What Happens to Semen after a Vasectomy?

Vasectomy is a type of vasectomy. Vasectomy is a method of ligation and resection of a small segment of the vas deferens, so that sperm cannot be excreted from the body to achieve the purpose of infertility. There are many methods of vasectomy. Currently, the most commonly used method is forceps. In addition, there are small incisions for needle fixation, needle picking, and threading.

Basic Information

Chinese name

Vasectomy

Visiting department

Urology

Vasectomy Anesthesia and Preoperative Preparation

Anesthesia mode

Local infiltration anesthesia.

2. Preoperative preparation

(1) Do a good job of explaining to the person undergoing surgery to eliminate ideological concerns.

(2) For acute and chronic urinary infections, skin diseases of the scrotum and diseases within the scrotum, vasectomy is performed after cure.

(3) Pay attention to the history of drug allergy and do a procaine skin test.

(4) Bathe the night before surgery and clean the vulva. Shave pubic hair before surgery.

(5) Wash the penis and scrotum with soap and water for 5 minutes, and then disinfect the skin with 1: 1000 Xinjieer solution before surgery.

Indications for vasectomy

1. A married man undergoes bilateral vasectomy with the consent of both spouses for family planning.

2. Vasectomy due to other circumstances. If one side of the epididymal tuberculosis does not want to have children, the contralateral vas deferens can be ligated when the diseased epididymis is removed to prevent the disease from spreading to the contralateral epididymis. When prostatectomy is performed for prostate hypertrophy, bilateral vasectomy can also be performed to prevent postoperative epididymitis.

Contraindications for Vasectomy

1. Hemorrhagic disease, psychosis, severe neurosis, sexual dysfunction, acute or severe chronic disease.

2. Acute or chronic inflammation of the genitourinary system should be cured before surgery or other birth control measures.

3. Patients with acute or chronic inflammation of the scrotal skin, lymphedema, or other skin diseases that prevent surgery should be cured before surgery.

4. For scrotal diseases, surgery should be considered after cure, or vasectomy should be performed at the same time as surgery for scrotal diseases.

Vasectomy procedure

1. Detach the incision.

2. Separation of the vas deferens.

3. Seminal vesicle perfusion.

4. The vas deferens can be fixed directly through the skin with vas deferens. Lift the fixing forceps outwards and cut or detach the skin to see the vas deferens. Then use the vas deferens to hook out or directly use the vas deferens to separate the vas deferens, and then replace the vas deferens with fixed clamps, and then continue to detach and ligate, ligating the opposite vas deferens in the same way.

5. Also accept the vas deferens.

6. Close the incision.

Postoperative complications of vasectomy

Bleeding, infection, painful nodules, epididymal stasis, sexual dysfunction, and reproduction.

Precautions for vasectomy

1. The spermicidal solution may not be injected before the vas deferens are ligated, but since there are still live sperm in the seminal vesicles, postoperative contraception should be more stringent and the period of contraception should be extended.

2. The distal end of the vas deferens may not be reversely ligated, but the resected vas deferens should be longer than 1cm to prevent recanalization.