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The Vasectomy Procedure in Brief Detail RelaxationYou will be given a 2mg. tablet of Ativan (lorazepam) when you schedule your appointment. You will take this about 1 hour prior to your appointment. I have found that this helps reduce any anxiety you may have about having the vasectomy performed. This usually makes most guys feel like they've had a few drinks pretty quickly - where the teeth start to feel a bit "tingly". For this reason I ask that you NOT drive yourself to or from the office, and instead arrange for a "chauffeur" for the procedure. Arrival and Preparation No scalpel vasectomy takes about 30 minutes in the office. The time taken to perform the actual surgical procedure is about 15 minutes, the other 15 minutes involve preparation and finalization of your procedure. When you arrive at the doctor's office or hospital you are taken
into the procedure room. You lay down on the table, and an elastic
band
is placed around your penis. The elastic is then clipped to your
shirt to expose the scrotum.
The surgical assistant then cleans the scrotal area with Hibiclens. Finally, you are covered with sterile surgical drapes and the scrotum is brought through an opening in the drapes. This preparation (sterile scrub, draping, and readying the instruments) will take about 10 minutes.
Numbing or Anesthesia Standard Method:
I also employ an alternative method called "no needle anesthetic" (NNA). This is done using a jet or pressure injector that delivers a spray of anesthetic under pressure through the skin. It is virtually painless and equally effective.
Beginning the Vasectomy Once the area is frozen, I re-locate the vas tubes one at a time. I gently hold each vas tube between my fingertips, and grasp them with a specially designed ringed clamp. With a pair of special forceps, I make one tiny puncture into the skin on the scrotum. This small opening made in the scrotum is about "1/4" (approximately 4 millimeters long), and represents the true size of the opening needed to work through. With the same instruments I gently lift each vas tube out through this opening. Blocking the Vas Deferens Permanently There are many ways to block the vas deferens or vas tubes to prevent sperm flow. How they are blocked differs among no-scalpel vasectomy physicians. For example, once the vas tubes have been brought out through the opening in the scrotum, some involve just cutting and tying the ends of the tube. Others cauterize (burn) the ends. Still others affix metal clips to the ends or use plastic clips designed especially for the vasectomy procedure. Combinations of any of these are possible and affect your long term outcome and failure rates. I use a combination of 4 steps to ensure that your vasectomy is successful, and permanent with the lowest failure rate.
These 4 steps prevent the tubes from growing back together again. In 14 years of performing, and instructing other physicians to perform no scalpel vasectomies, I have had no failures! Finishing Up Finally we gently place the separated and blocked ends back in the scrotum, and the same procedure is done through the same small opening on the other vas deferens. The opening in the scrotum is then cleansed with sterile water and dried. The one small skin opening closes itself without stitches, but we apply several small tape strips to hold the wound edges together. This is then covered with a gauze pad, and you put on your athletic supporter and clothes. Within days the opening heals almost without a trace. Heading Home After relaxing for a few minutes, I will review your post vasectomy instructions and give you 2 labeled specimen bottles to return your samples at 2 and 4 months after the procedure. At this time most men have no trouble walking out to the car and havng their "chauffeur" drive them home.
Puncturing the Skin and Sheath Tying off Vas Deferens To see more detailed Vaz pictures and information click link below: VasectomyMedical.com -- The most informative website covering vasectomy and vasectomy reversal. VasectomyMedical.com walks you, the prospective patient, through the decision-making process, explaining in simple, understandable language all that should be considered. |
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The standard method for numbing the surgical site is to inject a small amount of
numbing solution
into the scrotal skin.
I then inject a little more freezing solution
alongside each sperm tube. This will cause a momentary pressure
sensation,
and after that you should not feel anything.
