29 September 2022 by Op Dr Nureddin ÇELİK


What is a vasectomy?

Vasectomy, also known as “Voluntary Sterilization”, is the most effective, permanent and reliable method of contraception, which is becoming increasingly common in men all over the world. This method is one of the birth control methods that can be applied within family planning and the success rate is close to 100%.

Vasectomy is known as a birth control method, which has become quite common in recent years. The method, which is frequently preferred in America and Europe, is very reliable and offers a permanent solution. Long-term studies have shown that vasectomy provides almost 100% protection. It can also be defined as a permanent birth control method. The purpose here is to prevent sperm from entering the urethra and thus to prevent pregnancy from occurring.


In the vasectomy method, both channels of the male individual are connected. With this method, sperm do not mix with the semen and there is no sperm in the semen from the man.


The vasectomy method is a birth control method applied to men. It can also be defined as the binding of sperm channels. It is the equivalent version of the tube ligation method that exists in women. It is among the most widely used methods in Europe, America and China. After the method is applied, semen continues to come from the penis. However, there is no sperm in this fluid. Therefore, it does not cause pregnancy. In addition, there is no deterioration in hormones after vasectomy. This is because vasectomy has no effect on the hormone production of the testicles. The testicles continue to produce both hormones and sperm, but pregnancy does not occur because the sperm produced cannot leave the testicles.


How Is Vasectomy Performed?

It can be applied by cutting the sperm pathways (vas deferens). In addition, the process takes around 30 minutes on average. After the procedure is over, no hospitalization is required. In addition, it can provide full protection after an average of 3 months. In addition, married men must get permission from their husbands to have this method done.


It is among those known to have two different methods. The first of these is conventional vasectomy, while the other is defined as no-scalpel vasectomy.


To Whom Can Vasectomy Be Applied?

Who can have a vasectomy? All single and adult men can have it done as they wish. However, in order for married men to have it done, their spouse must also approve. It is forbidden to do it without the consent of the spouse. Before the procedure, individuals are informed in detail. It is very suitable for individuals who do not want children at all. However, for those who want to have children afterwards, it can cause some problems in the future. It may be necessary to perform some risky operations. For this reason, it is not recommended for people who want to have children in the next period. But it is still not unsolvable.


Men/couples who do not want to have children

Men/couples who have a hereditary disease and whose childbearing is dangerous for the child and/or himself

Men/couples who have as many children as they want and don’t want any more children

Men/couples who do not prefer to be protected with other contraception methods

In accordance with the law, anyone over the age of 18 can have a sterilization procedure with their own consent, or with the consent of their spouse if they are married.


What Are the Advantages and Disadvantages of Vasectomy?

Bleeding can occur after vasectomy, as it can be with almost any procedure. But these bleedings are of little importance. It is bleeding that does not harm the person. However, it is known that the risk of infection is very low. It must be applied in a non-sterile environment for infection to occur.


Since sperm production continues, sperm can accumulate in the connected channels and turn into a lump. There is no harm in this because it is taken quite easily. There is almost no risk of getting pregnant after the procedure. It does not cause any negative effects in sexual intercourse.


The most important advantage of vasectomy is that it is a permanent and life-long birth control method. The procedure is performed by urology specialists under local anesthesia and in practice conditions. In today’s conditions, it has become a very easy and safe process. It can be said that vasectomy has a positive effect on sexual life, since the anxiety or discomfort of other birth control methods is eliminated. Since the operations performed will not be related to semen production; there will be no change in the amount and appearance of semen in men after the procedure.


Likewise, since hormone production continues without any change, no physical changes in sexual desire and activity content are anticipated. On the other hand, since vasectomy is a permanent method, it progresses. Depending on the individual’s desire to have a child again in the course of time; Reopening of channels by operation may not always be successful. In such cases, surgical sperm search and microinjection may be required.


Effectiveness of Vasectomy Operation

Some sperm can survive in the tubes for several weeks after vasectomy. These sperm can pass into the semen for the first few weeks after the operation. For this reason, it is recommended to have a semen test approximately 12 weeks after the operation and to switch to unprotected sex only if no sperm is seen in the semen. If sperm cells are encountered as a result of the test, the sperm analysis should be repeated after 1 month. Patients should continue to use an additional method of contraception during these periods.


Is There a Reversal of Vasectomy?

Vasectomy is reversible, but this can become quite problematic. The recycling rate is around 50% on average. Since it is a precise and easy method, it can be applied quite simply. However, recycling is not such a simple process. Microsurgery is needed. For his return, the patient is operated under anesthesia. It is a process that takes 2 hours on average. Even if the operation is completed successfully, blockages may occur. For this reason, it is recommended that the person who has had a vasectomy think very carefully.


Possible Risks of Vasectomy Procedure

The possible risks of the vasectomy procedure include minor bleeding, mild swelling in the testis, and tenderness in the testicles, but they do not cause serious discomfort in the patients. Although the channels are closed with vasectomy, there is a possibility of pregnancy with unprotected intercourse in the first three months. In other words, it is necessary to continue to be protected for the first 3 months, and to confirm the success of the vasectomy with semen analysis when the 3 months are completed.


As with any surgical procedure, there may be a risk of complications in vasectomy procedures. It is normal to experience pain after the operation. However, pain severe enough to require painkillers is rarely seen after the first 24 hours. An allergic reaction may develop, bleeding and edema may occur after the procedure. However, these conditions are temporary and disappear on their own within 4-5 days. Postoperative pain syndrome is a chronic pain syndrome that occurs after vasectomy. It can often be treated with anti-inflammatory drugs. Rarely, there may be pain in the testicles due to the fluid and sperm accumulated after the procedure. It is seen that this situation disappears in about 6 months.


There may be hematoma formation. If the bleeding into the scrotum does not stop, the blood may clot and form a mass. This very rare hematoma may need to be drained with a second surgical procedure. In the past, it has been suggested that there may be an increased risk of prostate cancer after vasectomy; recent studies have shown that there is no association between vasectomy and prostate cancer.

I’ve started working as a doctor since I attended Uludağ University Faculty of Medicine. I stopped working in the hospitals in 2020 with the thought of opening my own medical clinic. At the beginning of 2022, I opened my office in Karşıyaka Mavişehir Park Yaşam Ofisleri. In our urology clinic, I deal with my patients along with my team.


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