Male sterilization - one of the most modern and effective methods of preventing unwanted pregnancy. It must be carried out only in men who already have children, as to renew fertility after a vasectomy in most cases impossible.
What is a vasectomy and to whom it is performed
Vasectomy (vasoresection) - excision is semevyvodyaschego flow, which leads to an irreversible cessation of male fertility. As a result of this operation a man retains all sexual functions (libido, erection
Erection - what hinders and what helps a man to be a man
, Selection of sperm), except fertility since the sperm can no longer enter the ejaculate (semen), due to blockage of the ejaculatory duct. This vasectomy differs from castration that removes the testicles that produce male sex hormones, which means that all sexual functions are interrupted.
The first three months after surgery, there is no guarantee that unwanted pregnancy does not occur, therefore, additional methods of contraception
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. The best proof of the sterility of men is repeated laboratory examination of ejaculate, which confirms the absence of sperm in it. The effectiveness of vasectomy as a contraceptive method
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It is about 99%. Failures attributed to the fact that the intersection of the vas deferens grow to bypass the intersection.
Currently used mainly vasectomy for contraception for men who already have children. Some time ago, this operation is often used for the prevention of infection of the prostate gland in the testicles for tuberculosis genitals and in those cases where a long-term catheterization (excretion of urine through a tube - a catheter) of the bladder.
Indications and contraindications
Vasectomy is carried out strictly voluntary, it is shown:
- men older than 35 years (or having two or more children) who want to have constant reliable method of contraception;
- Men who have wives who are pregnant contraindicated for health reasons;
- men who sterilization
Sterilization - may be temporarily
It shows the state of health (eg tuberculosis genitals, in the presence of severe hereditary diseases, etc.).
Vasectomy is contraindicated:
- if a man does not give her consent;
- if a man is not sure that he no longer wants to have children.
Preparing for a vasectomy, its implementation and possible complications
In preparation for a vasectomy performed a survey in order to avoid the hidden sexual infections and inflammatory processes in the genital area.
Vasectomy is held on both sides under local anesthesia in many ways.
The classic technique involves skin incision, separation of the vas deferens, dressing it in two places (ligation) and excision of the duct between the ligature over 1 cm.
In some instances, the ligature not overlap, and the ends are intersected vas deferens sealed in different ways (e.g., using electrocautery).
In recent years, often carried out the least traumatic method of vasectomy, the essence of which is that the release of the vas deferens resorted to puncture (puncture), and not to cut.
Vasectomy may be complicated by wound infection (with fever usually appear inflammation and swelling of the tissues) and hematoma - bleeding in the scrotum (it becomes edematous and painful). In such cases, you need to see a doctor - if you do not start the process, it is easy to treat.
The recovery period
Since vasectomy process used absorbable suture, sutures are not removed and the patient can be discharged home from the hospital the day of surgery
. The bandage is removed on the third day in a doctor's office, then you can take a shower
. For some time (until you come postoperative edema) need to wear special fixing bandage - jockstrap, which prevents additional trauma to the scrotum
. Nor can lift weights - this may compromise the integrity of welds
. In the normal state of health sex life, you can start three days after surgery, but the first three months need an additional method of contraception
. After three months, it is necessary to analyze the semen on the presence of a sperm
. Repeatedly, such an analysis is necessary to carry out a year later, as the growth of scar tissue at the surgical site (it is formed during the year) may help to restore patency of the vas deferens
Vasectomy - a great way to contraception, but it requires a conscious balanced approach, as the return to the function of childbirth usually does not happen.