How is vasectomy performed?

Vasectomy is mainly performed to restore vasectomy circulation after surgical sterilization in selected cases. Currently, vasectomy surgery is performed under multiple magnifiers and uses very small threads, also known as microsurgery.

A vasectomy is a procedure to reconnect the ends of a tube that has been cut during a vasectomy. Vasectomy is considered a permanent method of male sterilization. It prevents sperm from entering semen. Therefore, when a man ejaculates, only semen is secreted, not sperm, so a woman will not be able to get pregnant.
Vasectomy is done when you have had a vasectomy and now want to have children again. Men decide to have a vasectomy for a variety of reasons, including losing a child, remarrying, or improving their lives enough to support a child. A small number of men choose to have a vasectomy to treat testicular pain associated with a vasectomy.
The chance of success of a vasectomy depends on how long it has been since the vasectomy to the present. Over time, more blockages can form, and some men even develop antibodies against their own sperm.

The vas deferens have quite thick walls, very small lumens, about 0.3-0.4 mm in diameter. Therefore, the connection cannot be done with the naked eye, but it is necessary to use a microscope or a surgical magnifying glass with high magnification. A vasectomy is a procedure to reconnect the ends of a tube that was cut during a vasectomy. After 2-3 days in the hospital, the patient can go home, walk and work normally.

3.1.Position Patient's position, the patient lies supine with legs extended and head raised about 15 degrees. The layout of the operating room: The anesthetist is above the patient's head. The main surgeon stands on the same side as the operating side and the assistant stands on the opposite side. The instrument table is placed at the patient's feet, the instrument nurse stands on the same side as the assistant surgeon. 3.2. Anesthesia Spinal anesthesia or general anesthesia.
3.3. Technique Step 1: Skin incision: Make an incision along the scrotum on each side corresponding to the position of the vasectomy or longitudinal incision in the middle of the scrotum.
Step 2: Use a pair of vas deferens to pull the vas deferens above and below the vasectomy to facilitate dissection.
Step 3: Dissect the scrotum layers to the vasectomy.
Step 4: Prepare the two ends of the connector. Inject the vas deferens with 0.9% NaCl or Ringer lactate solution and check for sperm at the proximal end of the vas deferens.
Step 5: Use bulldog clamps or forceps to pull the two ends of the vas deferens closer together.
Step 6: Single-layer or double-layer vasectomy microsurgery, using 9-0 or 10-0 sutures.
Step 7: Stop the bleeding.
Step 8: Stitch restoration of the scrotum, with or without drainage.

Complications that can occur with any vasectomy are an unwanted reaction to the anesthetic, heavy bleeding, or blood clots (deep vein thrombosis, DVT).
Particularly with vasectomy surgery, there may also be complications:
Infection of the incision; Collection of fluid in the scrotum (vitreous membrane), which may require drainage; Injury to the arteries or nerves in the scrotum. Scrotal bleeding, scrotal edema, or possibly dissection of the vasectomy suture. Distant complications include vasectomy or spermatogenic granulomas (sperm granulomas). You can reduce your risk of complications by carefully following your doctor's instructions to prepare for surgery, such as fasting and stopping certain medications.
Moreover, vasectomy for too long has an effect on the results of vasectomy because patients with a long vasectomy are often older. The testicles, like all other organs, become weaker and weaker as they age, and sperm production is also slower, "shrunken" more. In addition, long ligation leads to sperm pooling in the testicles, damaging sperm-producing cells.

You can go home the same day or the next day and be able to return to work in about a week. Regular exercise will help you return to normal activities as soon as possible. Before you start exercising, consult your doctor. Usually you will feel pain in the surgical area within the first few days, after about 10 days, the sutures at the incision will dissolve on their own. You should often put ice on your testicles to reduce swelling. Athletes' genital protection should be worn for several weeks, only to be removed when taking a shower. For the first 1 to 2 days after surgery, avoid getting water on the incision, and avoid bathing or swimming. Do not play sports or lift heavy objects for 2 to 3 weeks. If you work in an office, sit a lot, you can return to work a few days after surgery, if your job requires a lot of walking or driving, ask your doctor when it is okay. permission to return to work Do not have sex or ejaculate without your doctor's permission. In most cases, you will have to stop having sex for 2 to 4 weeks after surgery. Avoid heavy activities; use scrotal support for 1 month; Avoid sexual activity for 2 weeks. Experience has shown that an early return to normal activities can cause sutures to be dislodged in many patients undergoing vasectomy. Vinmec International General Hospital is one of the hospitals that not only ensures professional quality with a team of leading doctors, modern equipment and technology, but also stands out for its examination and consulting services. and comprehensive, professional medical treatment; civilized, polite, safe and sterile medical examination and treatment space.