Precautions for Male Sterilization

Male sterilization, i.e. vasectomy, was once very popular but is now clinically rare, however cases are sometimes reported. Recently, for example, a man who already had two children and did not want to have any more, had his wife undergo an abortion for successive pregnancies, and then had an intrauterine device (IUD) implanted. However, the wife was very sensitive to the device and bled painfully and had to have it removed. As a result, the husband came to ask for a ligation after retrieving a series of related problems. The male reproductive system consists of testes, epididymis, vas deferens, seminal vesicles and prostate. Spermatozoa are produced in the testes and undergo a number of maturation, migration, storage and ejaculation processes to achieve the important task of giving birth to a new life. The vas deferens is the “long-distance transportation” channel and the easiest place to block sperm migration. Vasectomy is a relatively simple procedure in urology or male medicine, often done under local anesthesia. The legendary “scary” vasectomy, however, is a different and strictly surgical procedure. After a proper examination, the doctor sterilizes the patient’s scrotum in a clean operating room. The vas deferens is shallow enough in the scrotum to be reached with a finger. The doctor lifts the vas deferens and injects a numbing agent into the skin of the scrotum and around it. A very small incision is made in the skin, which is separated slightly and then lifted and secured with special vasectomy forceps, severed and ligated, and the two severed ends are properly wrapped to minimize the chances of recanalization. The opposite side was then ligated in the same manner. The incision is closed with absorbable suture or directly bandaged. The patient can leave the hospital and go home after a short observation. Then, there are specific things to do and not to do after a vasectomy that play a key difference between recovering quickly and painlessly or experiencing longer painful soreness. Here are some tips for a simple and quick recovery possible. 1, Stand as little as possible for the first two days after surgery. Unlike other surgeries, ligation does not affect the whole body but requires getting down to the ground as soon as possible, but standing on the first day after surgery can increase localized swelling and pain. Although it is a minor surgery, it is better to reduce outdoor activities and rest in a sitting position. 2. Avoid lifting heavy objects or exercising hard for one to two weeks after surgery. It is not necessary to lift heavy objects after surgery to prove that you have regained the image of a “pillar of strength”. If you need to exercise, do not do deep squatting, downward pressure or leg press within two weeks. Not doing these hard movements will be conducive to tissue and muscle repair. 3, the first one or two days after surgery can use local ice packs several times (about 20 minutes, such as repeated to interval 10 minutes), the purpose is to reduce the inflammatory response and swelling, accelerate recovery. The main ice pack or ice should not directly touch the skin, should be separated from the underwear. 4, Within two weeks after surgery, wear athletic tights or cycling compression shorts over your underwear to provide some compression and support. Gravity and exercise are not good for recent traumatic tissue changes in the scrotum. 5, the first few days after the operation can be in accordance with the doctor’s instructions to take some appropriate anti-inflammatory painkillers, such as Tylenol or Fenpropidol, etc., to help reduce edema, inflammatory reaction and pain and discomfort. Of course, if you have poor gastrointestinal function or peptic ulcer, don’t take it. 6, one week after the operation to temporarily avoid any form of sexual life to promote the recovery of the affected area. After a week, from the point of view of birth control, it is also necessary to wait until the sterilization effect is confirmed. Vasectomy does not mean that the goal of sterilization is achieved immediately, but only blocks the tubing that carries fresh sperm. It takes about two months for the sperm in the system to clear, so success needs to be rechecked at 8 weeks after surgery. Some people take even longer after surgery, so do not assume that you have been sterilized after surgery. For most men who undergo a vasectomy, recovery from the procedure is relatively simple and painless, especially if the above recommendations are followed.