What does vasectomy surgery mean for men, reversible or not, cost

Male contraception is less developed than female contraception and has only a few ways to prevent unwanted fertilization. Vasectomy is the most radical and reliable method, but it is rarely used in practice, for a number of important reasons. The main ones are the need for surgical intervention, a rather high cost, doubts about the reversibility of the procedure.

Vasectomy - what is it in men, what does surgery mean

Vasectomy is male sterilization, a procedure in which a man ceases to be able to impregnate a woman. The rest of the functions of the reproductive system (testosterone secretion, libido, erection, ejaculation) are preserved.

The contraceptive effect is achieved by removing a fragment or ligating the vas deferens, through which germ cells enter the seminal fluid from the testicles. It should be borne in mind that this does not affect the presence of sperm, but only ensures the absence of sperm in it. The operation is not abdominal and does not require general anesthesia.

Vasectomy is one of the most reliable ways to prevent unwanted pregnancies, the effectiveness is 99%.

It is important to distinguish between the concepts of sterilization and castration - the first is safe for health and only excludes the possibility of conceiving a child, while the second is associated with the removal of the gonads (testicles), which disrupts the hormonal background, leads to impotence and feminization.

Vasoresection is not another procedure, but just a synonym. It is easy to see that the words have one root - "vaz", from the Latin "vas" - a vessel. And "ectomy" and "resection" mean removal, excision, excision. The first word is of Greek origin and the second is Latin.

Indications

In most cases, vasectomy becomes a voluntary procedure, performed at the request of a man or a married couple in the absence of contraindications, as well as reaching a certain age or having children.

There are few medical indications for vasoresection. These include serious damage to the vas deferens, which can be caused by tuberculous tissue damage or inflammatory pathologies such as deferentitis or epididymitis.

Sterilization is indicated if a man or his wife suffers from severe hereditary diseases, including mental ones, or are carriers of them. Vasoresection is also recommended in couples where the partner's health condition makes pregnancy and childbirth life-threatening.

Contraindications

Since vasectomy in men does not involve general anesthesia or significant blood loss, the risks are minimal.

There are several contraindications:

• acute or chronic urethritis or cystitis;
• any neoplasms in the pelvic organs;
• inflammatory testicular disease;
• infectious lesions of the genitourinary system;
• blood clotting disorder.

How is vasoresection performed today?

In general, the operation is performed using local anesthesia, but if the patient wishes, anesthesia is used.

After processing the site of manipulation with antiseptic drugs and the onset of anesthesia, the surgeon begins the procedure:

The process takes 30 minutes, a man can go home in an hour. In case of general anesthesia, it is recommended to stay under the supervision of doctors for 24 hours.

The first days after vasoresection are possible painful sensations, swelling of the scrotum, hematomas in the postoperative area. Compresses with ice, dressings with antiseptic agents, wearing compression underwear and limiting physical activity for 3-5 days are indicated to relieve symptoms and accelerate recovery. If the discomfort persists for a long time or there are signs of an infection, you should consult your doctor.

As a rule, the resumption of sexual activity is possible after 1-2 weeks after vasectomy, but in the first 2-3 months (about 20 ejaculations), the use of other contraceptives will be required (a minimum amount of sperm may still remain in the semen). To confirm the preservation of the sterilization effect, it is recommended to take a spermogram at least once a year.

Preparation for vasectomy is standard for most surgical procedures and includes:

• general analysis of blood and urine;
• testing for STDs, AIDS, hepatitis;
• visual examination by a urologist;
• blood clotting test.

Previously, a medical professional conducts a conversation in order to explain the consequences of vasoresection and clarify how consciously the decision was made.

Reversible vasectomy - can you restore fertility if needed?

Vasoresection is recognized as a reversible procedure - a man can contact a urologist with a request to perform an operation to restore fertility.However, it is important to consider that the ability to conceive returns only in 40-60% of cases. The success of the restoration of reproductive function directly depends on how long ago the sterilization was done - the less time has passed, the more a man has a chance to become a father, after 5 years the probability of a successful outcome is small. The optimal solution, if in doubt, is to freeze the semen in a special "sperm bank" prior to the vasectomy.

Will semen come out after?

Often men are afraid that after vasoresection they will be deprived of a full orgasm. In fact, the percentage of spermatozoa (and the violation of the patency of the vas deferens blocks their secretion) in the ejaculate is very small, most of the semen is the secretion of the prostate and other gonads. After a vasectomy, sperm will come out as before, even the color and taste will remain unchanged, the differences will be noticeable only in the spermogram results.

10 consequences of a vasectomy: what you need to know "BEFORE"

Like any surgical intervention, vasoresection has its own characteristics. Before carrying out it, you should consider the likelihood of 10 consequences.

The possibility of an individual reaction to anesthesia or anesthesia cannot be ruled out.

When assessing the pros and cons of a method of contraception, its cost plays an important role. It is impossible to answer unequivocally how much a vasectomy costs: a lot depends on the clinic, the techniques used and anesthesia. Rates across the country are about the same.

Which clinic to choose: public or private?

It is recommended that you first of all look not for a clinic, but for a doctor. You can choose a specialist based on patient reviews posted on specialized forums. But if the choice is still between a public or a private clinic, the latter is favored by the higher quality of service and the friendly attitude of the staff.