Under what conditions can be reversible vasectomy?

Vasectomy. Evidence-based information for patients regarding surgical sterilization for men

vasectomy This procedure is voluntary surgical sterilization for men.

Vasectomy creates a very high and stable contraceptive effect, which is to maintain the part of men do not need to do anything.

Even if the original vasectomy is associated with a certain, albeit very small, the risk of surgical complications in the long term, the procedure allows a man (couple) get completely invisible, highly reliable and secure protection against unwanted pregnancy, with the best cost / effectiveness (compared to other contraceptive means).

This article is a supplement to the paper guide on contraception and contraceptives, which provides information whether to apply a vasectomy as a contraceptive and its comparison with other contraceptive means.

Men (pairs), which, based on the submitted in the indicated above recommendations guide, came to the conclusion, that vasectomy may be a good option for them, will find further evidence-based answers to the following questions:

1. What are the various techniques vasectomy:
   • conventional vasectomy,
   • bezskalpelnaya vasectomy.
2. How effective is vasectomy in reducing the risk of unwanted pregnancy?
3. What are the complications and side effects, in the short and in the long run, it may be associated vasectomy?

Is surgical vasectomy intersection (cross tackle) vas deferens. As a result, sperm from men disappear viable sperm and a man loses the ability to conceive a child naturally.

Men who have passed a vasectomy does not become completely infertile and, if necessary, can take advantage of the recovery vas patency or conceive a child by means of IVF technology.

Despite this, men are planning to hold a vasectomy, you need to know that the restoration of the ability to conceive a child naturally after this procedure may be difficult (or, less frequently impossible), and that, in any case, the treatment effect on the treatment of vasectomy is costly and is associated with additional risks.

Vasectomy may be appropriate solution for men (couples) who (1) believe that will not want to start the child in the future and (2) learn about other possible long-term contraception, and convinced them that they were not fit.

If desired, a vasectomy can make any man. There are no diseases or conditions for which the risk of this procedure would outweigh the potential benefits (in terms of protection against unwanted pregnancy).

In some countries, clinics prohibited conduct vasectomy in men under the age of 30-35 years.

Carrying out a vasectomy can be delayed (up to resolve the situation) in men with signs of genital infections in men with or unexplored formations in the scrotum.

alternatives to vasectomy

Other features continuous, reliable, and easy but completely reversible contraception, which the couple can use instead of a vasectomy, before the onset of menopause in women include:

1. the use of combination contraceptives in the form of tablets, dermal patches or vaginal rings;
2. Use progestin contraceptives in the form of tablets, intramuscular injection, or by subcutaneous implant;
3. the use of IUD with levonorgestrel;
4. the use of a copper IUD.

Women need to know that there is a high probability that the use of a time of one 3 of the first tools they may need for solving and preventing various gynecological problems.

At one time or another life, many women are faced with the need to use combined contraceptives, progestin-only contraceptives with levonorgestrel or spiral for solutions the problem of irregular or heavy bleeding associated with fibroids, alleviate pain associated with endometriosis, reduce the risk of endometrial hyperplasia or for the treatment of already identified hyperplasia.

Many couples who regret the vasectomy in men and tubal ligation in women at the time of surgical sterilization procedures were not sufficiently least aware of what they can use, and what additional benefits they other possible long-term contraception can provide the use of these funds.

Detailed information regarding the selection of contraceptives based on their actions and possible positive and negative effects are presented in the article on contraception and contraceptive Guide means.

The advantages of vasectomy

In the world, at different stages of the life of about 7% of men decide to do a vasectomy.

In China, the vasectomy in men who already have children, is a prerequisite for government social assistance.

In the US, a vasectomy are about 1% of men aged 20-24 years and 20% of men over the age of 40 years.

In the long term, from the viewpoint of reliable contraceptive effect vasectomy has the best cost / effectiveness.

This means that the procedure for carrying out the cost offset by long (permanent) effect. During the long period of time allows you to pair vasectomy achieve a very high protection against unwanted pregnancy with the lowest possible cost.

A significant advantage of vasectomy is no risk of any long-term complications (except for difficulties in conceiving a child).

What is a vasectomy? as the procedure is carried out?

The essence of a vasectomy is a surgical intersection of the vas deferens.

Vas deferens are thin long channels extending from the upper poles (appendages) of the right and left testis. Vas deferens function is to transport sperm produced in the testes, seminal vesicles (two small cavities located in the small pelvis, right and left of the prostate gland).

Violation patency vas deferens (vasectomy) leads to the fact that sperm cells are formed are not subject to the sperm and eggs are destroyed. Accordingly, man loses the ability to conceive a child naturally.

The least traumatic way of patency vas deferens is their intersection at the level of the scrotum, where they are directly under the skin.

Before the vasectomy does not require any training.

As a rule, a vasectomy is performed under local anesthesia. If necessary, the procedure can be carried out under the surface anesthesia.

It is currently used for a vasectomy is one of two surgical techniques:

• intersection vas deferens through an incision in the scrotum
• intersection vas deferens through a small incision in the scrotum (bezskalpelnaya vasectomy).

Those skilled discourages patients ligation vas deferens (without their intersection), since such procedure involves a high risk of spontaneous recovery following patency vas deferens (up 11,5%).

Vasectomy through an incision in the scrotum

The procedure is performed as follows:

After examination of the scrotum and local anesthesia (using lidocaine anesthetic spray or injection) is a small incision in the scrotal skin.

Further, through the incision, the doctor found crosses and vas deferens. The free ends of vas deferens cauterize (electrocauter processed) to generate a weak inflammatory response, contributing to more effective occlusion of flow.

Further placed between the ends of the duct part scrotum connective tissue (fascia). The free ends of vas deferens can be tied, or they may be imposed by metal clips.

Then the skin of the scrotum is applied absorbable suture (the patient does not need to re-apply to the doctor for suture removal) and the procedure is repeated on the other side.

In general, two-way crossing of vas deferens through an incision in the scrotum may take up to 30 minutes.

In the period after surgery, many men say scrotal pain and the formation of bruises.

Bezskapelnaya vasectomy

This procedure is carried out with a special tool to capture and retain the ejaculatory ducts directly beneath the skin surface.

Next, using another tool, a small hole is made in the skin. Through the hole in the vas deferens are superimposed two small titanium clip.

Further duct segment between clips intersects (or completely removed), and the free ends cauterize duct.

After this procedure is repeated on the other side.

The entire procedure takes about 10 minutes.

Cautery free ends of the vas deferens conventional electrocautery or laser can be used. Both techniques are equally effective. The use of laser equipment does not make a vasectomy more effective or safer.

The holes in the skin of the scrotum, which remain after bezskalpelnoy vasectomy does not require suturing and heal quickly.

Compared with the procedure which is carried out through an incision vasectomy has been associated rarely bezskapelnaya with scrotal pain, rarely leads to bruising and associated with less risk infection.

Recovery after vasectomy

(1) Within a few days after vasectomy - independently from the technique of the operation - many men noted the appearance of more or less severe pain in the scrotum.

To relieve the pain, you can use simple analgesics (paracetamol or ibuprofen), and can be applied to the scrotum bag of ice.

To relieve the pain in the scrotum men can also wear tight (supporting) underwear.

(2) Within 1 week after vasectomy man to refrain from intense exercise, and ejaculation.

(3) It is recommended to immediately seek medical attention if these symptoms appear after vasectomy as:

• signs of bleeding (separation of blood from surgical wounds or the appearance of new bruises, which continues to increase)
• increased pain in the scrotum,
• swelling of the scrotum,
• temperature rise above 38 C.

What monitoring is recommended for men after vasectomy? When developing the effect of the procedure?

After a vasectomy, and completed the surgical recovery period, men (pair) is recommended to use additional contraceptives, until disappearance of sperm motile sperm will not be confirmed by analysis (Semen).

The need to use additional methods of contraception and of semen after vasectomy is determined that the effect of the procedure is slow.

Immediately after the vasectomy vas ways men - in particular, in the seminal vesicles - are living sperm. More than 80% of men living sperm from the sperm disappear after 3 months, in 98-99% of men living sperm from the sperm disappear after 6 months.

Full update sperm composition occurs during 10-30 ejaculations, but counting the number of ejaculations to determine the moment when the couple can avoid the use of contraceptives is not accurate, and therefore does not recommended.

Usually, men surrender recommended a sperm sample (that is, to make semen analysis) between 6 and 8 weeks after the vasectomy.

Vasectomy is considered successful (and a couple can eliminate the use of other contraceptives):

• if semen analysis shows a complete lack of sperm, or
• If semen preservation will only inanimate sperm in an amount of less than 100 000 per 1 ml of semen.

A few months after vasectomy sperm preservation of immovable spermatozoa occurs in approximately 33% of men, but not a correlation of this phenomenon with the ability to conceive a male child finally.

Presumably, in cases where only non-living sperm in the semen stored in a smaller number of 100,000 / Ml, the probability of restoring male ability to conceive a child is very low (less than 1 per 2000 men).

In this regard, according to most experts, after a single receipt of the above results, a repeat semen analysis for the another test is not considered appropriate, since the risk of motile sperm in subsequent samples of sperm is very low.

On the other hand, according to some writers, a vasectomy should be considered successful only if the two repeat semen analysis, conducted through 7 months after vasectomy, show absence of sperm or sperm preservation fixed in an amount less than 10 000 per ml sperm.

In one study, men whose sperm after vasectomy is completely absent, or who have only attended by fixed sperm, spontaneous recovery patency vas deferens and semen appearance live sperm was observed only in 0.03 - 1.2% cases.

In another study, it was found that of all the men whose semen analysis results show only the preservation of immovable spermatozoa in an amount of less than 100,000 / ml, by the end of the first year after the vasectomy, 75% of male sperm cells disappear completely in 24% of the fixed spermatozoa stored, and only 1% of men observed the emergence of live sperm (ie, it is possible to restore the ability to conceive child).

Vasectomy is considered a failure (that is, it is assumed that the vas deferens patency restored):

• If after 12 weeks post-vasectomy semen analysis showing motile sperm preservation,
• if repeated semen showed a progressive increase in the number of live sperm.

If after 6 months in vasectomy sperm stored motile sperm or sperm immobile in an amount of more than 100 000 / ml, is recommended to re man holding a vasectomy.

How effective is a vasectomy?

Vasectomy is one of the most effective long-term contraception, but in rare cases, men who have passed a vasectomy, can conceive a child, including many years after the procedure.

During the first year after the vasectomy risk of an unwanted pregnancy is about 0.15%. This means that out of 10 000 men, held a vasectomy in the first year of 15 men can conceive a child.

A study in one clinic providing vasectomy services, showed that 30 000 vasectomy cases, carried out between 1970 and 1999., 9 cases were reported pregnancy.

The main reason of pregnancy during the first year after the vasectomy is that, contrary to the recommendations to the confirming the disappearance of the male sperm live sperm, couples do not use additional methods contraception.

As has been shown above, the disappearance of sperm motile spermatozoa occurs, on average, within 3 months after vasectomy.

During the entire period prior to confirmation of the disappearance of a pair of motile sperm it is recommended to either refrain from sexual relationships, or using other reliable contraceptive methods (eg, combined contraceptive injection medroxyprogesterone).

The reason of pregnancy during the period later than 1 year after the vasectomy is a spontaneous recovery of cross-vas deferens. Currently, there is no way to predict which men and when this phenomenon happens.

Very low probability of restoring patency vas deferens - less than 1 per 2000 males - there all men, a vasectomy past, regardless of the method of operation and of semen after the procedure.

What is known about the safety of vasectomy in the short and in the long term?

Vasectomy is a relatively safe surgical procedure ...

A source: https://www.SiteMedical.ru/content/vazehktomiya

Male sterilization, vasectomy

Approximately 5% of married men of reproductive age have already opted for the vasectomy or male sterilization. This is a relatively simple and safe way to protect against unwanted pregnancy with almost one hundred percent efficiency. It is often used in densely populated countries such as India and China. But the leader in the use of vasectomy is the United States.

In our country, this method is still underestimated. Men are afraid of surgery and complications of the process, I doubt whether they will approach this method. Many myths centered around the possibility of reverse vasectomy. To dispel any doubts, we shall understand all the intricacies of male sterilization.

Sometimes men corny confuse vasectomy with castration. In nothing is removed and sexual function does not change during this operation. Needless surgery takes less than half an hour (usually 15-20 minutes).

This does not affect the work of testicular testosterone production is not affected, the sperm volume and its appearance remains the same, as well as sexual desire.

The whole point of the operation by blocking sperm available.

Before sterilization, be sure to conduct laboratory research on blood clotting. Sometimes it takes and other tests. When everything is ready, a man comes to the hospital and was under local anesthesia a small incision in the scrotum.

Through them, the doctor gains access to the vas deferens - the tubes through which sperm enter the seminal vesicles. They need to disconnect and pinch the tips of titanium clips or simply transferring.

There is also a "no-scalpel method" when the vas deferens is released by puncture. This greatly reduces the likelihood of complications.

After a few hours the patient can go home, but it will be necessary to avoid physical exertion in the next two days. Sutures are removed is not necessary - they resolve themselves. Resuming sexual activity is permitted within a week, but over two months have protected, since there is still ejaculate sperm, and completely they would display only 15-20 ejaculations.

Once this period expires, you must pass the semen analysis, to ensure that the seminal fluid is sterile. Now you can forget about birth control and the fear of unwanted pregnancy. But STDs vasectomy, of course, does not protect, so it is best to use a condom during risky contacts.

Before you decide on a vasectomy, a man needs to think about it and see if any medical contraindications, and whether the law permits this operation. This type of contraception in many cases is non-negotiable, so before you go for surgery, it is necessary to know exactly what is in the future you do not want to have children.

There are medical contraindications to vasectomy - a local skin infection, hernia, varicocele and hydrocele, sexual dysfunction, tumors, and malformations of sexual organs. In addition, it is impossible to carry out this operation with serious systemic diseases and acute infectious processes, blood clotting disorders and severe form of diabetes.

You should definitely take into account the legal side. In most countries of the world, including in Russia, vasectomy allowed men over 35 years and have two or more children or for medical reasons (such as genetic abnormalities or if the pregnancy threatens the life wives).

In Sweden and Denmark, it is carried out with 25, Kyrgyzstan - 18 years. The main thing - the consent of men. And, for example, in the Ukrainian legislation, this time registered a very fuzzy, but, nevertheless, the operations are carried out at the request of an adult patient.

Often need help from a psychiatrist to confirm viability.

About 10% of men after vasectomy regret what was done. But is it possible to return everything back?

If a man is afraid to lose the ability to be a father, he can advance to make a stock of frozen semen. But this is not always effective, because the term of its storage is also not infinite.

The second way - to make a vasectomy using kinked, and not cutting the vas deferens. In this case, the operation to restore fertility is much easier and the chances of a full recovery more.

Even if the vasectomy was done with the cutting of tubular, there is hope, but will have to do a second operation. Not every surgeon will take up this, and even more will not guarantee a positive outcome. According to statistics, about 80% of cases to restore patency of tubular succeed and 45% pregnancy occurs partner.

We must understand that success depends on several factors. Get the heir will be easier if between operations did not take long:

• less than three years - restoration of normal spermatogenesis occurs in 97% of cases, pregnancy occurs in 76%;
• from 3 to 8 years - spermatogenesis recovered in 88%, pregnancy happen in 53% of cases;
• from 9 to 14 years - 79% and 44% respectively;
• 15 or more years - the restoration of spermatogenesis occurs in 71% of cases and in 30% of pregnancies.

Obstacle to successful conception is a mature man's age and / or its partner. Also, pregnancy does not occur if a woman has a gynecological diseases, impair fertility.

Typically, patients are satisfied, they say easy operation, fast recovery and even increase libido. Although this is likely to be due to the disappearance of the fear of unwanted pregnancy. From bad: sometimes increased body temperature, there is swelling in the scrotum and bruising, discomfort and pain in the groin area, which in most cases go away without treatment.

A source: https://mamapedia.com.ua/planning/zachatie-rebenka/sterilizatsiya-muzhchin-vazektomiya.html

What is a vasectomy and what the consequences for men?

Vasectomy is a surgical sterilization method, one of reliable methods of contraception continuous. Following this method of castration the man loses the ability to fertilize female.

This procedure increases the probability of sterilization while preserving sexual function.

Vasectomy as a contraceptive method is considered irreversible, before you make it, the conversation with the patient is carried out andrology, psychologists, surgeons and other specialists.

What is a vasectomy in men, how to do it? Within ligation surgery is performed or removal of part of vas deferens. After the procedure, the patient becomes unable to conceive a child, so it can only be done in exceptional cases where infertility is a necessary measure or decision of the balanced and conscious.

(All of infertility can be found via the link)

Who can do a vasectomy? In Russia, a vasectomy can make a man older than 35 years, and patients had time to get two or more children.

sterilization procedure is recommended to conduct the life of wives who are at risk in case of pregnancy (for various reasons).

Men with inherited genetic diseases can also make a vasectomy, in the presence of an appropriate medical certificate.

The procedure is contraindicated in the following cases:

• the absence of voluntary consent of the man to be sterilized;
• lack of conviction in the plans for the possibility of conceiving a child in the future.

Where you can make a vasectomy?

Where you can make a vasectomy in Moscow, St. Petersburg, where to go, what are the benefits, how much does it cost? Operation of sterilization or castration have a right to urologists and surgeons medical institutions.

To do this, you need a license and the necessary equipment, a vasectomy is performed on a fee basis, it the cost depends on the region and the Privacy Policy Clinic, the cost varies between 15,000 - 100,000 rubles.

In good clinics are conducted free consultations for men, where you can ask questions and receive answers.

Side effects of vasectomy

Is sterilization of dangerous health implications of what she had complications, side effects?

Vasectomy, like any other surgery, has side effects, including:

• postoperative infection seam;
• discomfort, pain;
• appearance hematomas;
• scrotal edema;
• heat.

It is worth noting that complications do not occur very often, and pain and swelling occur after most surgical procedures.

Disadvantages of Vasectomy:

• irreversibility of the method of sterilization, as the patient may later regret;
• Health risks associated with surgical intervention, especially when using general anesthesia;
• procedure does not protect against HIV and other diseases, sexually transmitted diseases.

A vasectomy is reversible or not?

The main negative consequence of sterilization is considered to be irreversible, it is also necessary to take into account, when some clinics in advertising promise to make a temporary vasectomy.

This possibility is retained only for the first five years of its implementation, but also in the the case of the restoration of the male reproductive function is quite complex and risky procedure. A guarantee that a man will be able to make a baby, there is no such operation succeeds only in 30% of cases.

In exceptional cases, the reproductive function can be restored within three years after sterilization. Most often stops sperm production in twenty months.

Is it possible to do the reverse operation in men? About 6% of men who had a vasectomy done, after some time, they want to restore fertility after sterilization. The reasons for the most different: the death of one of the children, the improvement of the financial situation, a new marriage, the psychological causes.

Currently, there are two basic ways to restore reproductive function:

• epididmovazostomiya - attachment of the vas deferens to one of epididymal appendages;
• vasovasostomy - stapling ducts.

success of the procedure depends on the length of the procedure, the less time has passed, the more likely effectiveness. Subject compliance with the timing, the reverse operation efficiency is 90%. In any case, before you make the sterilization, it is recommended to freeze the sperm, this will help to avoid problems in the future, if fertility is restored.

Vasectomy - those who have done reviews

In the review, the man most often recommend to make a vasectomy, all reported positive sterilization. The procedure has no effect on erections and the ability to have sex and have orgasms. Ejaculation takes place as well, although the sperm in the semen available.

Sometimes patients write about increasing libido, which is associated more with the disappearance of the fear of pregnancy. Some men write messages about anti-aging effect after sterilization, the scientific confirmation of this effect is absent.

A source: http://rus-urologiya.ru/chto-takoe-vazektomiya-i-kakie-posledstviya-dlya-muzhchin/

Vasectomy: sterilization can change how a man

Surgical contraception (sterilization) - one of the most common methods of protection in the world. According to Statistics Canada, the Netherlands, Great Britain and New Zealand, 18% of men have undergone vasectomy procedure, with a quarter of them - married. This surgery is most popular among men aged 40-49 years.

Vasectomy - not castration. The only common effect of both procedures - infertility. In 99% of unprotected contact pregnancy does not occur. A few months after the operation must continue to be protected because it is likely that in the seminal ducts were sperm.

In some cases, a vasectomy can be reversed. If we carry out an operation to restore patency of the seminal ducts (Vasovasostomy) in the 10-year period since the last intervention, the chances of becoming a father reaches 55%.

After 10 years, the likelihood of this is greatly reduced. Moreover, after the sterilization reduces the number of spermatozoa and their motility.

The very seminal fluid can also purchase unwanted changes, and even a successful reconstructive surgery does not guarantee fertility.

Vasectomy in 1997 made the actor George Clooney, and in 2014 he underwent surgery to repair. She was successful in spite of the long time interval between the two surgical interventions, Clooney was able to become a father.

In 2014, the world rocked the results of a study Harvard scientists have come to the conclusion that the sterilization increases the risk of prostate cancer. In 2017 it was published the work of scientists from the American Cancer Society, in which this hypothesis is refuted.

American scientists have for decades analyzed data of 364 thousand men, who were about 40 years old when the study began in 1982. Vasectomy spent 42 thousand of them. For 30 years, the total number of 7,400 people died.

It was found that indicators of cancer in those who have been subjected to sterilization, and those who this operation did not differ. But whether the men smoked and whether they were overweight, it affects the appearance of tumors.

It does not cause sterilization and testicular cancer.

In 1980 came a few studies that provided data that libido after surgery may decrease.

Now most doctors-urologists believed that the libido of those who made the vasectomy, remains at the same level. The man was still produced by hormones, it is normal erection, even the number and appearance of the sperm remains the same - the only difference is that in the ejaculate no more sperm.

Psychologists believe that could even appear gain an intimate activity, because it lost the fear of unwanted pregnancy partner. Man liberating - it is no longer necessary to think about the possible failure of contraception.

Women, too, are beginning to trust the man to perceive it as a "separating" traditional bed at her worries about contraception, closely related to family planning. For surgery are often men who already have children. In addition, male sterilization is easier than women.

Approximately 90% of men who have made a vasectomy, are happy with the result. Some, however, there are depression and impotence, but these problems are psychological in nature and are treated therapeutically.

The operation itself takes about an hour and is performed through small incisions or minimally invasive manner - through a puncture in the scrotum. The surgeon separates the ends of the ducts and "solders" their laser.

Sometimes after the procedure, some time is necessary to apply cooling compresses, marked and painful sensations that pass soon. Often so-called western practice postvazektomichesky pain syndrome.

It can develop even years after surgery and have a chronic nature. This is a permanent or occurs during ejaculation, physical activities pain.

In rare cases, as with any surgical procedure, there may be, and undesirable effects: Hematoma (hemorrhage), postoperative infection.

Vasectomy works well in pairs, when the partners are healthy and faithful to each other, because of diseases, sexually transmitted diseases it does not protect. So Casanova even after sterilization is better to continue to use condoms and be tested regularly.

A source: https://interesno-e.ru/vazektomiya-kak-sterilizaciya-mozhet-izmenit-muzhchinu

vasectomy

What is a vasectomy?

In men the testes the formation of sperm (male sex cells). Promoting sperm from the testicles to the penis takes place by means of two pipes, which are called the vas deferens.

On the way, semen is mixed with other liquids to form seminal fluid, which is cast during ejaculation. During a vasectomy, each vas deferens crosses, thereby blocking ejaculation.

It makes you infertile (nesposobennym make a woman pregnant). Vasectomy can sometimes be reversed (with reduction of ejaculation).

What is a reversible vasectomy (with the restoration of ejaculation)?
During the "reversible" vasectomy, the two ends of the vas deferens crossed fused with vosstanavleniju duct lumen. When vosstanavleniju vas deferens, the sperm may again pass through it erupting during ejaculation. In this connection it may again be restored reproductive function.

Preparation for vasectomy
You will be informed about reversible vasectomy.

You must inform your doctor about taking any medications, including aspirin. You may be asked to stop taking some or all of the drugs taken previously.

During a vasectomy

Vasectomy is performed under local or general anesthesia. The choice depends on the patient's preference, the surgeon and the anesthesiologist. After performing anesthesia:

Performed an incision in the scrotum.

The ends of each intersection of the vas deferens displayed for the study, and then are tied.

End that is closer to the egg stays open as long as the liquid is free to expire. This liquid can be used for examination under a microscope for the presence of sperm in the semen.

Tie up both ends of the duct. If necessary, the vas deferens can be attached directly to the appendage (testis tissue behind).

When both are crossed and vas deferens ligated, sutured the incision in the scrotum.

after a vasectomy

You may be discharged from the hospital the day of surgery. When discharged from the hospital at home:

• For pain relief you must take prescribed painkillers. • To reduce likelihood of post-operative wound edema, long walking should be avoided in the first day after vasectomy.

• cold or ice (wrapped in a thin towel) on the scrotum for a short time to reduce edema. • Wear jockstrap (podderzhivayushaya bandage) for additional support. • Make your doctor's instructions about the bathing.

• Ask your doctor when you can begin having sex.

• Avoid heavy lifting or exercise for 2 weeks. Ask your doctor when you can return to work.

Possible risks and complications • The risks and side effects associated with surgery, especially when using general anesthesia. • Infection (symptoms include fever, chills, drainage from the incision, and pain). • Internal bleeding in the scrotum (growing symptoms include pain, marked edema, extensive hematoma).

• The disadvantage of vasectomy is a spontaneous resumption patency of the vas deferens, and hence the recovery of the ability to conceive.

RECORD for consultation by phone: +7 (812) 951 - 7 - 951

A source: http://www.kostyuk.ru/v/vazehktomija.html

Vasectomy: how can a man change sterilization

Surgical contraception (sterilization) - one of the most common methods of protection in the world. According to Statistics Canada, the Netherlands, Great Britain and New Zealand, 18% of men have undergone vasectomy procedure, with a quarter of them - married. This surgery is most popular among men aged 40-49 years.

Vasectomy - not castration. The only common effect of both procedures - infertility. In 99% of unprotected contact pregnancy does not occur. A few months after the operation must continue to be protected because it is likely that in the seminal ducts were sperm.

In some cases, a vasectomy can be reversed. If we carry out an operation to restore patency of the seminal ducts (Vasovasostomy) in the 10-year period since the last intervention, the chances of becoming a father reaches 55%.

After 10 years, the likelihood of this is greatly reduced. Moreover, after the sterilization reduces the number of spermatozoa and their motility.

The very seminal fluid can also purchase unwanted changes, and even a successful reconstructive surgery does not guarantee fertility. [C-BLOCK]

Vasectomy in 1997 made the actor George Clooney, and in 2014 he underwent surgery to repair. She was successful in spite of the long time interval between the two surgical interventions, Clooney was able to become a father.

In 2014, the world rocked the results of a study Harvard scientists have come to the conclusion that the sterilization increases the risk of prostate cancer.

In 2017 it was published the work of scientists from the American Cancer Society, in which this hypothesis is refuted.

American scientists have for decades analyzed data of 364 thousand men, who were about 40 years old when the study began in 1982. Vasectomy spent 42 thousand of them. For 30 years, the total number of 7,400 people died.

It was found that indicators of cancer in those who have been subjected to sterilization, and those who this operation did not differ. But whether the men smoked and whether they were overweight, it affects the appearance of tumors.

It does not cause sterilization and testicular cancer. [C-BLOCK]

In 1980 came a few studies that provided data that libido after surgery may decrease.

Now most doctors-urologists believed that the libido of those who made the vasectomy, remains at the same level. The man was still produced by hormones, it is normal erection, even the number and appearance of the sperm remains the same - the only difference is that in the ejaculate no more sperm.

Psychologists believe that could even appear gain an intimate activity, because it lost the fear of unwanted pregnancy partner. Man liberating - it is no longer necessary to think about the possible failure of contraception.

Women, too, are beginning to trust the man to perceive it as a "separating" traditional bed at her worries about contraception, closely related to family planning. For surgery are often men who already have children. In addition, male sterilization is easier than women. [C-BLOCK]

Approximately 90% of men who have made a vasectomy, are happy with the result. Some, however, there are depression and impotence, but these problems are psychological in nature and are treated therapeutically.

The operation itself takes about an hour and is performed through small incisions or minimally invasive manner - through a puncture in the scrotum. The surgeon separates the ends of the ducts and "solders" their laser.

Sometimes after the procedure, some time is necessary to apply cooling compresses, marked and painful sensations that pass soon. Often so-called western practice postvazektomichesky pain syndrome.

It can develop even years after surgery and have a chronic nature. This is a permanent or occurs during ejaculation, physical activities pain.

In rare cases, as with any surgical procedure, there may be, and undesirable effects: Hematoma (hemorrhage), postoperative infection.

Vasectomy works well in pairs, when the partners are healthy and faithful to each other, because of diseases, sexually transmitted diseases it does not protect. So Casanova even after sterilization is better to continue to use condoms and be tested regularly.

A source: https://news.rambler.ru/other/38884157-vazektomiya-kak-mozhet-sterilizatsiya-izmenit-muzhchinu/