Vasectomy surgical contraception for men. Male sterilization - brutal revenge or a great alternative

Sterilization of men is called a vasectomy, an operation to cut the seminal ducts. After its implementation, the patient becomes infertile. Restoration of fertility without additional interventions is extremely rare, and with surgery - up to 50% of cases. The intervention is simple, does not require a long rehabilitation, has a minimum of consequences, and does not affect the sexual life of a man. Requires his written consent.

• Show all

  What is a vasectomy?

  This operation is becoming an increasingly popular method of sterilization. In some countries, men prefer it to standard methods of contraception after the birth of a sufficient number of children in the family.

  This is a voluntary operation, which is carried out exclusively with the written consent of the man. Vasectomy is also prescribed in the presence of serious genetic abnormalities that can be passed on to the child.

  It in no way affects the hormonal background and erectile abilities of the patient.

  The difference from castration

  Many people confuse this method with full surgical castration, so the procedure is often prejudiced. But these are two completely different methods.

  Surgical castration is the amputation of the testicles. Indications for carrying out are the consequences of injuries or various types of pathology, for example, oncological diseases.

  The operation is irreversible, after it the functioning of the body changes. In the body of a man, all the hormones that are produced by the testicles disappear. After that, erection and sexual intercourse become impossible.

  Male castration is accompanied by some physiological changes: a decrease in muscle mass, obesity, bone fragility.

  Vasectomy involves the complete preservation of the sexual constitution of a man. The essence of the intervention is to prevent spermatozoa from entering the vas deferens and preventing the fertilization of the partner. Since the volume of germ cells in the seed is small, after the operation, the qualitative and quantitative characteristics of the seminal fluid almost do not change. A man lives an active sex life, but cannot become a father.

  

  Indications for carrying out

  Vasectomy is performed entirely voluntarily. If the man is not married, his consent will suffice. If he has a wife, then her approval is also necessary. If the spouse is against, the doctor may refuse surgical intervention, provided there are no medical indications. These include: serious genetic diseases or a threat to the life of a partner during gestation.

  Vasectomy is optimal if there is a negative reaction to other methods of contraception, such as an allergy to latex.

  

  Process

  There are two main techniques. With the traditional method, an incision is made in the scrotum, the non-traditional method involves a puncture.

  In the first case, two small incisions are made and the vas deferens are crossed. The operation requires local anesthesia. After the introduction of the substance, it is useless. Unpleasant sensations are accompanied only by the injection itself.

  Vasectomy

  The wound is sutured with self-absorbable sutures, which relieves patients of the need to remove sutures.

  The second way - the dissection is carried out through punctures. It is not yet very popular, but is accompanied by less blood loss and discomfort. The consequences of intervention are minimized.

  Postoperative period

  Regardless of the method of the operation, anesthesia is carried out anyway. Therefore, it is necessary that someone accompany the patient when returning home. It is not allowed to drive a car on this day. Within 3 days, general weakness, discomfort in the scrotum are possible. With such symptoms, it is allowed to do cold compresses or use a special bandage to support the scrotum.

  Pain medication and bed rest may be prescribed for the first few days. Load limiting is recommended.

  The operation with punctures has a less painful rehabilitation period and takes from hours to days.

  Advantages and disadvantages of the procedure

  Like any intervention, vasectomy has its pros and cons. The first ones include:

  • High guarantee of non-pregnancy. The chance of conception after the procedure is about 0.01% per year.
  • Lack of influence on the quality of intercourse and sexual desire.
  • No general anesthesia required, short rehabilitation period.

  Despite this, the operation has a number of disadvantages. The main one is the irreversibility of the process. That is, there is almost a 100% chance that a man will remain infertile for life. But there are circumstances in which the patient may regret the decision many years later.

  Other cons include:

  • Discomfort during the recovery period, accompanied by cuts and pain in the scrotum.
  • The need to use additional methods of contraception 3 months after surgery.
  • Lack of protection against sexually transmitted diseases, including HIV, hepatitis B and C.

  Preparation and consequences of the operation

  Conditions for the appointment of a vasectomy:

  • consent to the operation;
  • the patient's age is at least 35 years;
  • having at least two children.

  Requirements may not be met if the operation is performed for medical reasons. Before a vasectomy, an examination is required, the delivery of standard tests:

  • general analysis of blood and urine;
  • testing for AIDS, syphilis, viral hepatitis;

Male sterilization is the most effective method of contraception. In this case, the man does not undergo significant changes in the body. The operation is well tolerated by the patient. Recovery is fast. Many modern men's health clinics widely advertise this procedure. Before making a decision on sterilization, it is necessary to carefully study the process of carrying out and its possible consequences.

Operation characteristics

A vasectomy differs significantly from the surgical castration of a man. During castration, the paired gonads are removed. The process is irreversible. During sterilization, a part of the vas deferens is excised in a man. This is necessary to prevent spermatozoa from entering the secretion of seminal fluid. All basic sexual functions are preserved.

Some medical centers are positioning surgical sterilization as a temporary process. It really is. But this effect persists for 5-7 years. It should be borne in mind that the restoration of the seminiferous tract is expensive. The operation takes a long time and causes a lot of inconvenience to the patient.

Sterilization is used in the following cases:

• Unwanted pregnancy;
• genetic abnormalities;
• Allergic reactions to all types of contraception.

The main reason for sterilization is the unwillingness of a man to have children. Many of them have several children. In such couples, conception occurs quickly. To avoid this, it is necessary to choose the right method of contraception. The most effective of these is a vasectomy. In such couples, unwanted pregnancy does not occur.

Some patients have pathological genetic changes. The genotype is passed from parent to child. To prevent a child with strong genetic abnormalities from appearing, sterilization is recommended for the patient. It helps to protect future generations from unwanted diseases.

A rare reason for a sterilization operation is an allergic intolerance to various means of protection against unwanted pregnancy. The couple does not want to have a child. In this case, the man needs a vasectomy. The operation has no serious contraindications. It also does not cause any allergic reactions in the body.

Although male sterilization is not a major operation, it is a surgical intervention on the body. It requires the fulfillment of certain rules of preparation from a man. All the necessary rules are explained by a specialist.

Rules for preparing for surgery

Vasectomy is a surgical method of contraception. In this case, the patient requires timely preparation for it. Specialists require the following rules:

• Get examined by a cardiologist and urologist;
• Pass a blood test, urine;
• spermogram;
• Sexual peace.

A man must be examined by a cardiologist. This is necessary to avoid unwanted reactions during the operation. The patient may not be aware of various abnormalities in the work of the heart. A cardiologist can identify them. The examination is carried out using an ultrasound machine and a cardiograph. The cardiogram is taken from the patient twice before surgery and once after surgery. An ultrasound of the heart will help determine if there are abnormalities in the functioning of the valves and blood vessels.

An examination by a urologist is carried out in advance. It is recommended to visit this specialist a month before the scheduled operation. The doctor examines the man for the presence of genitourinary diseases. If the patient has any inflammatory processes, then the operation is postponed. A new appointment is issued after the necessary treatment has been completed.

For surgical intervention, it is necessary to donate blood for a detailed study. Specialists identify the hormonal background of a man, the presence of pathogenic bodies in the blood, and clarify the patient's group affiliation. The analysis is also informative for various viral diseases. Various harmful microorganisms can be in the blood in a live form or in a cystic form.

A spermogram is taken from a man without fail. This analysis confirms the presence of a large number of live and healthy spermatozoa. If the patient's level is reduced, it is necessary to notify him about this.

A week before sterilization, the patient is prohibited from sexual contact. This is necessary to keep the secret of the seminal fluid in its pure form. With an active sexual life in a patient, spermatozoa are present in a small amount in secret. Therefore, a week before sterilization, sexual rest is necessary.

Alcohol and nicotine intake should be stopped 3-5 days before surgery. These substances have a pathological effect on the state of the genitourinary and cardiovascular systems. If the patient does not comply with this rule, the operation is postponed. Alcohol is especially dangerous during surgery. Alcohol molecules have a strong thinning effect on the blood. During surgery, these patients experience significant blood loss.

The course of the procedure

The essence of the operation is to stop the flow of sperm into the vas deferens. To do this, you need to cover them. Overlapping is carried out in two ways:

1. Excision of part of the duct;
2. Clamping of the duct by special mechanisms.

Excision of a part of the duct is performed more often than clamping. The removed part is clamped on both sides with surgical forceps. The selected area is removed with scissors. The resulting ends are either tied together or clamped with sutures. The main side reaction is the restoration of the vas deferens. It occurs in 3–5% of operated men.

Clamping of the duct is carried out using medical clips. They are made from anti-allergic metal. The clip is placed in the middle of the duct and remains in the patient's body for life. It is resistant to oxidation and various chemical reactions. In rare cases, a man has an intolerance to this metal. This problem is solved by excising part of the duct.

The operation is carried out in a special department. The man is not put under anesthesia. The surgical field is treated with an antiseptic solution and cut off with an anesthetic. After the freezing action begins, the surgeon makes a small incision. Since the duct has a small diameter, the incision does not exceed 2 cm. Then an excision or clamping is performed and the wound is sutured. For this, a special absorbable thread is used. The seam is superimposed cosmetic. After dissolving the thread, a small scar remains, which will disappear over time.

Recovery after surgery

Although the procedure is carried out quickly and does not cause much inconvenience, it is necessary to carry out restorative measures. After the operation, the patient leaves the operating room on his own. He remains in outpatient care for 2–3 days after sterilization. When discharged for home recovery, the patient must comply with the following rules:

• Avoid getting water on the wound;
• Sexual peace;
• Antiseptic treatment;
• Refusal of alcohol;
• Physical rest.

In the first days after the operation, it is necessary to avoid getting water on the wound. Disinfection of the wound surface is carried out with special solutions. Seams are recommended to be washed with aqueous chlorhexidine or furacilin solution. Body washing is allowed after the complete disappearance of redness in the operated area.

The main condition should be sexual peace. It is necessary to prevent unwanted pregnancy. Spermatozoa can remain in seminal fluid for up to 10 days. In order not to have undesirable consequences, it is recommended to avoid sexual intercourse.

The first 7 days are not recommended physical activity. Strong muscle tension can cause the seam to open. In this case, additional surgery will be required. Also, the activity must be reduced to secure the medical clip. After surgery with squeezing the vas deferens, the man recovers faster and begins to lead a normal life. But the clip needs to be fixed in place. This happens within the first month after sterilization.

Alcoholic drinks affect blood clotting. If a man was sterilized by excision, bleeding may occur. In this case, medical assistance is needed.

Side effects after the procedure

The development of complications after surgery is rare, but they should be taken into account. Phenomena such as:

• Swelling of the genital organs;
• Increase in body temperature;
• viral infection;
• The appearance of subcutaneous bruising;
• Decreased sexual desire;
• Pain sensations.

Swelling of the genitals may appear due to the accumulation of fluid in the scrotum. This is due to the accumulation of a large amount of blood serum. This complication occurs in 1% of operated patients. Pathology is eliminated by puncture of the scrotum. Additional therapy with antibiotic drugs is prescribed.

Body temperature rises with a strong inflammatory process in the body. If such a complication occurs, it is necessary to immediately visit a specialist and pass additional tests.

Viral infection is rare. It can appear with improper care of the seam. An accumulation of exudate appears on the untreated area. It is a favorable environment for the reproduction of pathogenic microorganisms. Microbes settle in the wound surface and cause necrosis of tissue cells. In this case, the seam may disperse. There is a poor fusion of tissues. This is revealed on the 10-14th day after sterilization. Treatment is carried out with the help of antibacterial drugs.

The appearance of subcutaneous bruising occurs due to the accumulation of dead blood cells. Blood accumulates due to severe thinning or poor clotting. Hematoma should be shown to a specialist. The doctor will prescribe special ointments that contribute to the rapid resolution of the bruise.

A decrease in sexual desire can occur due to severe pain and discomfort in the scrotum. This phenomenon disappears after complete healing of the operated tissues. If sexual activity does not increase, it is necessary to consult a specialist. He will reveal the cause of the decrease in libido.

Sterilization is not a mandatory procedure. A man independently makes a choice of contraception. In the presence of various side effects from the proposed means of protection, sterilization of men is a way out of this situation.

The issue of choosing a method of contraception - contraception - is very relevant among young people and mature people. Children, of course, are good, but even more pleasant if they are not an unexpected, and sometimes unwanted surprise. According to statistics, the most reliable methods of protection are sterilization and oral contraceptives - contraceptives. They protect against unwanted pregnancy in 99.9% of cases. All other methods give an unreliable result, but they have many other advantages. In the article, we will dwell on what male sterilization is, what types of sterilization exist and their features, as well as possible consequences and complications, the pros and cons of the procedure, its price.

Sterilization is a consequence of a surgical operation, taking hormonal or other drugs, as a result of which spermatozoa are not contained in the ejaculate. Some confuse sterilization with castration, but these are completely different concepts, as are the consequences of each procedure for the body.

Castration Differences:

1. During castration, the testicles are removed, one of the important functions of which is to produce testosterone, the male sex hormone. As a result, the castrated body of a man in the absence of this hormone undergoes a number of changes, because it is the amount of testosterone that distinguishes men from women.
2. Sexual function is impossible after castration - there is no erection and sexual desire - libido.

Since 1993, sterilization in men has been officially allowed in Russia for the purpose of contraception, and over the years this operation is gaining popularity and positive feedback from those who have already undergone this procedure. If the operation is performed at the request of a man, the procedure is paid, and how much this method of contraception costs depends largely on the clinic and region, the average price is 20,000 rubles.

Classification

Consider the existing classification:

1. Surgical sterilization of men.
2. Chemical sterilization (castration).

Chemical sterilization in men in its action is more like castration. This technique is widespread in many countries to combat rapists and pedophiles. Chemical castration is even introduced into the legislation of some countries as a punishment. Often, chemical castration can be an alternative to life imprisonment or even the death penalty. The essence of the method lies in the fact that with a certain frequency a man must take drugs, as a rule, these are high doses of female sex hormones. As a result, the level of testosterone drops sharply, and this entails impotence and a decrease in libido. The intake of hormones also affects general health - the metabolic rate decreases, which leads to an increase in body weight, bones become brittle. Chemical castration is a reversible process, a temporary measure of punishment. As soon as a man stops taking the pills or testosterone begins to enter the body from the outside, sexual function resumes.

Surgical sterilization is an operation, the essence of which is the ligation or cauterization of the vas deferens on both sides. As a result, the spermatozoa formed in the testicles do not enter the duct and do not enter the ejaculate. This is a voluntary procedure and anyone who has reached the age of 35 and has two children can do sterilization. Also, the operation can be performed for people with mental illnesses - without taking into account the age and number of children and those whose illnesses are a contraindication for procreation.

Types of surgical sterilization:

• Using classical methods of surgery - access to the vas deferens through an incision in the skin.
• Using the puncture method - there is no incision on the skin, only a puncture hole is visible through which the doctor ligates the duct. This type of sterilization is common in China and Japan, where it has only positive reviews. Most of the countries adhere to the classical method.

As a rule, the operation is performed on an outpatient basis under local anesthesia, and already after 30-40 minutes after the procedure, the man can go home on his own.

Briefly the stages of the operation:

• Skin incision on the scrotum on both sides or one incision in the middle.
• Isolation of the vas deferens alternately on both sides.
• Crossing the duct, ligation of the ends. Or you can simply coagulate the areas - in a simple way, cauterize.
• Sewing up the incision.

Compared to sterilization in women, this operation in men is less traumatic and dangerous. Female sterilization is a complete abdominal operation.

Advantages and disadvantages

Since the procedure is voluntary, many men cannot decide for a long time whether or not to do sterilization. Some believe that the possible long-term effects of the operation can lead to impotence. And the reviews on the Internet are twofold.

We will analyze the pros and cons of the procedure.

1. It is not a temporary procedure, like chemical sterilization, for example, by performing surgical sterilization, you will no longer have to think about contraceptive methods for the rest of your life. A small nuance: only after 1.5–2 months after the operation, with the right technique, not a single spermatozoon can be found in the sperm.
2. The procedure takes only about 20 minutes and is performed on an outpatient basis.
3. The seam on the scrotum after the operation is almost invisible.
4. Surgical sterilization does not affect general well-being, erection and orgasmic sensation.
5. You can often read that sterilization leads to some rejuvenation of the body. In some countries it is carried out for this very purpose.
6. Sexual life is possible from the moment a man is not bothered by anything.
7. The quantity, color, consistency of sperm does not change.
8. Sterilization does not affect the weight, the general health of the man.

1. You must decide exactly how many children you want to have, because the chances of having a child after sterilization are small. The maximum that doctors can offer is the restoration of the ducts in the period up to five years after the operation, although after such a reconstructive operation the chances of pregnancy are low. However, on the Internet you can still find reviews of "lucky ones".
2. Complications after surgery are also possible: suppuration of the wound, bleeding with the formation of a hematoma. In order to avoid this situation, you must carefully follow the doctor's recommendations.
3. Within a month or two after the operation, you will have to use additional methods of contraception until there are no more spermatozoa in the semen.
4. Long-term consequences in the form of epidymitis and orchitis are possible. These are quite formidable complications that can lead to impotence and various sexual dysfunctions. However, this is only possible if these areas of the testicles are accidentally affected during the operation.
5. Also of interest is the fact that after some time, the formation of antisperm antibodies may begin in the body, but their role in the occurrence of any disease has not been proven to date.
6. This is an expensive procedure, the price of sterilization starts from about 15,000–20,000 rubles.

Sterilization is a good alternative to other methods of contraception, especially if the man has already had a proper number of children. Chemical sterilization has also found use as an alternative to prison sentences for pedophiles and rapists. Surgical sterilization is an irreversible process, so before the operation it is necessary to weigh the pros and cons.

Nowadays, quite a lot of men decide to give up the ability to fertilize by undergoing a sterilization operation. This procedure is called a vasectomy, a voluntary operation to cut the vas deferens that prevents sperm from entering the semen. Do not worry, the operation does not affect the ability to have an erection and conduct sexual intercourse, since spermatozoa make up only a small part of the seminal fluid released during ejaculation. After a vasectomy, the level of testosterone (the hormone responsible for secondary male sexual characteristics and sexual desire) remains the same, that is, nothing changes in a man's life, except for the ability to fertilize.

What is a vasectomy

Vasectomy is a surgical procedure that is most often performed under local anesthesia. The operation can be performed using a puncture of the scrotum or with a dissection of its tissue (in the second case, the incision is made in the groin area). In any case, you will have to bandage the vas deferens on both sides. The suture material is absorbable, so the stitches do not need to be removed after surgery. Spermatozoa stop entering the ejaculatory canal of the male genital organ, due to which sterilization occurs.

The procedure lasts only 20-30 minutes, while the patient can leave the hospital on the day of the vasectomy. But, in order to prevent complications, it is advisable to observe bed rest for a day after the operation.

There are no changes in the male body after sterilization - testosterone continues to be produced in the same volume, sexual desire does not fade away and erectile function is preserved. The mammary glands do not increase, the hair in the chest area and on the face do not begin to fall out. After a vasectomy, even the amount of sperm changes slightly, because the spermatozoa in its composition make up only 5% of the total amount of ejaculate.

It is worth noting that after the operation it will be necessary to protect yourself up to 10 weeks. That is, there must be at least 15-20 ejaculations to clear the vas deferens from viable sperm. A special semen analysis will help you find out when you can no longer use protection. Seminal fluid for research is obtained by masturbation into a condom. If there are no spermatozoa in the seminal fluid, you can forget about protection.

After a vasectomy, the chance of conception is less than 0.5%. To be scheduled for surgery, men must give voluntary consent, they must be at least 35 years old, and they must already have at least 2 children. In addition, sterilization can be prescribed to the representatives of the stronger sex in case of serious genetic diseases. For example, if the spouse has health problems and pregnancy is dangerous for her, the husband may agree to the operation, even if the other two conditions are not met. In the absence of voluntary consent, the operation is not carried out.

Before a vasectomy, it is necessary to undergo some examinations, pass standard tests and provide forms with the results: blood for syphilis, a general blood and urine test, blood for AIDS, hepatitis B and C, an examination by a urologist, an electrocardiogram, a biochemical blood test, and a blood test for coagulability. Some individual appointments are also possible. It should be understood that sterilization is an operation, so all its consequences must be foreseen in advance. Next, the anesthesiologist discusses the type of anesthesia with the patient. Sometimes men want complete immersion in sleep and refuse local anesthesia. Vasectomy must be performed in a hospital setting. After the operation, the following complications may occur: bleeding from the sutures, hemorrhage in the scrotum, infection of the sutures and their suppuration, a sharp temperature jump, swelling at the site of the operation that does not subside within 4-7 days, as well as severe pain in the area that does not go away. scrotum. If you have these symptoms, you should immediately contact a specialist.

Pros and cons of male sterilization

The main advantages of sterilization include almost 100% effectiveness of this method of contraception, simplicity, safety and absolute reliability. In addition, a vasectomy does not affect sex drive, potency, orgasm or ejaculation. It is also worth noting that this procedure has a positive effect on biological age, in some countries it is even performed for the purpose of rejuvenation, which is mainly due to an increase in the hormonal activity of the testes after surgery.

However, after sterilization, persistent pain, bruising at the incision site, inflammation in the wound, lack of protection against sexually transmitted diseases (HIV, syphilis, and others) can be observed. In addition, for the first time after the procedure, you will have to use an additional method of contraception.

Some men claim that after sterilization, their reproductive function was restored. These are not medical errors. The fact is that in our time, operations are carried out to restore the conductivity of the seminal ducts, which are called epididymovasostomy and azovasostomy. In the first case, the vas deferens is attached to the epididymis, and in the second, the ends of the vas deferens are sutured, resulting in restoration of patency. It should be noted that such operations are expensive and are successful only in 50% of cases. Moreover, the sooner the operation to restore the integrity of the vas deferens after sterilization is performed, the more likely it will be successful.

If the representatives of the stronger sex simply need to have a vasectomy for health reasons, but they are not ready for the loss of reproductive ability, then in this case, sperm can be donated to a sperm bank for freezing. In this form, it can be stored up to 7 years.

At the moment, modern medicine knows more advanced methods of non-scalpel intervention, which have much fewer postoperative complications. In addition, scientists are working on the creation of fundamentally new methods of contraception that have a spermicidal and spermostatic effect, as well as methods of immunological contraception, which are based on immunological incompatibility as a result of the formation of antibodies against sperm.

Voluntary surgical sterilization of men is carried out as an effective protection against unwanted pregnancy of a partner. The patient's spermatic cords are removed or tied up. The resulting obstruction prevents the male germ cells from entering the sperm. The seminal fluid becomes sterile, but its appearance does not change, and the function of the testicles is preserved.

Who is eligible for voluntary surgical sterilization?

A healthy man is capable of fertilization throughout his life. To prevent unwanted conception of a child, a couple needs effective protection.

Voluntary surgical sterilization (VCS) is considered as an irreversible, economical and most effective method of preventing unwanted pregnancies.

According to the legislation of the Russian Federation, surgical intervention is carried out taking into account the mandatory conditions. These include:

• having two or more children;
• The man is over 35 years of age.

Medical indications for surgical sterilization

When is DHS performed:

1. The presence of an individual intolerance of a man to all methods of contraception: a severe allergic reaction. The couple must have a mutual desire for the operation, as it is considered irreversible.
2. Identification of severe hereditary diseases, due to which the child may be born unhealthy. The parent's genotype is embedded in the baby's DNA. The operation saves the future generation from genetic pathology.
3. The patient's unwillingness to have more children.

Contraindications

Like any surgical intervention, DHS cannot be performed in some cases. Absolute contraindications include:

• desire to have offspring;
• the partner is categorically against the operation.

Relative contraindications require prior treatment or condition monitoring. These include:

• bleeding;
• any acute disease, including infectious;
• exacerbation of chronic pathology.

Preparing for the operation

Before performing a vasectomy, the doctor prescribes a list of necessary diagnostic tests. What needs to be done:

1. Consultation and examination by a urologist.
2. Therapist's consultation.
3. Spermogram.
4. Clinical analysis of blood and urine.
5. Blood chemistry.
6. Blood clotting test.
7. Blood test for syphilis, HIV, hepatitis.
8. Determination of blood group and Rh factor.

Immediately before the operation, a man must be sure of his decision and the choice of this method of contraception. Preparation for DHS includes:

1. Removal of hair in the scrotum.
2. Taking a shower.
3. Refusal of bad habits - smoking and drinking alcohol 3-5 days before the intervention.
4. Sexual rest for 7 days before sterilization.

Male sterilization technique

During the initial consultation with the urologist, the doctor explains in detail how the procedure is performed. The principle of the operation is to stop the flow of spermatozoa into the vas deferens. This can be done in two ways:

Excision of the spermatic cord

It is carried out in stationary conditions. The operation is performed under general anesthesia.

1. The intervention area is treated with an antiseptic solution.
2. The surgeon cuts the skin of the scrotum on both sides to bring out the vas deferens. The length of the surgical wound is small: only 2 cm.
3. The cords are cut and tied.
4. Finally, the specialist applies self-absorbable sutures.

Clamping of the seminal duct with a special mechanism

A medical clip is placed in the middle of the cord. The tool is made of a special metal that cannot cause an allergic reaction and will not oxidize. The device stays for life.

Complications and consequences of the operation

Experts are convinced that surgical sterilization practically does not give complications. However, sometimes men may complain about such consequences:

• the formation of edema on the genitals;
• accession of infection with the development of an inflammatory reaction;
• increase in body temperature;
• the appearance of bruises under the skin;
• pain and discomfort during intercourse;
• duct recanalization - self-restoration of fertility.

In order for DHS not to give such reactions, the patient must correctly conduct the postoperative period and strictly follow all the doctor's recommendations.

Urologists claim that surgical sterilization does not affect libido, orgasm, and erectile function. After the procedure, the quality of sex does not change. The testicles continue to produce testosterone, and the hormonal background is not disturbed.

After the operation, the patient does not lose the status of a full-fledged man. The volume of semen does not become smaller, it does not change color or consistency. All components of seminal fluid remain the same. The ejaculate only loses the ability to conceive.

Postoperative period

After sterilization, the patient should remain under medical supervision for 3-5 days. The doctor makes the main recommendations that must be followed during the recovery period.

What do we have to do:

1. Do not lift weights during the first weeks after DHS.
2. Do not shower for the first 48 hours after sterilization.
3. Apply a cold compress to the area to be treated to prevent swelling, bruising, or pain.
4. Abstain from sexual intercourse for at least 10 days.
5. Avoid physical activity for 7 days.
6. Maintain physical rest.
7. Carry out hygiene procedures so that water does not get into the area of ​​​​the surgical wound.
8. Regularly treat the wound with an antiseptic solution recommended by the attending physician.
9. If pain or discomfort occurs, take an anesthetic drug at intervals of 4-6 hours.
10. Do not drink alcohol.
11. Avoid long walks or cycling to prevent friction of the scrotum or pressure on the area of ​​the surgical wound.

Restoration of fertility by voluntary surgical sterilization

Voluntary surgical sterilization is considered as an irreversible method of contraception. However, in 1–3% of patients, self-repair of the seminal duct occurs.

Sometimes a man regrets the perfect operation. This often happens after a divorce, a new marriage, if you want to have more children. Return of fertility is possible. This requires a complex intervention, which is performed by a specially trained surgeon.

The success of such an operation cannot be guaranteed 100%. It depends on many factors:

• Restriction period for voluntary sterilization. During the first 5 years, fertility is more likely to be restored.
• The presence of sperm antibodies.
• The age of both partners. The older the man and woman, the less likely they are to conceive a child.
• How to perform a vasectomy. Recovery of the spermatic cords is difficult after excision or cauterization. If medical clips were used, the success of the operation is 80%.

The cost of the operation in Russia and the countries of the world

The price of voluntary surgical sterilization varies. The cost depends on the region, the level of the medical institution, the experience of the operating doctor. In Russia, DHS will cost a man 10-15 thousand rubles.

The operation is widely used not only in developed but also in developing countries. Its approximate price:

• USA - 2500 euros.
• Hungary - 1800 euros.
• Turkey - from 1500 euros.
• Mexico - 800 euros.
• India - from 500 euros.

Voluntary surgical sterilization implies the onset of sterility in a man - the inability to have children. DXS does not affect sexual performance, sex drive, or orgasm.

In contact with