Vasectomy

Vasectomies are a common and safe procedure that many patients choose to undergo after completing their family. While the use of hormonal medication or condoms are often effective methods of birth control they are not permanent, and accidents can happen. Other patients may undergo a vasectomy after they and their partner decide they do not want children.

aDvantages

There are two main types of vasectomy methods:

  • Conventional vasectomy: A conventional vasectomy, also known as the incision method, is where a urologist uses a scalpel to make incisions in the scrotum. They will either make one incision into the middle of the scrotum or two incisions (one on each side). These incisions are typically 1.5-3 centimeters long. Since the incisions are larger, urologists usually close them with sutures, which can dissolve on their own after a week.

  • No-scalpel vasectomy: During a no-scalpel vasectomy the urologist uses their hand to find the vas deferens under the scrotum skin and hold it in place with a clamp. They then use the clamp to make a tiny hole in the skin to stretch the scrotum open so the urologist can lift the vas deferens out. They then cut, tie, or sear the vas deferens tube and put it back in place. There is no need for stitches or no scarring from the no-cut method; instead, the urologist will dress the hole with a gauze dressing that will later need to be changed at home.

TYPES

There are several benefits of getting a vasectomy. It is the most reliable and accessible form of permanent male birth control for those who do not have any children or have completed their family. It is a one-time cost that is generally covered by insurance. Vasectomies are also less complicated and risky than a female tubal ligation their partner may have to endure to avoid pregnancy.

There are sexual benefits to having a vasectomy as well. According to a 2017 review, around three hundred couples found that men enjoyed sex more after they had a vasectomy. The study also found the men’s erectile function also improved.

RISKS

Vasectomies are a safe and effective sterilization procedure, but as with any surgery, there are some associated risks and concerns. While serious complications are rare, there are post-surgery symptoms to be aware of before going under the knife. Side effects after surgery may include:

  • Bleeding or blood clot in the scrotum

  • Blood in semen

  • Bruising on the scrotum

  • Infection on surgical site

  • Mild pain or discomfort

  • Slight swelling