A vasectomy is a permanent method of male sterilisation. A vasectomy stops the release of sperm when a man ejaculates. During a vasectomy, the vas deferens (the small tube that carries sperm from testicle to penis) from each testicle is operated on. The result is that semen fluid will be ejaculated without any sperm mixed in.
No scalpel vasectomy
During a no scalpel vasectomy, there will usually be no bleeding and no stitches. The operation is faster, less painful and less likely to cause complications, such as infection, than a conventional vasectomy. It is carried out under local anaesthetic with great success. No sharp instruments are used at any point to cut the skin or tubes from the testicles. Instead, a special instrument is used to create a tiny single split in the skin through which both tubes are accessed and disconnected.
During a conventional vasectomy, the surgeon will use a scalpel to cut the scrotum, often requiring a wound on both sides. Both areas will then be opened up to clamp the vas deferens. This tube from the testicles is then cut and both ends are stitched to close the tube. Stitches are also required to close the wound on the scrotum . This technique usually takes much longer to perform and frequently results in bleeding and bruising to the area. Complications such as chronic pain and infection are more common with this technique.
Before you decide:
You should only consider a vasectomy if you are 100% certain that you do not want anymore or any children. Dr Al-Ausi will talk to you about this and will obtain your fully informed consent prior to the operation.
Common myths about a vasectomy
Myth: My sex drive will reduce.
There is no association between your sex drive and a vasectomy.
Myth: I will experience erectile dysfunction.
Arousal and erectile function is not affected, and ejaculation will feel no different. This is because sperm accounts for only a tiny amount of the fluid in an ejaculation and hormone levels remain unaffected (see below).
Myth: The vasectomy will lower my testosterone levels.
The operation does not alter testosterone levels. Testosterone is made by the testicle and transported around the body through the blood.
Myth: A vasectomy stops sperm production.
A vasectomy does not stop sperm production. The sperm will just be reabsorbed by the testicles naturally as they have nowhere to go.