Vascetomy procedure - vesectomy reversal

A vascetomy is an operation to sterilize a male. Vascetomy operations (vasectomies) are uncomplicated and safe and a vasectomy is usually performed as a day-operation.

How is the vascetomy operation done?

After removing hair in the scrotums, the physician will use a local anaestatic which is usually injected at the site. He will then make two rather small cuts in the scrotums in order to be able to lift the vas tubes outside, just enough to cut them off. In some operations, he will also remove a small piece of each deferens tube. After cutting and possibly removing the bit, he will seal the tubes again using either stitches or electricity to generate enough heat for a seal to be achieved. The final bit is to put them back again and seal up the small inciscions with miniature stitches. The whole procedure is performed within an hour or two and the patient can then go back home.

Several different vasectomies methods 

The no scalpel method is one of several methods used today for a vascetomy. The no-scalpel visectomy is a Chinese invention where the anaesthatic is injected as usual but following that, the doctor will instead of using a scalpel, use a very sharp instrument to pierce the scrotum and get inside to do the job from the inside. Following this type of operation, no stiches are necessary for sealing the scrotums as the opening is so small. This method counts for about one in three US vasectomies today. 

What makes a visectomy work?

When the vas deferens tubes are blocked, the transport of sperm from the testicles where it is produced is blocked and it can not reach the point where it would have been mixed with the seminal fluid. The seminal fluid will work as before and as this is 95% of an ejaculation, the patient will notice little difference, if any. But there will be no sperm in the semen and thus no risk of conception. The fact is that everything after a vasectomy is as before, with the exception for the precense of sperm in the seminal fluid. No change in hormones, so the patient still keeps all his masculinity, he will have erections and ejaculate just as before - but with no risk of making a woman pregnant.

Vesectomy reversal - pregnancy chances

Pregnancy cannot be guaranteed in any way after a reversal of a vascetomy (vesectomy). The vasectomy reversal has only a limited chance of success, often as low as every second patient only. It can also only be done in some cases, not all. The best modern vasectomy method that can be reversed is the Vasclip method, where the tubes are not cut, but merely blocked.