When should one have a vasectomy?
There are many situations in which a vasectomy is appropriate. Amongst other reasons, when a couple decides not to have any more offspring or when the female suffers secondary effects from any type of contraceptive.

How effective is a vasectomy as a male contraceptive method?
The contraceptive effectiveness of a vasectomy is very high, between 99 – 99.5%, as it stops the migration of spermatozoids to their natural ducts. There is only a remote possibility of a spontaneous permeability of the deferential ducts.

Is the vasectomy comparable to the tubal ligation done in females?
It is comparable because they are both safe, efficient and long-term contraceptive methods. However, a vasectomy is simpler, much quicker and it involves less risks.

What does the surgery consist of? Is it necessary to stay overnight in the hospital?
A vasectomy is done in 15-20 minutes and it is performed by making a small cut of around 1- 2 centimetres in the scrotum (skin surrounding the testicles). Once the deferential ducts are identified they are tied, cut and separated. Finally the surgery ends with a stitch of suture. All of the above is done under local anaesthetic, the patient feels no pain and there is no need to stay in the hospital overnight.

What does the post operative care involve?
After surgery one can carry on with his every day duties. Usually there will be no pain and little or no discomfort.

What kind of discomfort may arise after a vasectomy? How is sexual intercourse affected?
This simple kind of surgery does not tend to create any sort of problems as it only interrupts the access of spermatozoids. Concerning sexual intercourse, it has been demonstrated and confirmed that due to the fact that the couple is freed from the stress of a possible pregnancy, higher levels of satisfaction are attained.

Is Vasectomy reversible?
Nowadays, with the available microsurgery techniques, there is an 80% success rate in the permeability of the deferential ducts if the vasectomy is done following our technique.

REVIEW

• A Vasectomy is possibly the best available contraception method due to its high level of safety, simplicity and reversibility.
• The Vasectomy is effective when the semen test carried out 3 months after surgery reveals there are no spermatozoids.

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