Vasectomy Surgery in India : Types, Advantages & Reversal Vasectomy

Many men make a life-changing decision, one of them being vasectomy. Most make this choice to be child-free and often embrace this step wholeheartedly. This procedure helps you avoid unintentional pregnancy or cease having more children.

Defining Vasectomy (Male Sterilization)

Sperm, formed in the male testes, are crucial reproductive cells. They are responsible for fertilizing the female egg. Sperm travels from the testes to the epididymis. It is connected with the ejaculatory duct through the vas deferens. Upon ejaculation, sperm mixes with the seminal fluid produced by the seminal vesicles to form semen.

The semen flows from the urethra to the penis, and the semen comprising sperm can result in pregnancy. However, some couples or men may not want to have children. Vasectomy helps block sperm from mixing with seminal fluid during ejaculation.

As a result, the semen will exist sans sperm. The male body continues to produce sperms, which get soaked up by the body. This procedure is a widely used birth control option among men.

Various Types of Vasectomy to Choose From

You may encounter different types of vasectomy - conventional and no-scalpel. While each technique has the same goal, they differ minutely, such as the latter is a non-invasive vasectomy.

1. Conventional Vasectomy:

The traditional type utilizes a scalpel for creating incisions in the testicles. It involves a single incision in the scrotum's center or double incisions on either side. These cuts are generally 1.5 to 3.0 centimeters long and require sutures to close them. The conventional procedure does not involve any specially configured instruments.

2. No-scalpel Vasectomy (NSV):

The no scalpel vasectomy is less intrusive than conventional procedures. It uses specially crafted tools to create tiny openings in the scrotum. Hence, it also has the name keyhole. Here, the incision length measures below 10 mm with no requirement for sutures. The Vas dissector and NSV ring clamp are crucial instruments for the procedure.

NSV generally involves making an opening. However, the surgeon can create up to two incisions for multiple procedures. These could be to close or eliminate pieces of ductus deferens. It is a non-invasive vasectomy that most men commonly decide on.

Why Do Individuals Get Vasectomy Done?

A vasectomy procedure is a reliable and highly effective choice of birth control. It is suitable for men who do not want any children in the future. Choose this male sterilization surgery to stop the sperm from mixing into the semen and prevent unplanned pregnancy.

Individuals choose to have vasectomy for numerous reasons. This male sterilization option has low complication risks and side effects. Besides effectiveness, these factors contribute to its appeal. Moreover, the surgery cost is way less than female sterilization. A cheap vasectomy is undoubtedly a better solution. It is preferable to consume birth control pills for an extended period in females.

Hence, you do not need to take precautions for birth control during sexual intercourse, such as using condoms.

Advantages of Vasectomy Procedure

Individuals selecting between various types of vasectomy will encounter numerous benefits. Male sterilization can be convenient, super effective, and a long-lasting birth control. You and your partner can reduce the stress of dealing with accidental conception and improve your sexual life. Let's consider these benefits up close:

1. Vasectomies have a high success rate:

From all the birth control solutions, vasectomies offer better results and are everlasting. It provides over 99% pregnancy prevention effectiveness. Since it is permanent, there are no chances of rocking the boat. Hence, you get to prevent conception all your lives.

2. They are exceptionally convenient:

Forget about the mandatory visits to the pharmacy or the need to buy medications or use condoms. Your health provider confirms your semen no longer contains sperm. You no longer need to go through all the fuss to prevent pregnancy.

3. It will help enhance sex life:

With vasectomies, you do not have to use or put anything before or during sex. Hence, you can be intimate with your partner without interruptions. You and your partner get to engage in sexual activity without thinking about getting pregnant.

Best Urology Surgeons for Vasectomy Procedure

1. Dr. Gautam Banga

Dr. Gautam Banga is a pioneer urology surgeon in India. He has vast experience in treating various urology-related issues like phimosis, and Peyronie’s disease, etc. He is an expert in frenuloplasty and other cosmetic urology.

2. Dr. Vijayant Govinda Gupta

Dr. Vijayant Govinda Gupta is widely known as a penile implant surgeon. He has proficiency in urology surgeries. Dr. Viajayant Gupta does surgeries like frenuloplasty, phimosis(child & adult), paraphimosis, circumcisions, vasectomy etc.

3. Dr. Raman Tanwar

Dr. Raman Tanwar is one of the top urological surgeons in India. He has expertise in surgeries like vasectomy, phimosis, epispadias, and minimally invasive surgery like LASER circumcision.

4. Dr. Vineet Malhotra

Dr. Vineet Malhotra is the best urology doctor. He performs various endourology, reconstructive, and laparoscopic procedures. With his extraordinary talent, Dr. Vineet Malhotra is now a member of many renowned institutions globally.

Preparations Before Vasectomy Surgery

Before having the surgery, you will have a consultation with a reliable healthcare provider.

During the consultation, it will discuss your medical history, allergies, and skin diseases. This includes information about the use of medicines, earlier surgeries or injuries regarding the scrotum and genitals, and recent UTIs.

You will further sign a consent form to allow the doctor to conduct the vasectomy procedure.

Before agreeing, understand all the details about the surgery. Address any concerning issues before forming a decision.

Avoid consuming blood thinners like aspirin, ibuprofen, naproxen, clopidogrel, warfarin, ticlopidine, etc before the procedure. If you consume acetaminophen, let your doctor know beforehand.

Other preparations include shaving off the hair covering your scrotal skin. Completely clean the pubic hair covering the shaft of your penis up to the scrotum. Using a disposable razor is advisable. Thoroughly wash the groin and scrotum area to avoid infections.

Steps Followed During the Vasectomy Procedure

The process comprises either no scalpel vasectomy or conventional vasectomy. Both surgeries occur in the health professional's office or an outpatient clinic. They typically take about ten to thirty minutes. For a cheap vasectomy, it is best to opt for the procedure in the practitioner's office. The doctor will follow the given steps to carry out the approach:

• The practitioner injects a local anesthetic in the form of a shot. This numbs the scrotal area before performing surgery.
• What makes vasectomy safe is that it incorporates small incisions. The surgeon will locate and grasp the vas deferens. Then, divide and seal the ends by tying them, cauterizing, using surgical clips, or a mix of these. Cauterizing will seal the ends using an electric current.
• The process will ensure no sperm travels from the epididymis and mixes with the seminal fluid. As a result, the ejaculation produced during orgasm will be free of sperm.
• During the procedure, you may feel a negligible tugging sensation while the scrotum is numb. You may or may not get stitches based on the method and your surgeon.

Post Surgery Recovery

The surgeon tries its best to make the process of vasectomy safe. However, it is typical to have mild swelling, bruising, pain, and discomfort post-surgery. Generally, you must give yourself a few days before the wound starts healing. Your healthcare professional will provide specific directions for better recovery:

• If your surgery site is bleeding or shows any sign of surgery, you must contact your doctor immediately. Other symptoms include swelling, amplified pain, redness, or a rise in temperature (above 38 C).
• For the initial two days after the surgery, use ice packs to help reduce your swelling. Avoid applying ice packs directly to the skin, but wrap it in a towel.
• After completing the surgery, your doctor will immediately bandage the incision. While bandages provide some support, wear a tight-fitting undergarment for up to two days. It is advisable to wear athletic supporters for several weeks.
• Abstain from showering to keep the area of surgery dry for the first 48 hours. Pat dry your scrotum instead of rubbing it. Avoid swimming for at least two weeks.
• Your health professional will ask you to reduce physical activity and indulge in an initial 24-hour rest. After two to three days, you can start with mild activity. Note that going overboard can lead to bleeding within the scrotum.
• For at least a week, you must refrain from indulging in sexual activity. Ejaculating after the surgery may be painful and result in blood in the semen. Before your doctor states that your semen is free of sperm, you must continue to follow other birth control methods.

Reversal of Vasectomy

People who undergo male sterilization may think about reversing a vasectomy for numerous reasons. Many suffer child loss and hope to get pregnant again. Some change their mind or remarry. Others may want to treat testicular pain.

The procedure involves reconnecting the long tubes called vas deferens. The sperm travels from the testes and mixes with the semen through it. Successfully reversing a vasectomy will result in semen comprising sperm, ensuring pregnancy.

After the surgery, your chances of impregnating your partner will be between 30% - 90% based on procedure type. The success rate of the surgery depends on the following factors-

• Partner's age
• Time since sterilization
• The experience of the surgeon
• Past fertility problems

Vasectomy FAQs