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Vasectomy

WHAT YOU NEED TO KNOW:

A vasectomy is a procedure to make you sterile. It is a permanent form of birth control. The vas deferens (sperm tubes) are cut so that the semen does not contain sperm.

HOW TO PREPARE:

Before your procedure:

  • Write down the correct date, time, and location of your procedure.
  • Arrange a ride home. Ask a family member or friend to drive you home after your surgery or procedure. Do not drive yourself home.
  • Ask your caregiver if you need to stop using aspirin or any other prescribed or over-the-counter medicine before your procedure or surgery.
  • Bring your medicine bottles or a list of your medicines when you see your caregiver. Tell your caregiver if you are allergic to any medicine. Tell your caregiver if you use any herbs, food supplements, or over-the-counter medicine.

The night before your procedure:

Ask caregivers about directions for eating and drinking.

The day of your procedure:

  • Ask your caregiver before taking any medicine on the day of your procedure. These medicines include insulin, diabetic pills, high blood pressure pills, or heart pills. Bring a list of all the medicines you take, or your pill bottles, with you to the hospital.
  • You or a close family member will be asked to sign a legal document called a consent form. It gives caregivers permission to do the procedure or surgery. It also explains the problems that may happen, and your choices. Make sure all your questions are answered before you sign this form.
  • Caregivers may insert an intravenous tube (IV) into your vein. A vein in the arm is usually chosen. Through the IV tube, you may be given liquids and medicine.
  • An anesthesiologist will talk to you before your surgery. You may need medicine to keep you asleep or numb an area of your body during surgery. Tell caregivers if you or anyone in your family has had a problem with anesthesia in the past.
  • Bring an athletic supporter to wear after your procedure.

WHAT WILL HAPPEN:

What will happen:

An incision will be made on one side of your scrotum or down the middle. One of your sperm tubes will be pulled through the incision. Your surgeon will cut the sperm tube and remove a small portion of it. He may then close one or both ends with stitches or a heat treatment. He also may sew a piece of body tissue between the cut ends of your tubes. Your surgeon will then do the same procedure to your other sperm tube. Your incisions may be closed with stitches, tissue glue, or left open to heal. Germ-fighting medicine may be put on your scrotum, and the area will be covered with a bandage.

After your procedure:

You will be taken to a room to rest until you are fully awake. Healthcare providers will monitor you closely for any problems. Healthcare providers may apply ice and an athletic supporter to decrease swelling and bruising. Do not get out of bed until your healthcare provider says it is okay. When your healthcare provider sees that you are okay, you will be able to go home or be taken to your hospital room.

CONTACT YOUR HEALTHCARE PROVIDER IF:

  • You cannot make it to your procedure.
  • You have a fever.
  • You get a cold or the flu.
  • You have questions or concerns about your procedure.

Risks

You may bleed more than expected. Your scrotum may be bruised or inflamed. You may get a wound, urinary tract, or epididymal infection. The epididymis is a long, curled tube on the back of your scrotum. You may feel pain when you have an erection. Granulomas may form if sperm leaks out of your cut sperm tube. Granulomas are a lump that forms under your skin. You may not become sterile if one or both of your cut sperm tubes grow back together.

Care Agreement

You have the right to help plan your care. Learn about your health condition and how it may be treated. Discuss treatment options with your caregivers to decide what care you want to receive. You always have the right to refuse treatment.

© 2016 Truven Health Analytics Inc. Information is for End User's use only and may not be sold, redistributed or otherwise used for commercial purposes. All illustrations and images included in CareNotes® are the copyrighted property of A.D.A.M., Inc. or Truven Health Analytics.

The above information is an educational aid only. It is not intended as medical advice for individual conditions or treatments. Talk to your doctor, nurse or pharmacist before following any medical regimen to see if it is safe and effective for you.

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