Male sterilization by vasectomy and ligation

The article was professionally consulted with Master, Doctor Le Phuc Lien - Urologist - Department of General Surgery - Vinmec Central Park International General Hospital.

Male sterilization method by ligation or vasectomy is a simple and safe surgical procedure, with high contraceptive efficiency up to 99.5%, completely without affecting health and daily life. sex in men.
In case a man has no need to have more children, voluntarily uses the sterilization method and has been consulted carefully before deciding, it is completely possible to perform male sterilization by ligation or vasectomy.

Some cases of contraindications to male sterilization are not absolute contraindications, but men need to know before making the right decision. According to specialists, contraindications include:
Caution should be exercised if a man has signs such as a history of scrotal trauma, enlarged scrotum due to varicocele, undescended testicle on one side. . Men with medical conditions such as diabetes, depression or at a young age Postponing male sterilization if men have symptoms such as inflammation, headache, vas deferens, testicles, or infection testicles, systemic infection, or elephantiasis Special preparation is required when a man has signs of an inguinal hernia, has AIDS or a coagulopathy.

Men who want to be sterilized by ligation or vasectomy need to be listened to, shared and thoroughly understood about male sterilization. The client was explained the sterilization process and signed a volunteer application for sterilization before the procedure.
2.1 Pre-procedure examination The doctor will examine the client to see if the patient has the right indications, and at the same time ask about the medical history, general examination of the whole body, cardiopulmonary system, abdominal cavity, examination of the reproductive area. , genitals such as scrotum, testicles, epididymis... at the same time, tests and instructions on cleaning the genital area and thighs, wearing clean underwear before performing male sterilization.

2.2 Implementation steps At any suitable time and the customer is ready, the male sterilization procedure by vasectomy and vasectomy can be performed with the following basic steps:
Prepare to proceed procedure: Clean the surgical area, trim pubic hair, use antiseptic solution to clean the genital area Pain relief in male sterilization : Local anesthetic with Lidocaine 1% Perform sterilization technique without knife Monitor and guide clients immediately after male sterilization surgery.

After the procedure, the client may have a feeling of heaviness in the scrotum but no pain (it is recommended to wear tight underwear for the first few days for comfort). A small bag filled with ice can be applied to the area around the scrotum to reduce swelling and pain. Heavy labor should be avoided for the first 1-2 days and always kept the incision clean and dry. You can shower after 24 hours, but avoid getting the incision wet. After 3 days, the incision can be washed with soap.
After 1 week can have normal sex but still can get pregnant. To make sure, the customer needs to return to the doctor immediately if there are signs such as: fever, bleeding, pus from the incision, swelling and pain in the incision that does not decrease.
To be sure about the ability to prevent pregnancy, the customer needs to go back to the doctor after 3 months, retest the semen sample to make sure there is no sperm in the semen.
During and after performing vasectomy, male sterilization, men may appear some complications and complications such as bleeding during the procedure, reaction to anesthetic, swelling pain, hematoma after surgery Surgery, infection and later complications may be orchitis, sperm granuloma. Therefore, follow-up after sterilization is very necessary for early detection of complications and timely treatment. In addition, pain may persist (2%), usually no longer than 1 year or may be regretted after male sterilization.
Thus, it is important before making the decision to have male sterilization that men need to learn, consult carefully as well as have follow-up after the procedure to ensure safety and health in the future.