Vasectomy

The loyalty program applies to surgical interventions in the inpatient department, making treatment even more affordable.

In recent years, vasectomy in Ukraine has become an increasingly popular method of permanent contraception among men who do not plan to have children in the future. It is considered one of the most reliable ways to prevent unwanted pregnancy and does not affect testosterone levels, erection, libido, or sensations during sexual activity.

Vasectomy — is a modern and effective method of contraception for men who have made a conscious decision regarding family planning. This type of contraception, also known as male sterilization, is one of the most reliable ways to prevent unwanted pregnancy.

Vasectomy does not affect a man’s potency or ability to ejaculate. It also does not cause impairment of testicular function, which makes reversal of vasectomy possible. However, such an operation is quite complex, and restoration of fertility cannot be guaranteed.

At «Oxford Medical», vasectomy is performed by a urologist of the highest category, a genital surgeon with more than 20 years of experience, who underwent extensive training in Serbia and Israel. The operation is performed using modern surgical techniques in a high-tech inpatient department, where comfortable conditions have been created for patients.

There are no medical indications for which male sterilization is mandatory. The final decision regarding the operation is always made by the patient himself after receiving complete information about the features of the method, its advantages, and limitations.

Doctors at «Oxford Medical» recommend considering vasectomy only when the decision not to have children is final and well considered. During the consultation, the doctor will explain the features of the method in detail, answer all questions, and help make an informed decision.

Vasectomy is performed after a consultation and preoperative examination. This makes it possible to ensure that the operation can be performed safely and that the risk of postoperative complications is minimal. In most cases, the identified contraindications are temporary, so the intervention can be performed after they have been eliminated.

The operation is usually postponed in cases of:

• acute infectious diseases or elevated body temperature;
• inflammatory processes in the scrotal or groin area;
• acute diseases of the genitourinary system;
• blood clotting disorders until they are corrected;
• decompensated diabetes mellitus;
• exacerbation of severe chronic diseases.

Doctors at «Oxford Medical» recommend reporting all chronic diseases, allergic reactions, and medications you are taking during the consultation, especially if these are medications that affect blood clotting. This will help you properly prepare for the operation and reduce the risk of postoperative complications.

Preparation for vasectomy begins with a consultation with a urologist or genital surgeon. The doctor assesses the patient's general health condition, explains the specifics of the operation, and answers all questions. After this, the doctor prescribes the necessary preoperative examination.

The preoperative examination usually includes:

• complete and biochemical blood tests;
• coagulogram;
• general urine test;
• tests for HIV, syphilis, and a blood test for hepatitis B and C;
• electrocardiography (ECG) — if indicated.

One day before the operation, it is recommended to refrain from drinking alcohol. If the vasectomy is planned to be performed under intravenous sedation, it is necessary not to eat for 6–8 hours and also not to drink fluids for 2 hours before the intervention. On the day of the operation, you should take a shower, remove hair in the scrotal and groin area, and put on comfortable underwear that will provide support for the scrotum after the operation.

The operation is usually performed under local anesthesia. At the patient's request or for medical indications, intravenous sedation (medication-induced sleep) may be used.

During the operation, the surgeon gains access to the vas deferens through a small incision or puncture, after which it is cut and both ends are hermetically sealed. As a result, sperm cells no longer enter the ejaculate, which provides the contraceptive effect.

On average, vasoresection lasts 20–30 minutes. After it is completed, a sterile dressing is applied to the wound. The patient remains under medical supervision for several hours, after which, provided they feel well, they can return home the same day.

Male vasectomy is one of the most effective methods of permanent contraception. According to the American Urological Association, after confirmation of the result of a follow-up semen analysis, the risk of pregnancy is approximately 1 case per 2,000 couples.

The high effectiveness of vasectomy is not associated with removal of the testicles. Unlike orchiectomy, during this operation they are preserved, so it does not affect testosterone production or a man's sexual function.

Doctors at «Oxford Medical» note: although vasectomy reversal is technically possible, it is a complex reconstructive operation, the result of which depends on many factors. In particular, the time that has passed since the vasectomy is important, so restoration of fertility and the ability to conceive naturally cannot be guaranteed.

During the first 3–4 days after vasectomy, moderate pain, swelling, and a feeling of discomfort in the scrotum may occur. This is a normal reaction of the body to the operation, which gradually passes.

During the recovery period, it is recommended to:

• wear supportive underwear for 5–7 days;
• make sure that the postoperative wound remains clean and dry;
• avoid intense physical activity and lifting objects weighing more than 5 kg for 7 days;
• abstain from sexual activity for at least 7 days;
• come for a follow-up examination on the day scheduled by the doctor.

After resuming sexual activity, slight traces of blood may appear in the first ejaculations. In most cases, this is a normal phenomenon and does not indicate the development of complications.

Doctors at «Oxford Medical» note: after vasectomy, it is necessary to use a condom or another reliable method of contraception until the effectiveness of the operation is confirmed. A follow-up semen analysis is usually performed after 8–12 weeks, since sperm cells may still remain in the ejaculate until that time.

Vasectomy is a minimally traumatic operation, so postoperative complications occur rarely. At the same time, as after any surgical intervention, it is impossible to completely exclude them.

Possible complications include:

• bleeding or hematoma formation;
• infection of the postoperative wound;
• prolonged or chronic pain in the scrotum;
• hydrocele (accumulation of fluid between the membranes of the testicle);
• restoration of the patency of the vas deferens, which occurs extremely rarely.

Doctors at «Oxford Medical» recommend not delaying a visit to the doctor if, after the operation, body temperature exceeds 38 °C, pain or swelling in the scrotum increases, bleeding occurs, or purulent discharge appears from the postoperative wound. A timely examination makes it possible to quickly identify possible complications and, if necessary, begin treatment.

You can find out in advance what the price of a vasectomy is here. During the consultation, the doctor will provide information regarding the total cost of the operation. It depends on the type of anesthesia, the scope of the preoperative examination, and other individual characteristics.

You can make an appointment for a consultation through the online appointment form on the website or by calling the contact center. During the appointment, the surgeon will perform an examination, answer all questions, explain the course of the operation, and provide individual recommendations regarding preparation.

The information is for informational purposes only and does not replace a consultation with a doctor.

Sources:

• American Urological Association
• World Health Organization
• US National Library of Medicine