Non-Scalpel Vasectomy
Non Scalpel Vasectomy performed by Dr. Kelanda-Sedra in Niagara Falls, ON
What is a vasectomy?
Vasectomy is a permanent male contraceptive method. It is done as an outpatient procedure under long acting local anesthetic that lasts for 8 hours . This along with protocol of Tylenol & Ibuprofen not for pain but as anti-inflammatory medication makes the procedure comfortable.
The Vas Deferens, the duct that transports the sperms to the ejaculatory ducts is isolated, cut & blocked so that it can no longer transport sperms in the ejaculate. Thus the man becomes permanently infertile. The patient embarking on the procedure should consider it irreversible. There are reversible procedures available but they are not an OHIP benefit & can be costly & are not 100% effective.
How is Vasectomy Performed ?
The procedure that is employed in this office is “No scalpel vasectomy”. In most instances one can isolate the Vas Deferens through a tiny hole on the scrotum. Then it is tied on one end & a 1 cm segment is cut off & the other end is buried . This is done so that the two ends of the tube do not rejoin & create a new duct that will transport sperm causing failure of the procedure. There are no sutures required to the skin of the scrotum.
The no scalpel vasectomy is also known as “Gentle Vasectomy”. As the name implies it is more gentle & has lower incidence of infection and bleeding or hematoma .
Recanalization is extremely rare 1in 40,000-50,000 .
In this office “Traditional Vasectomy” is reserved for difficult scrotal anatomy whether due to prior surgery or under developed extremely short neck scrotum.
I do examine the patient upon consultation & this is explained to the patient at the consultation time .
Myths about Vasectomy:
Does a vasectomy lower the libido i.e. Sex drive that is related to testosterone?
Vasectomy does not lower testosterone & does lower the libido or impact sex drive. If anything there is freedom in intimacy because the fear of conception has been eliminated. The testicle continues to secrete testosterone through the Leydig cells under Brain’s command through hypothalamic pituitary instruction pathway.
Does Vasectomy cause Erectile Dysfunction or interfere with ejaculation?
There is no erectile dysfunction as a result of vasectomy and both libido & ejaculation are unhindered in any way and the patient will maintain his pre vasectomy functional abilities.
Ejaculatory fluid comes mostly from the prostate & seminal vesicle & only a tiny amount from the testicle.
Does vasectomy cause Prostate Cancer?
Vasectomy does not induce or cause prostate cancer. When you are under the care of a physician that screens for prostate cancer the coincidence of detection is higher than if you do not check with a physician. There is no cause effect from the vasectomy. This is an incidental finding. The absence of the sperms does not lead to cancer. The testosterone hormone is still excreted the same as pre vasectomy. Also the sperms continue to be produced by the testicle but are not transported to the prostatic urethra & then the ejaculatory tubes .
These untransported sperms eventually die & are reabsorbed by the body .
Myth #5. Tubal ligation is easier than vasectomy
Doesn’t it sound like an excuse to avoid a surgical procedure?
You don’t really need to give it much of a thought to dispel this myth. Your testicles are in the scrotum, which is literally hanging outside of your body. Woman’s tubes are found deep inside the pelvis.
A vasectomy requires cutting the skin of the scrotum and handling your testis and vas deferens. It is performed with local anesthetics. Tubal ligation requires a very complicated surgical procedure that opens the skin, goes through the fatty tissue, the muscle tissue, and the peritoneum. After reaching the pelvis, doctors need to locate the tubes and block them. Such a complex procedure requires general anesthesia or epidural anesthesia.
Post-operative complications represent another issue. Vasectomy complications are infrequent. You still need to be careful and report symptoms such as fever or changes in your wound. Tubal ligation recovery is often completed as an inpatient in a hospital or clinic. Women need very close follow-up, and the risk of infection, bleeding, and other complications are higher .
Myth #6. You can promptly resume sex after vasectomy.
Vasectomy is an outpatient procedure but requires a recovery time of around one week. During this week, you need to avoid physical exercise, working or sitting for too long, and having sex. You can’t have sex during the first week or a few days. Follow the instructions given by your doctor, and if you still feel pain after resuming sexual activity, wait a few extra days.
Myth#7 Are you instantly sterile after a vasectomy ?
You need to know that the birth control effects of vasectomy are not immediate. If you start having unprotected sex right after vasectomy, you could get someone pregnant. So, you need a few tests to make sure that the birth control effects are in check. You will need sperm samples for sperm count tests to make sure that the procedure was effective. It will be one week without sex and around three months using additional contraceptives just to make sure.
Myth#8. Condoms are no longer required after vasectomy
As noted above, you may need condoms for a while after vasectomy, even with a stable partner. Keep in mind that vasectomy only works to avoid pregnancies. It does not protect you from sexually-transmitted diseases.
Transmission only requires skin-to-skin contact or fluid contact, depending on the disease. Doctors will always recommend against unprotected sex, and vasectomies do not make an exception.
Myth#9. Vasectomy is always an irreversible procedure!
Vasectomies are designed to be irreversible and cause male infertility. That’s why doctors will ask many questions and make sure that you don’t want to get anyone pregnant in the future. However, some cases can be reversed without a guarantee.
The capacity to reverse your vasectomy depends on the type of vasectomy you got and the time since. In some cases, your organism develops antibodies against sperm cells after a vasectomy. If that happens in your case, it will compromise the capacity to reverse the procedure .
If you’re worried about having an irreversible procedure, vasectomy is probably not the best birth control for you. Talk to your doctor if you have any doubt or prefer a truly reversible birth control method. Other vasectomy alternatives include condom use, non-penetrative sexual intercourse, intrauterine devices, implantable skin devices ,the calendar method, and more.
Call the office to book a consultation. This is an OHIP benefit procedure.
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