Scalpel / No - Dr Jonathan Follows

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What You Need To Know About Your Vasectomy3Sex After VasectomyA vasectomy has no direct bearingon sexual function. No better. Noworse. The ability to obtain andmaintain erections is unchanged.Since sperm comprise only 2% of thesemen volume there is no noticeablechange in the quantity or quality ofthe semen ejaculated. You’re like aSunkist orange, all juice and no seeds.The force and timing of ejaculation areunchanged. No effect on testosteronelevels, desire or libido occurs. Manycouples report a more relaxed andenjoyable sex life once the fear ofpregnancy is gone, particularly oncecondoms are no longer required, butthat is true of anything that takes theworry out of being close. Marriageproblems are rarely cured byvasectomy. A couple’s sexualproblems, lowdesire or sexualavoidancemay stemfrom fear ofpregnancy,but stress,children,fatigue or poorcommunicationcan be at play aswell. It would be wiseto discuss these issueswith your partner and yourdoctor and address thembefore the vasectomy, just toensure you are not disappointed laterbecause of unrealistic expectations.Vasectomy does not protect againstsexually transmitted diseases or AIDS.Condoms are therefore still requiredfor sexually risky behavior.
4 What You Need To Know About Your VasectomyNo-Scalpel / No-Needle VasectomyHow it’s done here...The No-Needle injector delivers afine jet of Xylocaine right throughthe scrotal skin onto the vas andsurrounding tissues. It requires only1/10th the volume of anestheticcompared with the needle method sothere is less tissue distension and lessrisk of bleeding. Also, it is a provenmedical fact that men prefer to haveneedles kept as far away from theirscrotums as possible.The “No-Scalpel” part refers to thetechnique of getting to the vas at thefront of the scrotum using two smallsurgical instruments developed inChina in 1974. There are no knives,scalpels, lasers or other hi-tech gizmosinvolved. It is “minimally invasive” sothere is less trauma to the tissues. Thesurgery and the recovery are usuallyfast and the pain is usually minimal.Once the vas is exposed by gentlypulling a small loop of it out the frontof the scrotum it must be blocked.(Occluded is the hi-tech term.) Theparticular method of occluding thevas varies from doctor to doctor. Iperform an open ended fascial technique.The vas is cut leaving two ends. Theend that carries sperm to the prostatewhere it mixes with the seminal fluid iscauterized and pinched, later to forma solid plug of scar tissue in the lumenof the vas. That end is further occludedby crimping a small titanium clipover its surrounding sheath. The endcoming from the testicle is cauterizedbut otherwise left unblocked. Theclip thus interposes tissue betweenthe two ends so they heal in differenttissue planes, reducing further the riskof sperm recannalizing a micro-channelthrough the roadblocks we’ve (wellme, really) set in their path. Since thehuman sperm is designed for tunnelingas well as swimming, we cannot be toocareful, hence the “double block”.After the vasectomy the testiclescontinue to produce immature spermbut the body’s recycling team, in theform of white blood cells, migrate tothe region, engulf and destroy thesperm and return the componentmolecules into general cellularbuilding blocks via the lymphaticchannels. By the way, the titanium clipspose no harm to health. They don’t setoff airport security systems and theydon’t interfere with MRI scans. After afew weeks you usually can’t feel themeven if you try.
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Scalpel / No - Dr Jonathan Follows

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