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Vasectomy
For men who no longer have children or who are certain they do not want children, a vasectomy dallas is a sterilization procedure that is nearly 100 percent effective. This makes it an effective form of birth control.
During a vasectomy, the tubes that carry sperm from the testicles and out of the urethra are cut and then tied or sealed in such a way that sperm cannot enter the ejaculate and result in fertilization of the female egg, thereby it makes the man barren and incapable of producing children.
This outpatient procedure is brief (usually less than 30 minutes) and is often performed by a urologist in a clinic or doctor’s office. Hospitalization is not necessary as a vasectomy is a simple technique that only involves small incisions and routine surgical instruments; The patient is only required to stay in the doctor’s office for a brief recovery period (usually less than an hour) and is then sent home to rest.
With a traditional vasectomy, a needle is used to numb the scrotum under local anesthesia. Two small incisions are then made, one on each side of the scrotum, with a scalpel, to allow the surgeon to pull each vas deferens toward the surface so that it can be isolated and separated from the scrotal tissue. Once the tubes are separated from the scrotum, they are sealed with sutures or burned with electrical cautery.
While there are several variations of this method, they all end with the vas deferens being occluded or sealed. The most common and advantageous include:
Needleless Vasectomy: The same techniques used in a traditional vasectomy to occlude the vas deferens are used here, but there is an exception. Instead of using a needle to inject anesthesia, a jet injection tool is used. Known as a hypospray injector, the anesthetic instrument uses a small burst of compressed air to force the medication deep enough into the scrotal tissue to allow for nearly painless surgery.
No-scalpel vasectomy: Instead of a scalpel, the surgeon uses a special clamp that has extremely sharp points to pierce the skin of the scrotum. The duct is then pulled away from the scrotal sac without having to cut the blood vessels or nerves adjacent to the scrotum. Once isolated, the vas deferens is sealed by sutures or electrical cautery.
Throughout these procedures, other techniques may be used, such as fascial interposition, in which tissue is placed between the cut ends of the vas deferens as a means of providing a barrier. The tissue is sutured into place and helps prevent failure of the procedure. It is often combined with intraluminal cautery, where one or both sides of the vas deferens are electrically burned shut.
A vasectomy should be considered permanent and the man undergoing the procedure should be sure that he is done having children or does not want children in the future. The procedure can be undone by a vasectomy reversal, but it is more complicated and success is not guaranteed.
About H. Jake Porter, II, MD
Dr. Porter prides himself on providing each and every patient with excellent, state-of-the-art care and treatment for their urological disorders and delivering that care courteously, carefully, and efficiently. This is done in a comfortable and friendly environment. He respects the confidentiality of each patient and wants each patient to receive individual attention that allows them to make an informed decision. His ultimate goal is to perform a painless, minimally invasive vasectomy with a comfortable and fast recovery.
