Vasectomy is a form of permanent contraception in males. A minor surgery is performed for male sterilization, where the two vas deferens, transferring sperms from testicles to urethra are being cut and closed. As a result, sperms are no more passed from testicles to urethra and they remained inside the testicles.
But, this contraception method is reversible, wherein, by reverse vasectomy, the ends of vas deferens can be reattached. Though, the procedure of reverse vasectomy is extremely complicated and rarely successful.
Four Different Types Of Vasectomy
Traditional Or Conventional Vasectomy
Under traditional vasectomy, the scrotum skin is numbed with local anesthesia and once the lack of sensation is assured, the doctor makes two small cuts on each side of the scrotum. Then vas deferens is pulled out, cut and closed by tying them or is sealed with diathermy (instrument that seals by heating to very high temperature).
The vas deferens is gently put back into the scrotum and then the incisions of the scrotum are stitched, using specific stitches that naturally disappear within a week’s time. The procedure is repeated for the other scrotum too.
No Scalpel Vasectomy
For patients, who are not willing for traditional vasectomy can opt for minimally invasive, no scalpel vasectomy. The doctor feels the vas deferens through the scrotum skin, and then carefully pricks a little puncture hole in the scrotum skin. Using a pair of forceps, the hole is opened up, allowing surgeon to work on vas deferens through the hole, without cutting the scrotum skin with a scalpel.
The tubes are then sealed as in the traditional vasectomy. This procedure involves no stitching and very little bleeding. Moreover, it is minimally painful and has less possibility of causing complications, in comparison to conventional vasectomy.
Those individuals, who fear to get the vas deferens cut, as required in most of the vasectomy procedures, can opt for clip vasectomy. In clip vasectomy, vas deferens is clamped together, instead of being cut and tied.
The procedure blocks the vas deferentia with little titanium clips that are usually unnoticeable and these can be easily removed, if patient opt for reversal vasectomy later. This comes as savior for individuals, who are in two minds, while going for vasectomy.
The most advanced and recent development in vasectomy procedures is the laser vasectomy, where the vas deferens is being cut and sealed with a surgical laser. The incision is accomplished using a high power laser beam, and then immediately the vas deferens is severed.
An incision is still needed to expose the vas deferens as laser cannot pass through scrotum, without burning it. Hence, laser vasectomy resembles to traditional vasectomy in all other aspects. With several types of vasectomy available, there are a lot of options to choose from. Amongst all, laser vasectomy is faster as it readily brings about sealing of vas deferens that is less time consuming.
But, there is no assurance of 100% effectiveness of any of these vasectomy procedures in sterilizing the patient. Hence, till the time doctor assures that no more sperms are moving up the urethra, the other protection methods need to be necessarily continued.