the numbed upper part of the scrotum. In the no-scalpel technique, a small hole is made in the upper part of the scrotum.
- The location of the vas deferens channels that carry sperm from the testis to the urethra (where the semen and urine come out) is determined.
- Vas deferens tubes, do� The lance is pulled out of the incision or hole.
- The pulled-out part of the tube/channel is cut.
- The two ends of the cut canal are closed by methods such as ligation or cauterization.
- Two The channels whose ends are closed are left back in place.
- The place where the incision is made or the hole is opened is closed with the help of a special adhesive or with stitches.
- After the operation, tight underwear should be worn for at least 48 hours. Preferring this type of underwear reduces swelling in the scrotum.
- Cold should be applied to the scrotum for two days after the surgery.
- Movement should be restricted for a few days after the procedure. You can return to daily activities after a few days, but activities such as heavy carrying and sports should be avoided.
- Sexual intercourse should be avoided for 7-10 days after vasectomy. Because pain can be felt during ejaculation (ejaculation), blood can be seen in the semen. After the vasectomy procedure, men should use other birth control methods until it is certain that there are no sperm left in the semen. These sperm can be found in the semen up to 20 ejaculations after the procedure. Therefore, it would be correct to use control methods in the first 20 ejaculations after the procedure. After a vasectomy, the testicles continue to produce sperm. Since these sperm cannot be expelled, they are reabsorbed by the body and reabsorption does not cause any problems.
Is there a reversal of the vasectomy procedure?
Vasectomy surgery is a reversible procedure. However, returns cannot be guaranteed. Therefore, men who decide to have a vasectomy procedure should be sure that they do not want to have children. This procedure should not be regarded as reversible. Vasectomy procedure, like any interventional operation, has various risks. contains i. Vasectomy side effects include:
- Bleeding or hematoma (blood clot) in the scrotum
- Blood in the semen
- bruising in the scrotum
- Infection at the surgical site
- Pain and discomfort
- Swelling in the scrotum
- About 1-2% of those who have surgery Chronic pain in the testicle
- Fluid collection in the testicles, pain in the form of pain worsened by ejaculation due to this condition
- Inflammation that causes sperm leakage (granuloma)
- Although rare pregnancy
- Abnormal cyst formation in the epididymis that collects and transfers the sperm produced in the testicles
- A fluid-filled structure surrounding the testicles (hydrocele) causes swelling in the scrotum
Pregnancy after vasectomy is a rare condition that can be seen. The main reason for this situation is the presence of pre-produced sperm in the semen in the early postoperative period. Although vasectomy is an effective method for birth control, it is not protective for sexually transmitted diseases. Therefore, it would be beneficial for men who have had a vasectomy to take other protective measures, such as condoms, before risky sexual intercourse. You can apply to a well-equipped health center to find out if vasectomy is the right birth control method for you. We wish you healthy days.Read: 34
