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A vasectomy is a form of birth control for man . This minimally invasive surgical routine prevents sperm from entering the semen and then being released during interjection .
According to theCenters for Disease Control and Prevention(CDC ) , a vasectomy is a underage surgery to write out or seal the vessel deferens — the tube that connects the testes to the penis . Because sperm cadre are make in the testes , they can no longer be transported into the cum and therefore can not have pregnancy .
Post-vasectomy semen analysis is usually carried out 12 weeks after the procedure.
An estimated 500,000 gentleman’s gentleman have a vasectomy every twelvemonth in the United States , according to theCleveland Clinic . Many man deliberate having a vasectomy when they are certain they do not want any more children or do not want tiddler at all .
Dr. Hussain Alnajjar , a advisor urological surgeon at University College London Hospital in the U.K. and honorary associate professor at University College London , say that a vasectomy is the most reliable method for male sterilisation . " It should also be see as irreversible , " he secernate Live Science in an electronic mail . " Vasovasostomy routine , often referred to as vasectomy turnaround , is potential , but it may not always be successful . "
How does a vasectomy work?
A vasectomy is a minimally incursive surgery performed by a urologist — a specializer who focalize on anything involving the urinary and generative tracts .
The procedure does n’t affect a mankind ’s ability to do sexually or reach sexual climax and it does n’t visibly interchange semen , saidDr . Paurush Babbar , a urologist at The Urology Group in Cincinnati , Ohio , and a extremity of the American Urological Association .
Babbar finish both his undergraduate written report and medical schooltime breeding at Wake Forest University in Winston - Salem , North Carolina , in 2013 . He went on to the Cleveland Clinic in Cleveland , Ohio , for his urology residence , which he finished in 2019 . Babbar is a member of the American Urological Association and add-in - certified with the American Board of Urology .
Post-vasectomy semen analysis is usually carried out 12 weeks after the procedure.
There are two common eccentric of vasectomy : conventional and no - scalpel . During a conventional vasectomy , small cuts are made in the scrotum — the bag of tegument that protect the testes — to reach the vas deferens tubes . In a no - scalpel vasectomy , no cutting off are made during the process — or else the doctor makes a pocket-sized puncture or incision to strain the Virginia deferens .
A 2014 inspection in theCochrane Database of Systematic Reviews foundno divergence in effectuality between the two coming . However , no - scalpel vasectomy may result in less bleeding , infection and infliction , as well as a short operation time compare with the conventional proficiency .
During both types of procedure , the affected role is put under local anesthetic . In a conventional vasectomy , a doctor then cuts the Virginia deferens , Babbar tell apart Live Science in an email . The subprogram takes about 30 minute . Once the section in the scrotum has been made , the physician move out a low piece of the vessel deferens electron tube . The end are suture , clipped and sealed by cauterisation — a practice of burning a part of the body to remove or close it off . The patient also invite two or three stitch close to the incision , Babbar allege .
In a no - scalpel vasectomy , a urologist feel for the vas deferens thermionic tube and then holds it in place with a clinch . A tiny hole is then made in the scrotum so the tube can be take out and cut or tied . Afterwards , the Virginia deferens tubing is put back in space .
While the orchis continue to make spermatozoan , they are simply reabsorbed back into the consistence , in exactly the same way as they would if the human being did not have sex , saidAdam Watkins , an associate professor in procreative and developmental physiology at the University of Nottingham in the U.K.
It usually carry a few months before the patient is completely sterile , Babbar enjoin . " A physician will confirm sterility with a seed sample two to three months after the vasectomy , " he said .
Does a vasectomy work?
A vasectomy is a highly efficient method of giving birth ascendence , according to theMayo Clinic , with more than a 99 % success rate . However , there ’s always a small fortune that gestation can pass , consort to the CDC .
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Despite its effectiveness , a vasectomy does not work instantly and men should apply other flesh of contraception until post - vasectomy seed analysis , Alnajjar tell . This is ordinarily 12 weeks after the procedure or when 20 ejaculation have been deemed negative for sperm , he said .
A vasectomy carries a small risk of short- and long - full term complication , allot to a 2021 review release inThe World Journal of Men ’s Health . Most patients experience tumefy , bruising and some soreness for about two weeks after the subprogram . These symptoms tend to go off on their own . However , there is a low danger that some patient may modernise scrotum transmission , haematoma ( bleeding under the skin that looks like a bruise ) and spermatozoan granuloma ( a lump in the scrotum make by sperm that leaks out of the Department of Veterans Affairs deferens thermionic tube into tissue ) .
Can a vasectomy be reversed?
Though a vasectomy is considered a permanent procedure , it can be reversed , Watkins secern Live Science in an electronic mail . However , it is trickier to undo a vasectomy than to perform the initial surgery , he said .
" A vasectomy is a fairly mundane and speedy procedure . While a reversal process can be done , there is no guarantee that it will restore a serviceman ’s prolificacy , " Watkins tell . " As such , a vasectomy should only be undertaken if the person is absolutely certain they do not want to have any , or any more , tiddler . "
Alnajjar said that vasectomy reversal is performed by re - joining the antecedently cut end of the vas deferens using microscopic suture .
The chance of success for vasectomy reversal is forthwith relate to the time interval between the vasectomy and its reversal , and the age of the female partner , Alnajjar pronounce . According to theMayo Clinic , pregnancy success rates vary from about 30 % to 90 % , with the lowest rates apply to men who had a vasectomy over 10 years prior .
In plus , a vasectomy reversal procedure lasts longer ( around 2 to 3 minute ) and is more expensive than a vasectomy , Babbar said .
This clause is for informational purposes only and is not intend to offer aesculapian advice .
