Any surgical intervention requires preparation which may vary depending on each individual.
It is essential that you follow the recommendations that will be given to you by your urologist and your anesthesiologist.
In case of non‐compliance with these recommendations, the intervention could be postponed. The procedure takes place under local anesthesia.
In some cases, when general anesthesia needs to be practiced, a pre‐operative anesthesia consultation is required a few days before the operation. Self-preservation of sperm can be performed prior to the intervention.
This is a different practice from sperm donation and can be performed in any approved laboratory for sperm preservation. This sperm can only be used by the man who has achieved this preservation.
The intervention is performed in principle in outpatient care without hospitalization or as part of hospitalization in outpatient surgery. The vasectomy is performed through a small incision on each bursa to reach the vas deferens.
Each channel is linked and a fragment of it is usually sent for microscopic analysis. The skin is then closed. _ USUAL FOLLOW-UP The pain in the operated area is usually minimal and temporary; she is calmed by painkillers. There may persist for several days discomfort in the scar. You should refrain from strenuous activity for one or two days and keep the incisions clean.
Resumption of protected sex is possible as soon as the pain has disappeared. Sterility does not immediately follow the operation, fertility persists as long as there are spermatozoa in the spermatic fluid. An ejaculation quarantine is necessary in order to empty the stock of spermatozoa present in the seminal ducts.
An additional method of contraception should be used for approximately 12 weeks until a spermogram confirms the absence of live spermatozoa in the spermatic fluid. A spermogram 3 months after the vasectomy is therefore necessary before stopping the additional method of contraception. Vasectomy does not change the production of male hormones or the volume of ejaculated sperm.
Men therefore do not have to fear changes related to a lack of male hormones, more particularly erectile or ejaculation troubles. Vasectomy is effective in 99% of cases. The probability of pregnancy in the partner of a vasectomized man is very low. The most common cause of pregnancy is from unprotected sex within 12 weeks after operation.
In the majority of cases, the intervention proposed to you takes place without complication. However, any surgical procedure has a number of risks and complications described below. Some complications are related to your general condition. Any surgical intervention requires anesthesia, whether loco‐regional or general, which carries risks. They will be explained to you during the preoperative consultation with the anaesthetist.
Other complications directly related to the intervention are rare, but possible.
THE COMPLICATIONS COMMON TO ALL SURGERY ARE:
Most cases do not require a consultation in the absence of pain and/or tension of the bursa.
However, in rare cases, reoperation to drain the hematoma may be necessary.
Remote failure of the intervention by repermeation of the vas deferens possibly requiring reintervention.
Moderate activity is preferred. A work stoppage may be prescribed to you. Bathing is not recommended until healing is achieved. Showers are possible. Vasectomy is effective in 99% of cases. The probability of pregnancy in the partner of a vasectomized man is very low. The most common cause of pregnancy is from unprotected sexual intercourse within 12 weeks after operation, continued until confirmation by spermogram of an absence of viable sperm.
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