The method of vasectomy is not effective in 0,1 %. It can be effectively used when there is a necessity to achieve permanent infertility in men. According to the method there is severing the vas, the tubes delivering the sperm from the testes to the penis, through an incision in the scrotum. This procedure of the duration of less than thirty minutes is done at hospital under local anesthetic. During recovery some pain or discomfort and scrotal discoloring observed for some days after the operation may be available. The results are not observed immediately after the operation. The process of sperm’s clearing from the tubes lasts usually some months (15-20 ejaculations). Some regrets about sterilized occur among men under the age of 30; those who have no children, because they got married, their child died or those who later want to have more children. Before having vasectomy, it should be kept in mind that is permanent and reversals are difficult, cost much and are sometimes ineffective. Men with reversed vasectomies can have sperm in the ejaculate; only 50% of such men are able to have children. Besides, there is a possibility of having vasectomy and prostate cancer.
Women can often get pregnant from men after vasectomy, because in the result of intercourse after sterilization all sperm had been cleared from the ejaculate. It can also happen as a result of surgical error, the availability of an extra set of vas (the tubes which transport the sperm), or the vas regenerated spontaneously.
Before having a vasectomy the consultation of an urologist or family doctor, with whom one can speak about concerns and fears, is recommended. Clear answers and quality information ease or avoid you of these fears.
Men are afraid that the testicles can be hurt. They are afraid that a procedure will be done on or near his genital region. They are aware about all the advantages of a vasectomy, its benefit, effectiveness and short time of the procedure’s duration. The necessity of procedure should be discussed with a wife. It is regarded as safe, simple and short procedure. It is much easier to have the no-scalpel vasectomy for man than sterilization for the woman. Tubal ligation is more invasive; it is conducted under general anesthesia and can lead to more discomfort and higher risks comparing with a vasectomy. Moreover, it costs more vasectomy.
A vasectomy procedure is quite painless. It is done under a local anesthetic numbing the area completely. Besides, no discomfort or a slight pulling sensation is observed during the procedure itself. Mild discomfort for the first day or two after the anesthetic disappears can be available. To ease the discomfort a prescription or over-the-counter pain medication can be prescribed, ice packs and an athletic supporter can also be applied.
Before the operation man wants to know about possible risk factors. They should be discussed with the doctor. Although a vasectomy has proved its safety and simplicity, some medical problems are possible. They occur seldom and are usually treated easily. Among them there is the possibility of infection or swelling around the incision or inside the scrotum, bleeding beneath the skin causing bruising or inflammation and the development of a small lump due to a sperm leak from the vas.
The procedure does not influence on a man's sexual drive, "masculinity or libido", male characteristics, or his ability to have an erection, ejaculate or have intercourse as in the past. The process of sperm production is not hindered. A vasectomy can hinder the sperm being left from man’s body as part of his semen.
A vasectomy is regarded to be one of the most reliable and effective methods of conception prevention. (It is based on the availability of some sperm in the man's system after a vasectomy, the sterilization after the procedure should not be performed as quickly as possible.) When the absence of sperm is confirmed, the possibility of pregnancy reduces. The risk of an ineffective vasectomy is less than one percent. An ineffective vasectomy is only possible, because the severed ends of the vas deferens have rejoined to allow sperm through.