
Procedures: Conventional
Conventional (Traditional) Vasectomy is a surgical sterilization procedure for men. Here are the key aspects of this method:
Procedure
- The patient is given local anesthesia to numb the scrotum.
- The surgeon makes one or two small incisions in the scrotum to access the vas deferens.
- A small section of each vas deferens is cut out and removed.
- The ends of the vas deferens are sealed using one or more of the following methods:
- Cauterization (sealing with heat)
- Ligation (tying off with thread)
- Surgical clips
- The incisions in the scrotum are closed with stitches or surgical glue.
Recovery
- Most men can return to work after two or three days of rest.
- Complete healing may take up to two weeks or longer.
- Patients should avoid heavy lifting or strenuous physical activity for at least one week.
- Sexual intercourse can typically be resumed after about two weeks.
Effectiveness
The vasectomy is not immediately effective. Patients should:
- Continue using alternative contraception methods until a semen analysis confirms the absence of sperm.
- Have a semen analysis performed about 12 weeks after the procedure to ensure success.
Potential Complications
While rare, possible complications include:
- Bleeding or scrotal hematoma (risk is about 1%)
- Infection (extremely rare)
- Temporary pain (usually resolves within a week)
- Chronic pain (very rare, occurs in about 1 in 10,000 vasectomies)
- Sperm granuloma (a hard ball that forms on the cut edge of the vas deferens)
- Vasectomy failure (occurs in about 1 in 2,000 men)
Conventional vasectomy remains an effective method of permanent contraception, though it has been largely replaced by less invasive techniques like the no-scalpel vasectomy in many practices.