Dr Jo Schoeman
Urological Surgeon

        

Vasectomy

Product Summary: AMA rates

Male sterilization procedure. With cord block for pain relief.

Item Number: 37623, 18262, 105

Why is it done?

  • For sterilization
  • For completed family numbers
  • For legal reasons such as sterilization of a mentally handicapped adult or minor. In such instances a court order needs to be obtained prior to the consultation.

Pre-requirements

  • An informed consent is required from the patient.
  • Patients may not eat or drink from midnight the previous evening.
  • Patients are to refrain from smoking before the procedure.
  • Patients allergic to IODINE / CHLORHEXIDINE should clearly state this to theatre staff and Dr Schoeman.
  • Any anti-coagulants such as Warfarin or Aspirin must be stopped 7 days prior to surgery. 
  • The whole scrotal area is shaved by yourself the morning of the procedure. 
  • This is a day surgery procedure.

How is it done?

  • This procedure is done under general anaesthetic.
  • A single, 5mm cut is made on the midline raphe (line in the middle of scrotum).
  • The 2 vas deferii (rubbery cord) are then individually extracted through this incision.
  • A 1 cm piece of each vas is then removed and sent to Pathology for confirmation.
  • The edges of the cords are then coagulated, tied off with a suture and then buried at different levels of the scrotal wall.
  • A dressing is then applied, which should be removed after 72 hours.
  • A local anaesthetic is injected around the vas deferii and into the wound, thus giving post-operative pain relief for the next 4-6 hours.

NB! You are required to bring 2 pairs of tight new undies for post-operative scrotal support.

What to expect after the procedure

  • Any anaesthetic has its risks and the anaesthetist will explain such risks.
  • Bleeding is a common complication.
  • A haematoma (blood collection under the skin) may form and needs to be reviewed by Dr Schoeman as soon as possible.
  • An infection of the wound can occur and requires immediate review.
  • Owing to the nature of the surgery and the soft skin of the scrotum, bruising may appear to be much worse than it is and is no cause for alarm.
  • DANGER SIGNS: A scrotum that swells immediately to the size of a football, fever, or puss. Contact Dr Schoeman or the hospital immediately as this may occur in up to 5 % of all cases.

What next?

  • The dressing should be removed 72 hours after the procedure by soaking in a bath until it comes off with ease.
  • The dressing may sometimes adhere to the wound causing slight bleeding on removal. Don’t panic, the bleeding will stop.
  • Condoms (protected intercourse) must be used for the next 3 months, as viable sperm are still present in the seminal vesicles (behind the prostate).
  • A semen analysis will be requested3 months after the procedure. Only if there are no viable sperm in the collection, may one proceed with unprotected intercourse.
  • Patients will be informed of the semen analysis results by Dr Schoeman’s rooms.
  • Please direct all further queries to Dr Schoeman’s rooms.
  • PLEASE CONTACT THE HOSPITAL DIRECT WITH ANY POST-OPERATIVE CONCERNS AND RETURN TO THE HOSPITAL SHOULD THERE BE ANY SIGNS OF SEPSIS.

Vasectomy Vasectomy (212 KB)