The Vasectomy Procedure
Vasectomy is an outpatient (same day) procedure. It can be done in a doctor’s office, clinic, or hospital. Your doctor will talk with you about preparing for surgery. He or she will also discuss the possible risks and complications with you. After the procedure, follow all your doctor’s advice for recovery.
You’ll be asked to undress and lie on a table. You may be given medication to help you relax. To prevent pain during surgery, you’ll be given an injection of local anesthetic in your scrotum or lower groin. Once the area is numb, one or two small incisions are made in the scrotum. This may be done with a scalpel or with a pointed clamp (no-scalpel method). The vas defens are lifted through the incision and cut. The ends of the vas are then sealed off using one of several methods. If needed, the incision is closed with stitches. The entire procedure usually lasts less than 30 minutes. Once it’s over, you can rest for a while until you are ready to go home.
After a vasectomy, some active sperm will remain in your semen. It will take time and many ejaculations before the sperm are comepletely gone. During this period, you must use another birth control method to prevent pregnancy. To make sure no sperm are left in your semen, you’ll need to have one or more semen exams. You usually collect a semen sample at home and bring it to a lab. The sample is then checked under a microscope. You’re sterile only when these samples show no evidence of sperm. ask your doctor whether additional follow-up is needed.