Vasectomy

Minimal intervention, maximum safety! Vasectomy is one of the safest and most reliable methods of contraception. And for the man, the intervention does not change the sexual feeling.

What exactly is a vasectomy?

Vasectomy (male sterilisation) is one of the safest and most reliable methods of contraception. In this small procedure, the vasa deferentia are severed on the left and right, so that the sperms can no longer get into the urethra and thus cannot be expelled during orgasm. The procedure leads to permanent infertility in men. Vasectomy has no influence on orgasm, the desire for sex, the ability of erection or the ejaculation.

For whom is the procedure suitable?

A vasectomy is suitable for every man whose family planning is completed. Since the procedure is difficult to reverse, a vasectomy should only be performed if the man or the couple no longer has a desire to have children. If, after a vasectomy, there is a desire to have children again, there is the option of reversing a vasectomy. This procedure is called vasovasostomy and is much more complex than vasectomy.

How exactly does the procedure work?

At alta uro, the procedure usually is performed under local anaesthesia. The procedure takes place in our clinic. If a short anaesthesia is desired, we can also organise this for our patients at Merian Iselin Clinic. After a small skin incision, the vasa deferentia are identified and mobilised. To avoid merging, we use a technique that ensures maximum safety. The vas deferens is not only severed, but a 1 cm long piece is cut out. The ends of the vasa deferentia are then electrocauterised, knotted and then sutured in different tissue layers. Subsequently, the skin is closed with absorbable sutures.

Urologe Basel für Urologie, Prostatakrebs, Hodenkrebs und Nierensteine

At what time after the procedure can contraception be abandoned?

Infertility does not start immediately after the procedure. After a successful vasectomy, fertile sperms may still be present in the seminal fluid for several months. Therefore, an additional contraception is required at the beginning. About 2-3 months after vasectomy, a semen analysis should be performed. At least 20 ejaculations should have taken place before the first semen analysis. If there are no more sperms, contraception can be abandoned. If sperms are still present, another semen analysis should be taken.

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