Male contraception comes in two forms: condoms and vasectomy. Vasectomy is a safe and effective method of birth control. It is permanent.
The vas deferens is the tube that brings sperm from the testicles into the ejaculatory ducts of the male genitalia. There are two of them, one on each side. If the vas deferens is disrupted, the sperm cannot complete their journey. Although sperm will continue to be made in the testicles, they have nowhere to go. Eventually, the machinery slows down, but it does not stop. In spite of having no exit point, sperm continues to mature, but they don’t get evacuated. The seminal vesicles, small structures that lie under the prostate, continue to produce semen, the fluid that is emitted during orgasm. As a result, the quality of the ejaculate is not perceptively changed by a vasectomy. In other words, orgasms and the fluid produced at the time of orgasm is not affected by a vasectomy. The mechanism of erections is completely independent of the vas deferens, so there is no physiologic change in erections.
Performed in the office without anesthesia, a vasectomy takes about 20 minutes to complete. Local anesthesia is used to numb the area. The vas deferens can be identified easily at the top of the testicles. It is isolated on each side and incised. A small piece is sent to the lab, and the skin is closed with a stitch or surgical glue.
It takes about 2-3 months for the system to rid itself of viable sperm. Another form of contraception is needed for that three- month period. A semen analysis should be performed at that time to document that no more sperm is found in the seminal fluid. Vasectomies are permanent forms of birth control. Although there are procedures available to reverse them, these are very complex and tedious processes that are not always successful. If you would like to learn more about the office vasectomy, please call our office or press the "Book Online" button to make an appointment to see one of our physicians.