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What is vasectomy?
A vasectomy is a surgical procedure performed as a method of birth control. It involves cutting the vas deferens in order to close off the tubes that carry sperm from the testicles (there is one vas deferens per testicle). If a man has a vasectomy, he can no longer get a woman pregnant.
Sperm are made in the two testicles, which are inside the scrotum. Sperm is stored in a tube attached to each testicle called the epididymis. When a man ejaculates, the sperm travel from the epididymis, through the vas deferens, and then mix with seminal fluid to form semen. The semen then travels through the urethra and out the penis. Before a vasectomy, semen contains sperm and seminal fluid. After a vasectomy, sperm are no longer in the semen. The man’s testicles will make less sperm over time, and his body will absorb any sperm that are made.
How is a vasectomy done?
There are two ways to perform a vasectomy. In either case, the patient is awake during the procedure, but the doctor uses a local anesthetic to numb the scrotum.
With the conventional method, the doctor makes one or two small cuts in the scrotum to access the vas deferens. A small section of the vas deferens is cut out and then removed. The doctor may cauterize (seal with heat) the ends and then tie the ends with stitches. The doctor will then perform the same procedure on the other testicle, either through the same opening or through a second scrotal incision. For both testicles, when the vas deferens has been tied off, the doctor will use a few stitches or skin “glue” to close the opening(s) in the scrotum.
Vasectomy is a surgical technique done in men to cut the vas deferens bilaterally to prevent sperm from reaching the seminal fluid during ejaculation.
The procedure is done by cutting small holes or slits in the scrotum and then cutting the vas deferens bilaterally and sealing both sides of each cut with stitches or cautery.
Vasectomy is one of the most effective methods of birth control; about 33 times more effective than oral contraception and about 90 times more effective than condoms but not immediately (it takes about 3 months before all sperm is removed from the semen).
Risks of vasectomy include hematoma, infection, granulomas.
Vasectomy does not change your risk for STD’s (sexually transmitted diseases).
Most vasectomies can be reversed by a urologic surgeon.
For more information about vasectomy please call our office at 305-591-8989.
The Surgery
Outpatient…………. at Miami Surgical Center
1 hour duration
Post Op visit in 48 hrs.
The Recovery
Mild Discomfort
Minimal Bruising

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