Vasectomy

The vas deferens are thin, hollow, tube-like structures that carry sperm from the testes. For men who do not wish to have children, birth control can be achieved by blocking the sperm channels (vasectomy).

There are some misconceptions about vasectomy. It does not affect male sexual function during the procedure, and patients do not experience erectile dysfunction. Additionally, some people think that there will be dry orgasms after vasectomy, but this is a misconception.

Seminal fluid does not only contain sperm; in fact, sperm makes up a very small part of the semen. The primary components of semen come from male glands like the seminal vesicle and prostate, which are not affected by the procedure, so the patient will still ejaculate, but without sperm.

After the surgery, mild pain and swelling due to bleeding may occur. In the long term, there may be a slight chance of reconnection of the severed vas deferens, potentially allowing sperm in the semen again. Therefore, periodic spermogram checks to ensure there is no sperm in the semen are recommended.

How is Vasectomy Performed?
Treatment Details

• Operation: Vasectomy
• Procedure: The sperm channels are tied. It can be done with or without stitches.
• Duration: 30 Minutes
• Hospital Stay: Discharged on the same day
• Anesthesia: Local
• Recovery Time: 1-2 Days
• Return to Work/School: 2-3 Days
• Scar: Depends on the type of operation; ideally, the method without stitches leaves minimal visible scarring.
• Pain Duration: 1-2 Days

The surgery can be performed traditionally with an incision, or as a no-scalpel vasectomy, which is performed without a scalpel or knife. The advantage of the second method is that the procedure is shorter, done under local anesthesia, involves less pain, and importantly, no stitches are required.

In no-scalpel vasectomy, the scrotal skin and sperm channels are numbed with local anesthesia. The vas deferens on both sides are located, tied, and the flow of sperm is blocked.

It is one of the most commonly performed procedures in some areas. In İzmir, vasectomy can be done under sedation, spinal anesthesia, or general anesthesia, but in daily practice, it is typically performed with local anesthesia due to the procedure's duration and effectiveness.

The type and form of anesthesia to be used is determined by the surgeon after conducting necessary evaluations. After the surgeon makes the decision, the required procedures are implemented.

The procedure lasts about half an hour. Since no stitches are used, the patient can return home after the procedure and resume normal life after one or two days of rest. A small incision is made through which the sperm ducts are accessed, tied, and cut to complete the procedure.

Can Pregnancy Occur After Vasectomy?
While vasectomy is considered a highly effective birth control method, there is still a very small chance of pregnancy after the procedure. This is due to some sperm remaining in the vas deferens after the procedure, which may fertilize an egg before the sperm count reaches zero.

The vas deferens can also reconnect after the procedure, which could result in pregnancy, though this is a rare occurrence. It is recommended that men use an alternative birth control method during the first three months after vasectomy. After that, a semen test is needed to ensure that the sperm count is zero.

Does Vasectomy Affect Sexual Desire?
Vasectomy is the most reliable surgical birth control method for men who do not wish to have children. It is important to be absolutely sure that the person wants this before undergoing the procedure. After vasectomy, the person will not be able to have children. Although vasectomy is reversible, it must be performed by an experienced surgeon, and another surgery will be required. Even with experienced surgeons, the pregnancy rates after reversal are around 50-60%.

Vasectomy does not affect sexual function. Since it does not impact the production of testosterone, it does not decrease sexual desire. It also does not affect the ability to achieve an erection or orgasm. The only change is that sperm will not be present in the semen, but since sperm makes up only a small portion of the semen, the amount of ejaculate will not noticeably change.

Vasectomy Prices in İzmir
Vasectomy prices in İzmir vary depending on the type of general anesthesia used and the doctor's expertise.

For detailed information on vasectomy prices in İzmir, please contact us.

Frequently Asked Questions
Can Vasectomy Be Reversed?
Reversing vasectomy is theoretically possible. However, it is very difficult in practice. The main disadvantage of the procedure is that the success rate of reversal is around 50%. Even though the procedure itself is simple, reversal requires specialized microsurgical techniques by an experienced surgeon. Even after a successful reversal, reconnections can fail within 6-12 months.

Does Vasectomy Affect Sexual Life?
After vasectomy, the patient will still experience erections and orgasms. The amount of ejaculation remains the same, but there will be no sperm in the semen. Hormones and sexual desire are not affected. The only change is that the patient will not be able to impregnate their partner. Vasectomy can be described as a male birth control method.

Does Vasectomy Decrease Pleasure?
Vasectomy does not decrease or increase sexual pleasure. The male hormonal structure, sexual desire, and erection capability remain unchanged after the procedure. Vasectomy is simply a surgical method to ensure there is no sperm in the semen. It can also be referred to as a male birth control method. After this procedure, men will not be able to get their partner pregnant.

Who is Eligible for Vasectomy?
In Turkey, vasectomy is allowed for unmarried men over the age of 18 with their consent. However, for married couples, the consent of the wife is required for the procedure. Individuals must be thoroughly informed before undergoing the procedure. If they wish to have children again later, complicated surgical interventions are required. The success rate of reconnection after vasectomy is 50%.

What Happens After Vasectomy?
The chances of complications after vasectomy are very low (around 1%). The most common complications include bleeding, infection, and the formation of a cystic structure called sperm granuloma. Sperm granuloma typically does not cause any symptoms. Infections are generally controlled with antibiotics, and bleeding is usually stopped with dressings.

References

• https://www.nhs.uk/conditions/contraception/vasectomy-male-sterilisation/
• ÇORAK, G., ÖZSOY, S. A., VURAL, A. G. D. B. K., & TUNCAY, B. (2008). Vazektomi olan erkeklerin yönteme ilişkin görüşlerinin incelenmesi. Sosyal Politika Çalışmaları Dergisi, 15(15), 43-54.