02 August 2010

Vasectomy a popular contraceptive

In times gone by it was generally felt that birth control was the explicit domain and responsibility of the woman. After all, how difficult could it possibly be to pop a pill every day of your life?  
Nowadays methods of birth control and general attitudes of modern couples have changed considerably. Along with taking the responsibility of sharing parenting roles, household chores and the like many modern men are not at all averse to taking personal responsibility for birth control. One method that is gaining popularity because of its general safety is the vasectomy.
Procedure is quick and effective

No reversal of the vasectomy
For all of this Dr Visser emphasises that a vasectomy is only for those men who are completely sure that their days of having children are over. “A vasectomy may sometimes be reversed with microsurgery. Some men change their minds when, for example, they get divorced and decide they want children with a new partner. However, it is not always possible to reverse the procedure and for this reason we do not recommend vasectomies for those men who are not completely certain that they no longer want children. Those who are considering a vasectomy must think about it carefully and seriously.”
There are different ways to tie or seal off the vas deferens, says Dr Visser. It can be disconnected by cutting a piece out of it. This ensures that it is properly disconnected and there is no possibility of it being able to carry the sperm. Another procedure that is performed overseas by some practitioners is to clip the vas deferentia to shut off the flow of sperm. This method may have a better chance of being reversed than the other procedures. All methods are more or less equally effective.
“This is a quick procedure, which takes between five and 10 minutes to complete both sides,” continues Dr Visser. “It is usually done in theatre, under sterile conditions, while the patient is under anaesthetic. Some practitioners perform the procedure under local anaesthetic, but I prefer full anaesthetic. The procedure is completed very quickly, the patient only has to spend a very short period under the anaesthetic and he tends to be less stressed about the procedure than he might have been under a local anaesthetic.”
“Both sides are done through one little opening. One or two small sutures are made in the scrotum, once finished. These dissolve on their own. The patient goes home as soon as he is awake and 99% of patients are back at work the following day.”
Dr Visser notes that all operations carry the risk of complications, but they are very uncommon with this procedure, affecting less than 1% of patients. Most complications involve secondary bleeding or a secondary infection in the area.


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