It is estimated that approximately 20-40% of samples contain rare non-motile sperm three months after vasectomy, and a smaller percentage contain non-motile sperm after six months.31,35 If there is any doubt about the analysis, physicians should contact the laboratory and confirm that there is no reporting error (i.e., the sample was incorrectly marked as “not mobile”). The literature suggests that the risk of pregnancy occurring from these motile sperm is low, perhaps no more than the risk of late pregnancy after two azoospermic semen samples following spontaneous recanalization.28,29 Similarly, rare non-motile sperm may occur in the ejaculate a year or more after vasectomy without increasing the risk of failure (pregnancy or motile sperm). Therefore, repeated sperm testing in men with rare and immobile sperm is useless, since pregnancy in this environment is very unlikely. While it is good practice to give patients time to reflect on their decision to have a vasectomy, consider alternative contraceptive methods, and seek additional advice from other health care providers, some patients may be quite willing to have a vasectomy at the end of the initial consultation. In fact, it is logical to assume that most, if not all, men in Canada who request a vasectomy have received information about the procedure from a variety of sources, including the media, the Internet, friends or family members with vasectomy experience, or other health care providers. Currently, there is no good evidence in the literature to suggest that providing a “reflection period” after the first vasectomy consultation correlates with better surgical outcomes or patient satisfaction. In the absence of valid medical reasons, such as time spent stopping certain medications (e.g. to reduce the risk of bleeding diathesis) or recovering from temporary changes in health status (e.g. acute infection), a vasectomy (in some patients) may be performed shortly after the initial consultation. But there are certainly a number of factors that all doctors take into account when confronted with a young man seeking a vasectomy, including the patient`s marital status and whether or not he already has children. To learn more about the long-term effects of a vasectomy at a young age, contact the San Diego Vasectomy Center today. Just ask Karel Jennings, who told The Scientific Parent about his 15-year journey to vasectomy, which began at just 20. “It`s not for lack of trials,” he said of his many vasectomy attempts after deciding at a young age that he wasn`t interested in having children.
Never. The two most common surgical techniques to access the canal during vasectomy are the traditional incision method and no-scalpel vasectomy (NSV). The conventional incision technique involves using a scalpel to make one or two incisions, and the NSV technique uses a sharp forceps-like instrument to pierce the skin, the latter approach aimed at detecting adverse events (e.g. bleeding, infections and pain). “Young men in their early 20s are generally discouraged from a vasectomy because it is common for young men to change their minds and develop their interest in children when their relationship situation changes,” said Dr. Alex Shteynshlyuger, a board-certified urologist in New York City. Studies suggest that patients who had a vasectomy in their twenties are 12.5 times more likely to reverse as age progresses. The success rate of the reversal is not 100% and is left to chance. If you don`t want to regret your decision to opt for a vasectomy in Ottawa, think carefully about factors such as age, partner, family, lifestyle and your plans for the future.
The legal adult age for a vasectomy is 18. Of course, the law prohibits young people under this age from opting for this procedure. After vasectomy, men should be instructed to stay at the clinic for 15 to 20 minutes to be evaluated for possible scrotal hemorrhages or vaso-vagal reactions. It may be advisable to recommend that patients be taken home. Men should be educated about proper wound and scrotum care and short-term physical limitations. Men should be informed of how to collect the semen sample (completeness and type of container) and reminded of the importance of sending the sample to the laboratory in a timely manner (within 30-60 minutes of sample preparation). You should also be informed that semen samples must be collected after a period of abstinence of two days or more and no more than seven days and stored at body temperature prior to delivery to the laboratory. A list of local laboratories that perform appropriate post-vasectomy semen analysis should be provided to the patient.
Men should be reminded to take further contraceptive measures until semen examination after vasectomy has confirmed the absence of motile sperm. Local anesthesia is sufficient for most vasectomies; However, anxious patients or those with complicating factors, such as previous orchidopexy or other scrotal surgery, may need sedation or general anesthesia. The benefits of topical anesthesia prior to local anesthetic injection are controversial,16,17 However, a small 27-32 gauge needle is considered beneficial. Pneumatic injectors have not shown obvious advantages,18,19 but may be suitable for patents with needle phobia. The use of buffered xylocaine has not been studied in vasectomy patients. The procedure should be described during the initial interview. Men should be informed about wound care and the potential for early complications: infections (0.2–1.5%), bleeding or haematomas (4–20%), and primary surgical failure 0.2–5%).1–5 Men should also be informed of late complications: chronic scrotum pain (1–14%) and delayed vasectomy failure (0.05–1%).6–8 This information should be given orally and an information booklet should also be provided. The patient should be advised that vasectomy should be considered a permanent form of contraception with a high probability of reversibility.9 Preoperative sperm banks and postoperative vasectomy reversal and sperm collection (for subsequent in vitro fertilization) may be discussed if patients are concerned about the duration of the procedure. The link between vasectomy and prostate disease (cancer) can be debated, and patients can be sure that the data do not show a clear link between vasectomy and prostate cancer.10 No other late complications have been associated with vasectomy (e.g. vascular disease, high blood pressure, testicular cancer), And as such, they don`t need to be discussed unless the patient asks for it.