Dr Palomo Urologo | Vasectomía Artículo Completo (2023)

Dr Palomo Urologo | Vasectomía Artículo Completo (1)

Dr Palomo Urologo | Vasectomía Artículo Completo (2)

(Artículo completo)

La vasectomía es una modalidad de control de la natalidad masculino que corta la provisión de espermatozoides al semen. Se realiza mediante el corte y cierre de los conductos que transportan los espermatozoides. La vasectomía tiene un bajo riesgo de inconvenientes y, por lo general, se puede realizar en el ámbito ambulatorio con anestesia local.

Antes de realizarte una vasectomía debes estar seguro de que no querrás tener un hijo en el futuro. Si bien la vasectomía se puede revertir, se la debe considerar un método de control de la natalidad masculino permanente.

La vasectomía no ofrece protección contra las infecciones de transmisión sexual.

Por qué se realiza

(Video) VASECTOMIA

La vasectomía es una opción anticonceptiva segura y eficaz para aquellos hombres que tienen la certeza de que no quieren ser padres en el futuro.

  • La vasectomía es casi 100por ciento eficaz en la prevención del embarazo.
  • Es una cirugía ambulatoria con bajo riesgo de complicaciones o efectos secundarios.
  • El costo de una vasectomía es mucho menor que el costo de una esterilización femenina (ligadura de trompas) o el costo a largo plazo de los medicamentos anticonceptivos para mujeres.
  • Hacerte una vasectomía significa que no necesitarás tomar medidas anticonceptivas previas a tener relaciones sexuales, como usar un preservativo

Una posible preocupación con la vasectomía es que después puedes cambiar de opinión sobre la posibilidad de querer ser padre. Aunque pueda ser posible revertir la vasectomía, no existe ninguna garantía de que se logre. La cirugía de reversión es más complicada que la vasectomía, puede ser costosa y, en algunos casos, no es efectiva.

También existen otras técnicas para ser padres después de una vasectomía, como la fertilización in vitro. Pero estas técnicas también son costosas y no siempre son efectivas. Antes de someterte a una vasectomía, asegúrate de que no querrás ser padre en el futuro.

Dr Palomo Urologo | Vasectomía Artículo Completo (3)

Inquietudes infundadas

Muchos hombres temen que una vasectomía pueda causarles problemas graves; pero estos temores son infundados. Por ejemplo, una vasectomía:

  • No afectará tu rendimiento sexual.La vasectomía no afectará tu deseo sexual ni tu masculinidad de ninguna manera, excepto que no concebirás hijos. Muchos hombres han reportado una mayor satisfacción sexual después de una vasectomía.
  • No causará daño permanente a los órganos genitales.Hay muy poco riesgo de que los testículos, el pene u otras partes de tu sistema reproductivo se lesionen durante la cirugía. En casos muy raros, una lesión en el suministro de sangre puede llevar a la pérdida de un testículo, pero no es probable que eso ocurra si tu cirujano está bien capacitado.
  • No aumentará el riesgo de contraer ciertos tipos de cáncer.Si bien anteriormente existía cierta preocupación acerca de un posible vínculo entre la vasectomía y el cáncer testicular o de próstata, no se ha demostrado ninguna relación.
  • No aumentará el riesgo de sufrir enfermedades cardíacas.Al igual que con los temores sobre el cáncer, no parece haber ninguna conexión entre la vasectomía y los problemas del corazón.
  • No causará un dolor intenso.Podrías sentir un dolor leve y una sensación de tironeo o estiramiento durante la cirugía, pero el dolor intenso es poco frecuente. Del mismo modo, después de la cirugía podrías experimentar algún dolor, pero para la mayoría de los hombres es leve y desaparece después de unos días.

Cómo te preparas

Alimentos y medicamentos

El médico probablemente te pida que dejes de tomar aspirina, medicamentos antiinflamatorios no esteroides, u otros medicamentos anticoagulantes varios días antes de la cirugía. Entre ellos se incluyen la Warfarina, la heparina, y otros analgésicos de venta libre.

Ropa y elementos personales

Trae ropa interior ajustada o un suspensorio para usar después del procedimiento para dar apoyo al escroto y reducir la hinchazón.

(Video) Eyaculación Precoz

Otras precauciones

Dúchate o toma un baño el día de la cirugía. Asegúrate de lavar cuidadosamente la zona genital. Si es necesario, recorta el vello.

Programa que alguien te lleve a tu casa después de la cirugía, para evitar los movimientos y la presión en la zona de la cirugía causados por conducir un vehículo.

Lo que puedes esperar

Antes del procedimiento

Antes de realizarte una vasectomía, el médico querrá reunirse contigo para estar seguro de que es el método anticonceptivo adecuado para ti.

En la consulta inicial prepárate para conversar sobre lo siguiente:

  • Que tú entiendes que la vasectomía es permanente y que no es una buena opción si existe alguna probabilidad de que quieras ser padre en el futuro
  • Si tienes hijos y cómo se siente tu pareja sobre la decisión, si es que tienes una relación
  • Otros métodos anticonceptivos que estén a tu disposición
  • Qué implican la cirugía de la vasectomía y la recuperación, y cuáles son las posibles complicaciones

La vasectomía, por lo general, se realiza en el consultorio del médico o en un centro quirúrgico bajo anestesia local, lo que significa que estarás despierto y te darán un medicamento para insensibilizar el área de la operación.

DURANTE EL PROCEDIMIENTO

La cirugía para una vasectomía suele llevar entre 20 y 30minutos. Para realizar una vasectomía, tu médico tal vez siga los siguientes pasos:

(Video) Infertilidad En La Pareja

  • Anestesiará el área quirúrgica con una inyección de anestesia local con aguja delgada, en la piel del escroto.
  • Realizará un pequeño corte (incisión) en la parte superior del escroto, una vez que el área quirúrgica esté anestesiada. O con la técnica «sin bisturí», realizará una pequeña punción en el escroto en lugar de una incisión.
  • Localizará el conducto donde pasa el semen desde el testículo (conducto deferente).
  • Extraerá parte del conducto deferente a través de la incisión o la punción.
  • Cortará el conducto deferente en la parte extraída del escroto.
  • Sellará el conducto deferente atándolo con calor (cauterización), con clips quirúrgicos o con un método combinado. Después el médico volverá a colocar los extremos del conducto deferente dentro del escroto.
  • Cerrará la incisión en el sitio quirúrgico. Quizás se usen suturas o pegamento quirúrgico. En algunos casos, se podrá dejar que la herida se cierre sola con el tiempo.

Después del procedimiento

Luego de una vasectomía tendrás algunos hematomas, inflamación y dolor. Por lo general, estos síntomas mejorarán en pocos días. El médico te dará instrucciones para la recuperación. El médico te puede pedir lo siguiente:

  • Llama de inmediato si tienes señales de infección, como si sangra el sitio de cirugía, enrojecimiento, fiebre de más de 38°C o si el dolor o la inflamación empeoran.
  • Brinda apoyo al escroto con un vendaje y ropa interior ajustada durante al menos 48horas después de la vasectomía.
  • Aplica compresas de hielo al escroto durante los primeros dos días.
  • Limita la actividad después de la cirugía. Deberás descansar por 24horas después de la cirugía. Probablemente puedas hacer actividad liviana después de dos o tres días, pero evita practicar deportes, levantar cosas y realizar trabajo pesado durante aproximadamente una semana. Mucho esfuerzo podría ocasionarte dolor o sangrado dentro del escroto.
  • Evita la actividad sexual durante aproximadamente una semana. Si eyaculas, podrías sentir dolor u observar sangre en el semen. Si tienes relaciones sexuales, usa otro método anticonceptivo hasta que el médico te confirme que no hay ningún espermatozoide en tu semen.
  • Después de una vasectomía eyacularás semen (líquido seminal) pero ya no va a contener esperma (las células reproductoras) una vez que hayas eyaculado unas 20 veces. La vasectomía bloquea que el esperma producido por los testículos llegue al semen. En vez de eso, el cuerpo absorbe el esperma, lo que no causa ningún daño.

Resultados

La vasectomía no brinda una protección inmediata contra el embarazo. Usa un método anticonceptivo alternativo hasta que el médico te confirme que no hay ningún espermatozoide en tu semen. Antes de tener relaciones sexuales sin protección, deberás esperar varios meses o más, y eyacular de 15 a 20 veces o más para eliminar todos los espermatozoides del semen.

La mayoría de los médicos realizan un análisis de seguimiento del semen de 6 a 12semanas después de la cirugía, para asegurarse de que no quede ningún espermatozoide. Deberás proporcionarle al médico muestras de semen para que las examine. Para recolectar una muestra de semen, el médico te pedirá que te masturbes y eyacules en un recipiente o que uses un preservativo especial sin lubricante ni espermicida para recolectar el semen durante la relación sexual. Luego, el semen se examina con un microscopio para observar si contiene espermatozoides.

La vasectomía es un método anticonceptivo eficaz, pero no te protegerá a ti ni protegerá a tu pareja contra las infecciones de transmisión sexual, como la clamidia o el VIH/SIDA. Por este motivo, debes usar otros métodos de protección, como los preservativos, si corres el riesgo de contraer una enfermedad de transmisión sexual (incluso después de someterte a una vasectomía

Si tienes alguna duda acerca de este procedimiento, acércate con nosotros, te podemos orientar y resolver tus dudas, escríbeme un correo

Si crees que esta nota le puede servir a alguien, te invito a compartirla.

Dr. Omar Marín Palomo Pineda?

(Video) En Cortinas #38: Cirugías para agrandar tu cuerpo FT: Doctor Vic

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FAQs

How long can you live with endocarditis? ›

Without prompt, appropriate treatment, infective endocarditis results in serious heart damage or death. Mortality rate within the first 30 days of infection has been reported to be ~20% but survival without antibiotic therapy is unlikely.

Why is clindamycin no longer recommended for antibiotic prophylaxis? ›

The 2021 AHA scientific statement no longer recommends the use of clindamycin for patients who are allergic to penicillin or ampicillin. This is because clindamycin is known to cause more severe adverse reactions such as C. diff.

What bacteria causes endocarditis? ›

Two kinds of bacteria cause most cases of bacterial endocarditis. These are staphylococci (staph) and streptococci (strep). You may be at increased risk for bacterial endocarditis if you have certain heart valve defects.

Do you need antibiotic prophylaxis for PFO? ›

Antibiotic prophylaxis is recommended for 6 months after device implantation because complete endothelialization is considered to occur at 3 to 6 months. However, its confirmation is impossible. Our case suggests that antibiotic prophylaxis is necessary at any time to prevent the infection of device.

Can you live a normal life after endocarditis? ›

You will need a follow up with blood tests and echocardiogram after you complete the treatment to make sure that the infection has cleared from your bloodstream and to check your heart valves. After the infection clears and if the echocardiogram shows good results, you may go back to your normal life.

What are the chances of dying from endocarditis? ›

Infective endocarditis (IE) is a lethal disease with an in-hospital mortality of approximately 20% [1]. IE patients have a lower survival rate when compared with age- and gender-matched patients from the background population [2–5].

How much clindamycin do you take before dental work? ›

Dental Care

If you are allergic to cephalexin or penicillin or are unable to take cephalexin (Keflex) for any other reason we recommend that you take clindamycin 600 mg one hour before the procedure.

Why would a dentist prescribe clindamycin? ›

Tooth infections often require antibiotic treatment. Clindamycin is a lincosamide type of antibiotic that's used to treat a variety of bacterial infections, including infections of the teeth. It's generally given as an oral antibiotic, but you may need intravenous clindamycin for severe tooth infections.

What are the side effects of clindamycin? ›

Clindamycin may cause side effects. Tell your doctor if any of these symptoms are severe or do not go away:
  • nausea.
  • vomiting.
  • unpleasant or metallic taste in the mouth.
  • joint pain.
  • pain when swallowing.
  • heartburn.
  • white patches in the mouth.
  • thick, white vaginal discharge.
May 15, 2018

What is the most common cause of endocarditis? ›

Endocarditis begins when germs enter the bloodstream and then travel to the heart. Bacterial infection is the most common cause of endocarditis. Endocarditis can also be caused by fungi, such as Candida. In some cases, no cause can be found.

How do you get a bacterial infection in your heart? ›

Endocarditis is usually caused by an infection with bacteria, fungi or other germs. The germs enter the bloodstream and travel to the heart. In the heart, they attach to damaged heart valves or damaged heart tissue. Usually, the body's immune system destroys any harmful bacteria that enter the bloodstream.

Can a tooth infection cause endocarditis? ›

Abstract: Infective endocarditis is a life-threatening disease that not only involves the heart, but can also affect other organs. Bacteria enter the bloodstream from a source such as a dental infection, and travel through the blood to form vegetations on compromised heart valves.

What heart conditions require antibiotics before dental work? ›

Today, the AHA only recommends antibiotics before dental procedures for patients with the highest risk of infection, those who have: A prosthetic heart valve or who have had a heart valve repaired with prosthetic material. A history of endocarditis. A heart transplant with abnormal heart valve function.

What heart conditions require premedication for dental? ›

Patient Selection

a history of infective endocarditis; a cardiac transplanta with valve regurgitation due to a structurally abnormal valve; the following congenital (present from birth) heart disease: unrepaired cyanotic congenital heart disease, including palliative shunts and conduits.

How long after stent placement can I have dental treatment? ›

Various research states that patients should be premedicated prior to dental treatment for six months following stent placement.

What percentage of people survive endocarditis? ›

Infective endocarditis (IE) has an overall 6-month mortality of approximately 25% in all-comers. Older age and history of dialysis appear to be the highest risk patient factors; IE complications also suggest a high mortality as well.

Can you have endocarditis for years and not know it? ›

The symptoms of endocarditis aren't always severe, and they may develop slowly over time. In the early stages of endocarditis, the symptoms are similar to many other illnesses. This is why many cases go undiagnosed. Many of the symptoms are similar to cases of the flu or other infections, such as pneumonia.

Can you get endocarditis twice? ›

Individuals who have had endocarditis once are more likely to have it a second time. Also, they may need antibiotics before having dental treatments and other medical procedures to lower the risk of infection and getting endocarditis.

Does endocarditis shorten your life? ›

Mortality is high during the initial phase, but after one year the risk of dying is low, although still above that of the general population.

How fast does endocarditis develop? ›

There are two forms of infective endocarditis, also known as IE: Acute IE — develops suddenly and may become life threatening within days. Subacute or chronic IE (or subacute bacterial endocarditis) — develops slowly over a period of weeks to several months.

Can you survive endocarditis without treatment? ›

Untreated, most patients with infective endocarditis will die. The infection can lead to damage of the heart valve(s) that in turn causes severe leaking (regurgitation) of blood back through the valve(s) and an inability of the heart to efficiently pump blood to the body.

How long does clindamycin take to work for tooth infection? ›

How Long for Clindamycin To Work On a Tooth Infection? While dependent on dosage and severity of the infection, patients can expect their symptoms to improve within 48 hours of taking their first dose of clindamycin. If symptoms don't improve or get worse after that, contact your doctor.

Is clindamycin a strong antibiotic? ›

Is Clindamycin a powerful antibiotic? Yes, Clindamycin is a strong broad-based antibiotic doctors prescribe to treat severe infections, including the fatal MRSA infection. It has a positive effect on various bacterial infections, including those which survive without air.

Will clindamycin treat an infected tooth? ›

Clindamycin. In some cases, the bacteria causing your tooth infection can be resistant to amoxicillin. If so, your dentist may prescribe clindamycin. Or, if you have a penicillin allergy, you might be prescribed this medication instead.

What kind of infections does clindamycin treat? ›

Clindamycin is a medication used for the treatment of numerous infections, including but not limited to septicemia, intra-abdominal infections, lower respiratory infections, gynecological infections, bone and joint infections, and skin and skin structure infections.

What medications should not be taken with clindamycin? ›

1. Medications that worsen clindamycin side effects
  • Heart medications like amiodarone (Pacerone) and verapamil.
  • Heartburn medications like cimetidine (Tagamet HB)
  • Antibiotics like clarithromycin.
  • Antifungal medications like itraconazole (Sporanox)
  • Antiviral medications like ritonavir (Norvir)
Sep 15, 2022

Which is stronger amoxicillin or clindamycin? ›

Amoxicillin has an average rating of 6.3 out of 10 from a total of 347 ratings on Drugs.com. 52% of reviewers reported a positive effect, while 32% reported a negative effect. Clindamycin has an average rating of 5.7 out of 10 from a total of 756 ratings on Drugs.com.

How does clindamycin make you feel? ›

The following reactions have been reported with the use of clindamycin. Gastrointestinal: Abdominal pain, pseudomembranous colitis, esophagitis, nausea, vomiting, and diarrhea (see BOXED WARNING). The onset of pseudomembranous colitis symptoms may occur during or after antibacterial treatment (see WARNINGS).

How long does clindamycin stay in your system? ›

After oral administration of clindamycin hydrochloride, elimination half-life is increased to approximately 4.0 hours (range 3.4-5.1 h) in the elderly compared to 3.2 hours (range 2.1 - 4.2 h) in younger adults.

How long can you take clindamycin? ›

If you have a "strep'' infection, you should keep using this medicine for at least 10 days. This is especially important in "strep" infections. Serious heart problems could develop later if your infection is not cleared up completely. Also, if you stop taking this medicine too soon, your symptoms may return.

Can endocarditis be cured? ›

Many people with endocarditis are successfully treated with antibiotics. Sometimes, surgery may be needed to fix or replace damaged heart valves and clean up any remaining signs of the infection.

What does a heart infection feel like? ›

General symptoms of a heart infection include chest pain, fever, and shortness of breath. These symptoms can also be present with a life-threatening condition, such as heart attack. Seek immediate medical care if you, or someone you are with, have these symptoms.

Can a sinus infection cause endocarditis? ›

Colds and flu do not cause endocarditis, but infections that may have the same symptoms (sore throat, general body aches, and fever) do. To be safe call your provider.

What virus can affect the heart? ›

Viral infections and your heart

Several viruses can infect the heart, including viruses that cause other types of infection, like respiratory infections and STDs like herpes, chlamydia, and HIV. There are two primary heart infections caused by viruses: pericarditis and myocarditis.

How does your teeth affect your heart? ›

Poor dental health increases the risk of a bacterial infection in the blood stream, which can affect the heart valves. Oral health may be particularly important if you have artificial heart valves. Tooth loss patterns are connected to coronary artery disease.

Which tooth is connected to the heart? ›

Heart – Upper and lower third molars (wisdom teeth) Bladder –Upper and lower incisors. Kidney – Upper and lower incisors.

How do I know if my tooth infection has spread to my heart? ›

What Are The Symptoms of a Tooth Infection Spreading to the Body?
  1. Feeling Unwell. The first thing you may notice is that you start to feel unwell. ...
  2. Fever. Fever is your body's natural defense against infection. ...
  3. Swelling. ...
  4. Increased Heart and Breathing Rate. ...
  5. Dehydration and Stomach Pain.
Jan 19, 2019

Can teeth cleaning cause endocarditis? ›

Several epidemiological studies have estimated that 14% to 20% of cases of bacterial endocarditis (EB) are related possibly to oral hygiene origin (20-22). However, dental treatment is a rare cause of bacterial endocarditis (BE), being toothbrushing the most frequent source of bacteremia.

Does endocarditis shorten life expectancy? ›

Infective endocarditis remains a disease associated with high mortality in certain groups of patients, with death resulting primarily from central nervous system complications and congestive heart failure.

Is endocarditis always fatal? ›

Endocarditis is a rare and potentially fatal infection of the inner lining of the heart (the endocardium). It's most commonly caused by bacteria entering the blood and travelling to the heart.

Can you have endocarditis for years and not know it? ›

The symptoms of endocarditis aren't always severe, and they may develop slowly over time. In the early stages of endocarditis, the symptoms are similar to many other illnesses. This is why many cases go undiagnosed. Many of the symptoms are similar to cases of the flu or other infections, such as pneumonia.

Can you survive bacterial endocarditis? ›

Endocarditis, most often from a bacterial infection, inflames the lining of your heart valves and chambers. Treatment includes several weeks of antibiotics or other medicine and sometimes surgery. With quick, aggressive treatment, many people survive. Without treatment, endocarditis can be fatal.

What percentage of people survive endocarditis? ›

Infective endocarditis (IE) has an overall 6-month mortality of approximately 25% in all-comers. Older age and history of dialysis appear to be the highest risk patient factors; IE complications also suggest a high mortality as well.

Is endocarditis considered heart disease? ›

Endocarditis occurs when bacteria or other germs enter the bloodstream and travel to the heart. The germs then stick to damaged heart valves or damaged heart tissue. Endocarditis is a life-threatening inflammation of the inner lining of the heart's chambers and valves. This lining is called the endocardium.

What is the most common cause of endocarditis? ›

Endocarditis begins when germs enter the bloodstream and then travel to the heart. Bacterial infection is the most common cause of endocarditis. Endocarditis can also be caused by fungi, such as Candida. In some cases, no cause can be found.

Can a blood test detect endocarditis? ›

Blood tests may be used to help diagnose endocarditis or identify the most effective treatment. Blood tests may include: a blood culture test to check for a specific bacteria or fungi. an erythrocyte sedimentation rate (ESR) test.

Can a tooth infection cause endocarditis? ›

Abstract: Infective endocarditis is a life-threatening disease that not only involves the heart, but can also affect other organs. Bacteria enter the bloodstream from a source such as a dental infection, and travel through the blood to form vegetations on compromised heart valves.

How fast does endocarditis develop? ›

There are two forms of infective endocarditis, also known as IE: Acute IE — develops suddenly and may become life threatening within days. Subacute or chronic IE (or subacute bacterial endocarditis) — develops slowly over a period of weeks to several months.

When should you suspect endocarditis? ›

Endocarditis should be suspected in any patient with unexplained fevers, night sweats, or signs of systemic illness, particularly if any of the following risk factors are present1: a prosthetic heart valve, structural or congenital heart disease, intravenous drug use, and a recent history of invasive procedures (e.g., ...

What does a heart infection feel like? ›

General symptoms of a heart infection include chest pain, fever, and shortness of breath. These symptoms can also be present with a life-threatening condition, such as heart attack. Seek immediate medical care if you, or someone you are with, have these symptoms.

Can symptoms of endocarditis come and go? ›

Infective endocarditis symptoms may progress slowly or come on suddenly. Sometimes symptoms come and go. Other signs and symptoms of infective endocarditis include: Fatigue or weakness.

How long are you in hospital with endocarditis? ›

How Is Endocarditis Treated? In most cases, your doctor will prescribe antibiotics. Usually, you will stay in the hospital for about a week to receive them through an IV. You may need IV antibiotics for between 2 and 6 weeks, but some of that might be from home.

What is the first line treatment for endocarditis? ›

Treatment with aqueous penicillin or ceftriaxone is effective for most infections caused by streptococci. A combination of penicillin or ampicillin with gentamicin is appropriate for endocarditis caused by enterococci that are not highly resistant to penicillin.

How long do you need antibiotics for endocarditis? ›

You'll usually have to take antibiotics for 2 to 6 weeks. If your blood sample shows that fungi are causing your infection, you'll be prescribed an antifungal medicine.

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