A vasectomy is a simple procedure in which a doctor cuts and ties the vas deference tubes which carry the sperm (male eggs) produced by the testicles in the scrotum. The sperm forms part of the semen which during sexual intercourse is passed into the woman’s vagina and may swim up the uterine tract to the fallopian tubes which may result in fertilisation and an eventual pregnancy.
NB: Despite the benefits, a condom must be used to prevent the spread of sexually transmitted infections.
The duration of the procedure is approximately 10 -15 minutes. The surgeon locates the vas (tube) in the scrotum (sac) on both sides. A local anaesthetic is injected under the skin on both sides of the scrotum to prevent pain. The surgeon then waits until the area is numb.
The surgeon then makes a small cut in the skin (on both sides) to expose the vas deference. In the new no-scalpel vasectomy both tubes are reached through a single tiny puncture made in the skin. The vas deference on each side is closed by tying and cutting it. The skin is then closed with a few stitches. The operation is not effective immediately.
The testicles continue to produce the male hormones giving the man his normal feelings for sex and normal ability to have erections and make love, but because his semen contains no sperm he cannot impregnate a woman.
NB: A semen test must be done 12 weeks after the operation. If the test result indicates that there is still sperm present then the male should continue with the contraceptive method used prior to sterilisation. Only If a semen analysis / test result indicates no sperm present then the male is sterilised.
NB: If the man does not meet the above criteria he would have to be sterilised at a secondary OR tertiary level public health hospital.
Finally when considering permanent contraception you need to be 100% sure of your decision. Sterilization is considered a permanent method of contraception. A decision to be sterilised should be taken seriously as it almost entirely eliminates the possibility of future conception.