How is the operation performed?
After anesthesia, the surgeon removes the vas deferens through a mini-incision of 5–10 mm (or a puncture with a no-scalpel technique), excises a 1–2 cm segment, ties and coagulates the ends and places them in different layers of fascia to prevent spontaneous restoration of patency. The same is done on the other side. The skin is sutured with absorbable sutures or taped. An hour later the patient goes home; the next day you can work. Spermogram monitoring is required after 3 months.
What you need to know before having a vasectomy
A vasectomy is the most reliable method of contraception for men who are confident that they are no longer planning to have children. The operation does not affect potency, ejaculation (sperm volume remains almost unchanged) and testosterone levels - sperm simply do not enter the ejaculate. The method should be considered irreversible: restoration of patency (vasovasostomy) is possible, but success is not guaranteed, therefore the clinic offers sperm cryopreservation before surgery.
After surgery
Sterility does not occur immediately: sperm remain in the ducts above the ligation, so additional contraception is needed for 3 months (or 20 ejaculations), and then a spermogram is taken - if there are no sperm, contraception is canceled. Pain and swelling are minimal and disappear within 2-3 days, and you can return to work the next day.