Vasectomy is a simple, safe and effective form of permanent birth control. The testicles produce sperm that travel through a tube called the vas deferens or ‘vas’. The vas continues to travel through the prostate before joining with the vas on the other side to become the urethra, which exits through the penis. A vasectomy will disrupt the vas tubes, which then prevents the entry of sperm into the semen. The volume, appearance and consistency of the semen after the procedure remains unchanged as sperm make up only a very small percentage of semen volume.
This is similar to a no-scalpel vasectomy, however it is less invasive with less complications. It involves a single opening of the scrotum, and anesthesia using an instrument called a MadaJet®. Local anesthetic is delivered using a spray applicator (MadaJet®) which delivers a fine stream of anesthetic that penetrates the skin and diffuses into each vas (tube). This method is quick, safe and comfortable for patients. This method has a lower complication rate, quicker healing time and return to sexual activity, and less intra-operative discomfort compared to the conventional method.
Once the vas tube is lifted through the skin opening, it is divided and the prostatic end is sealed off using an instrument called a Hyfercator. You will not feel anything when this is done. This prevents the passage of sperm but does not change the amount of semen. The testicular end of the sheath is left open. The vas sheath is closed over the prostatic end of the vas to create a barrier between the two ends. This is called fascial interposition.
Most patients require no more anesthetic for completion of the procedure itself without pain. A small percentage of patients will require the injection of a little more anesthetic with a fine needle which rarely causes any sensation as the area is already numbed with the MadaJet®.
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