Vasectomy is a method of permanent contraception for men. We present an overview of this procedure and other information that you may need to know in case you are considering this procedure.
What is Vasectomy?
Vasectomy, also known as "the snip", is a surgical procedure that blocks or cuts the vas deferens (tubes carrying sperm from the testes), preventing sperm from mixing with the semen.
What does Vasectomy Procedure Involve?
- Usually performed under local anesthesia in a GP surgery or hospital clinic.
- The scrotum skin is opened using small incisions or punctures.
- Suture, heat, or clips are used to cut, tie, or seal each vas deferens.
- The procedure usually takes 15 to 30 minutes and you can return home the soon after this.
What Are the Possible Risks with the Procedure?
Even though vasectomy is generally safe, there are a few uncommon and usually mild potential side effects. The potential risks are listed below in order of probability:
Mild Pain and Swelling (1 in 10):
Temporary discomfort or swelling is common, and typically resolves with rest, ice packs, and over-the-counter pain relief.
Infection at the Incision Site (1 in 100):
Minor infections can occur but are generally managed effectively with antibiotics.
Procedure Failure (1 in 2,000 to 1 in 4,000):
Very rarely, the tubes reconnect naturally, which can allow sperm back into the semen. Failure may occur soon after the procedure or even years later.
Haematoma (1 in 1,000):
Blood collecting within the scrotum can cause discomfort; in rare cases, drainage may be required.
Chronic Testicular Pain (1 in 1,000):
A small number of men experience ongoing scrotal pain post-vasectomy, which may need additional treatment.
Sperm Granuloma (1 in 2,000):
A lump that forms due to sperm leakage from the cut vas deferens. This generally resolves on its own but occasionally requires treatment.
Vasectomy Regret:
A small proportion of men, later on, regret having the procedure. This number is typically between 5-10 out of every 100 men, with rates potentially higher in those who underwent the procedure at a younger age.
Factors Contributing to Vasectomy Regret:
Age at Time of Procedure:
Younger men, particularly those under 30, report higher rates of regret later on. This is due to changes in life circumstances and desire to have children over time.
Changes in Relationships:
Regret is more common after significant life events such as separation, remarriage, or loss of a child.
Pre-Procedure Uncertainty:
Men who felt uncertain about the decision to begin with are more likely to experience regret. This highlights the importance of taking your time to weigh up the options.
Socioeconomic Factors:
Financial or family pressure may influence the decision of a vasectomy, leading to regret if the procedure feels more imposed than chosen.
How Quickly Can I Resume Unprotected Sexual Intercourse?
It can take 12 weeks and at least 20 ejaculations to clear remaining sperm from the tubes. A semen analysis test is then carried out to confirm zero sperm count. Until this confirmation, continue using alternative contraception.
Does Vasectomy Affect Ejaculation?
- Vasectomy does not affect ejaculation.
- The quantity and appearance of semen remain the same, because sperm only make up a small portion of the semen volume.
- Sexual desire and function are not affected by the procedure.
Is Vasectomy Reversible?
- While vasectomy reversal is technically possible, the procedure is complicated with a low success rate.
- Reversal procedures are not covered by the NHS, and have to be paid for privately.
Summary
Vasectomy is a reliable and generally low-risk procedure for permanent contraception. It is important to weigh all options and consider the small but potential risks before making a decision. For further guidance, consult your GP at Bredbury Medical Centre.