Puntos importantes
1.- Realizamos vasectomía sin bisturí
2.- Procedimiento ambulatorio, menor, dolor, menor complicaciones y rápida recuperación
3.- Menor riesgo de complicaciones al realizarlo con un Urólogo
4.- Efectividad cercana al 100%
Espero la información aquí publicada te sea de utilidad, y si tienes más dudas o quieres programar tu procedimiento, no dudes en acercarte a un profesional de la salud especializado específicamente en este tipo de intervención, que te ofrezca una cirugía segura, con una técnica de vanguardia, con calidad de atención internacional, te esperamos.
¿Qué es la vasectomía?
La vasectomía es un método de control de natalidad masculino, que consiste en detener la provisión de espermatozoides al semen, realizando un corte sobre los conductos deferentes, los cuales son los encargados de unir los testículos (Sitio de formación de los espermatozoides) con los conductos eyaculadores (Sitio donde se expulsa el semen durante la eyaculación).
¿Cuál es la efectividad de una vasectomía?
La efectividad del procedimiento se acerca al 100%, en estudios realizados alrededor del mundo se ha establecido una efectividad del 99.9%1.
Existe un riesgo bajo de recanalización y necesidad de reintervención, el cual ronda en 0.24%2, sin embargo cuando se compara con la efectividad de otros métodos como el uso de condón, el cual con el uso típico tiene una efectividad descrita del 87%3, sigue teniendo una efectividad muy superior.
¿Por qué una vasectomía sobre otros métodos?
Comentábamos en el apartado pasado que la efectividad comparada de la vasectomía sobre otros métodos como el uso típico del condón es muy superior, 99.9% vs 87%2,3. La efectividad de la vasectomía es comparable con el 99% de efectividad de una oclusión tubárica, sin embargo se debe de considerar que para realizar la oclusión es necesario la aplicación de anestesia, el cual tiene otros riesgo como el de muerte en 1 de cada 100,000 procedimientos4, cifras que en estudios recientes ya no se han reportado. La oclusión tubárica tiene una tasa baja de complicaciones, reportada en artículos recientes en 1.6%5, sin embargo, al ser una cirugía abdominal, se asocia a complicaciones más graves como lesión de órganos intrabdominales, dehiscencia de la herida, hernias abdominales, embarazos ectópicos, íleo paralítico, sangrado transoperatorio con requerimiento de transfusión, embolismo pulmonar6, y dichas complicaciones se pueden presentar de manera más frecuente en pacientes con cirugías abdominales previas, obesidad y diabetes.
Además, si comparamos el costo a largo plazo de tratamientos anticonceptivos y analgésicos de otros métodos, encontramos que el costo de la vasectomía es tres veces más barata a largo plazo7.
A pesar de los beneficios antes descritos, la vasectomía es el cuarto método más empleado para la anticoncepción, después del condón, anticonceptivos orales y la oclusión Tubárica7. De acuerdo al Sistema Nacional de Información de Salud, en México se realiza una vasectomía por cada diez oclusiones tubáricas, esto probablemente a la deficiencia de información disponible al público masculino, y aunque en los últimos años se ha incrementado las campañas de salud para incrementar la cifra de vasectomías realizadas, todavía queda mucho por hacer.
Entre los métodos anticonceptivos disponibles no existe una receta o una recomendación única, todos los métodos tienen sus beneficios y sus defectos, acércate a tu Urólogo de confianza para discutir el tema con tranquilidad. Con gusto te esperamos en el consultorio y decidimos el mejor método disponible para ti y tu pareja, agenda tu cita aquí.
Beneficios de la Vasectomía
- Es un método anticonceptivo permanente.
- Es un método seguro.
- No interfiere con la actividad sexual.
- No hay riesgos inmediatos o a largo plazo para la salud.
- Es un procedimiento quirúrgico sencillo que no requiere hospitalización.
- La recuperación es rápida, permitiendo regresar rápidamente a sus actividades habituales.
- Aumenta el disfrute y la frecuencia del sexo sin preocupaciones.
Contraindicaciones del procedimiento
No existen contraindicaciones absolutas para realizar el procedimiento, sin embargo se debe de considerar algunas contraindicaciones relativas como la imposibilidad de localizar el conducto deferente durante la exploración en el consultorio, enfermedades en la coagulación, cirugía escrotal previa, orquialgia crónica (Dolor testicular crónico), patología testicular como neoplasias, así como algunas consideraciones éticas como edad temprana del solicitante, que la persona que solicite el procedimiento no tenga hijos, desacuerdo con la pareja7, entre otros.
Cuando lo consideres oportuno acude con tu urólogo para una valoración y determinar si eres candidato al procedimiento, @Urologoconzatti con gusto te puede resolver todas tus dudas
Mitos alrededor de la vasectomía
Se han corrido algunos rumores infundados respecto a este procedimiento, algunos son los siguientes:
- No afectará tu rendimiento sexual. La vasectomía no afectará tu deseo sexual ni tu masculinidad de ninguna manera, al no afectar la función testicular, no tiene ninguna interferencia con tu desempeño sexual, de hecho podrás tener actividad sexual más libremente con tu pareja sin el temor de un embarazo no deseado, y sin métodos de barrera que puedan disminuir la sensibilidad de ese momento especial.
- No desaparece la eyaculación. Solamente el 20% del volumen eyaculado proviene de los testículos, el 80% restante se produce en las vesículas seminales y en la próstata, por lo que no se pierde la eyaculación, tampoco disminuye la sensación de orgasmo, así que pierde preocupación, podrás seguir disfrutando de tus relaciones sexuales sin ningún problema.
- No causará daño permanente a los órganos genitales. Durante el procedimiento hay poca interferencia con los demás órganos, al ser un procedimiento ambulatorio de poca invasión, el riesgo de lesión de una arteria testicular con posterior atrofia del testículo se disminuye si acudes con un médico especialista en Urología, acude con tu Urólogo de confianza.
- 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, aunque respecto al cáncer de próstata ha habido controversia en la literatura.
- 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.
Que tipo de vasectomía me realizarían en el consultorio del Urólogo Conzatti
Existen diferentes técnicas para realizar este procedimiento, en este tu consultorio, realizamos la técnica que combina la mayor efectividad, seguridad y menos dolor. La técnica empleada es una vasectomía sin bisturí, en la cual no realizamos ningún corte con bisturí, si no, con pinzas especiales realizamos una acceso a través del escroto de 4mm, por el cual se realiza la cirugía. Lo anterior ofrece beneficios como menor sangrado, menor tasa de infecciones, menor dolor durante a cirugía y después de la misma, así como una integración más rápida a la actividad sexual8.
Este tipo de procedimiento lo ofrecen médicos especializados y entrenados en el sistema genitourinario como un Urólogo. Acércate a tu Urólogo para platicar más detalles de este tipo de procedimiento.
Complicaciones del procedimiento
Como cualquier otro procedimiento, pueden surgir complicaciones en el mismo, aunque la tasa de estos es del 1 al 2%9, dentro de los cuales encontramos a los siguientes:
- Hematoma
- Epididimitis
- Absceso cutáneo
- Infección
- Granuloma del esperma
- Hidrocele
- Recanalización espontánea tardía
- Dolor testicular crónico
Acude con un médico especialista para disminuir la posibilidad de estas complicaciones, en el consultorio del Urólogo Conzatti se toman todas las previsiones necesarias para disminuir la posibilidad de cualquier complicación al mínimo.
Espero la información aquí publicada te sea de utilidad, y si tienes más dudas o quieres programar tu procedimiento, no dudes en acercarte a un profesional de la salud especializado específicamente en este tipo de intervención, que te ofrezca una cirugía segura, con una técnica de vanguardia, con calidad de atención internacional, te esperamos.
Bibliografía
1.- Barone MA, Irsula B, Chen-Mok M, Sokal DC., Investigator study group. Effectiveness of vasectomy using cautery. BMC Urol. 2004 Jul 19;4:10.
2.- Denniston GC. Vasectomy by electrocautery: outcomes in a series of 2,500 patients. J Fam Pract. 1985 Jul;21(1):35-40.
3.- Trussell J, Aiken ARA, Micks E, Guthrie KA. Efficacy, safety, and personal considerations. In: Hatcher RA, Nelson AL, Trussell J, Cwiak C, Cason P, Policar MS, Edelman A, Aiken ARA, Marrazzo J, Kowal D, eds. Contraceptive technology. 21st ed. New York, NY: Ayer Company Publishers, Inc., 2018
4.-American College of Obstetricians and Gynecologists’ Committee on Practice Bulletins—Gynecology. ACOG Practice Bulletin No. 208: Benefits and Risks of Sterilization. Obstet Gynecol. 2019 Mar;133(3):e194-e207
5.- Jamieson DJ, Hillis SD, Duerr A, Marchbanks PA, Costello C, Peterson HB. Complications of interval laparoscopic tubal sterilization: findings from the United States Collaborative Review of Sterilization. Obstet Gynecol. 2000 Dec;96(6):997-1002. doi: 10.1016/s0029-7844(00)01082-6. PMID: 11084192.
6.- Huber AW, Mueller MD, Ghezzi F, Cromi A, Dreher E, Raio L. Tubal sterilization: complications of laparoscopy and minilaparotomy. Eur J Obstet Gynecol Reprod Biol. 2007 Sep;134(1):105-9.
7.- Stormont G, Deibert CM. Vasectomy. [Updated 2020 May 1]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2020 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK549904/
8.- Cook, Lynley A et al. “Scalpel versus no-scalpel incision for vasectomy.” The Cochrane database of systematic reviews vol. 2014,3 CD004112. 30 Mar. 2014, doi:10.1002/14651858.CD004112.pub4
9.- Leslie TA, Illing RO, Cranston DW, Guillebaud J. The incidence of chronic scrotal pain after vasectomy: a prospective audit. BJU Int. 2007 Dec;100(6):1330-3
FAQs
Is NSV reversible? ›
No Scalpel Vasectomy is a form of permanent Sterilization and even though it can be reversed successfully by microsurgery (90% Success rates), the carry home baby rate or the rate of pregnancy is only 60%-70%. Hence I do not recommend that NSV be portrayed as a reversible procedure for sterilization in the male.
How many incisions are needed for a vasectomy? ›What happens during an incision vasectomy? The doctor makes one or two small cuts in the skin of your scrotum. Through these cuts, the tubes that carry sperm (vas deferens) are blocked off. Sometimes, a tiny part of each tube is removed.
Is a no-scalpel vasectomy less effective? ›The no‐scalpel approach to the vas resulted in less bleeding, hematoma, infection, and pain as well as a shorter operation time than the traditional incision technique. No difference in effectiveness was found between the two approaches.
How effective is a vasectomy? ›They are extremely effective
Masson. After abstinence, vasectomies are considered the most effective method of birth control due to their long-term success rate of over 99%. In fact, only 1-2 women out of every 1,000 end up pregnant within a year of their partner receiving a vasectomy.
No Scalpel Vasectomy (NSV) is a modern method of delivery, ligation and excision of vas deference without use of a knife. It provides a permanent sterilization option for male. It is a safe, effective method of vasectomy with low complication and greater patient compliance.
Is vasectomy Haram in Islam? ›As mentioned in the literature relating to contraception and Islamic belief, vasectomy or tubectomy (i.e. tubal ligation) is permissible to prevent pregnancy as long as the procedure is temporary (i.e. reversible).
Which type of vasectomy is best? ›Since the 1980s, the preferred method of vasectomy has been the no-scalpel vasectomy. This method is as effective as a traditional vasectomy. The no-scalpel procedure is less invasive and has a shorter recovery time, making it a popular option.
How much weight can I lift after a vasectomy? ›Rigorous exercise and sports should still be avoided, and do not lift objects (and babies!) heavier than 20 pounds. If you feel fine after approximately four days and aren't experiencing any discomfort/pain, walking or light exercises are allowed.
Can I be knocked out for a vasectomy? ›A vasectomy is generally safe and effective
A vasectomy can be done either under local anesthesia or conscious sedation (aka “twilight anesthesia”). If performed under local anesthesia, pain medicine will be administered directly to your scrotum to numb the area. You will be awake for the procedure.
One of the most significant pros of a vasectomy is that a vasectomy is a very effective and permanent form of birth control. Only one to two in 1,000 men have a vasectomy that fails. This usually happens in the first year following the procedure. While failures are very rare, I have seen them happen.
How many ejaculations before a vasectomy works? ›
Protocols commonly used in these settings recommend 10–12 weeks or 15–20 ejaculations as endpoints for when men can begin to rely on their vasectomy for contraception [18, 19].
Can a man still have an Orgasim after a vasectomy? ›Your semen quality, amount, and texture won't change noticeably after a vasectomy. The sensation of ejaculation during an orgasm shouldn't feel any different at all. You may find that your first few ejaculations after the procedure are uncomfortable. This discomfort will diminish over time.
How can I sleep after a vasectomy? ›Lie down as much as you can for the first 24 hours. Rest when you feel tired. Getting enough sleep will help you recover. After the first day, try to walk each day.
How painful is a vasectomy? ›The procedure itself shouldn't be painful, but you might feel a small pinch with the anesthetic injection before the area goes numb. Some men report a pulling or tugging sensation when the vas deferens tubes are handled during vasectomy, but discomfort generally lasts just a few moments.
Is a vasectomy considered a major surgery? ›A vasectomy is a small operation to prevent pregnancy. It blocks sperm from getting to your semen when you ejaculate. With no sperm leaving your body, you can't get someone pregnant. You can still have an orgasm and ejaculate.
What is NSV test? ›Suggestive format for collection and reporting of data using Network Survey Vehicle (NSV) for Guidance purpose | Ministry of Road Transport & Highways, Government of India.
What color is sperm after a vasectomy? ›Your semen will look just like it did before your vasectomy. Usually, semen has the consistency of thin mucus and a clear, gray, or white, opalescent color. Since the sperm makes up a very small volume of the semen, you won't notice a change in the amount you ejaculate.
What are the two types of vasectomy? ›There are two types of vasectomies: the incision method, and the no-scalpel (no-cut) method. No-cut methods lower the risk of infection and other complications, and generally take less time to heal. Vasectomies are meant to be permanent — so they usually can't be reversed.
Do Muslims use birth control? ›Writings of Muslim jurists make it clear that Islam allows for the use of reversible methods of contraception, including oral contraceptives, condoms, coitus interruptus, emergency contraception, injections, subdermal implants, IUDs, spermicides, and diaphragms.
Can you use birth control in Islam? ›The Quran does not prohibit birth control, nor does it forbid a husband or wife to space preg- nancies or limit their number. Thus, the great majority of Islamic jurists believe that family plan- ning is permissible in Islam.
Is contraceptive pill allowed in Islam? ›
The Qur'an
In practice most Muslim authorities permit contraception to preserve the health of the mother or the well-being of the family.
In general, vasectomies are usually performed on people in their 20s, 30s, or beyond who've decided not to have children.
Where does sperm go after vasectomy? ›The urethra is the tube inside the penis. Once they are cut, sperm can't get into the semen or out of the body. The testes still make sperm, but the sperm die and are absorbed by the body.
Why can't you drink alcohol after a vasectomy? ›Alcohol can increase the likelihood of complications, and is best avoided for 48 hours before and after vasectomy.
How long do you bleed after a vasectomy? ›Bleeding from the skin edges may be off and on during the first 24 hours. After 24 hours slight spotting may be common. Typically a no-scalpel incision site does not require sutures and should be completely closed within three (3) days.
What is the fastest way to recover from a vasectomy? ›- Get some rest. Keep your activity to a minimum for at least the first two days, then resume activities as much as you can tolerate them. ...
- Kick your feet up. ...
- Ice your area. ...
- Practice good hygiene. ...
- Wear comfortable clothing. ...
- Take acetaminophen or ibuprofen.
A vasectomy is usually done at a doctor's office or surgery center under local anesthesia, which means you'll be awake and have medicine to numb the surgery area.
How long does a no-scalpel vasectomy take to heal? ›Sure, it's a little sore; it can be a little swollen for two or three days, but generally speaking, it is very well-tolerated. By four days after the procedure, most men can start to get back to normal activity. It takes seven to 10 days to resume physical activity and sex.
How long does a non scalpel vasectomy take? ›No-Scalpel Vasectomy Procedure
A no-scalpel vasectomy is an outpatient process that generally takes approximately 20 minutes. First, the surgical site – the scrotum – is numbed using an external numbing agent.
The advantage of laser-assisted vasectomy reversal is that it is a simpler technical procedure that requires considerably less time than a 2-layer microsurgical technique. There were no significant complications, sperm granuloma, or even significant swelling or hematoma in any patient operated upon.
What are the different types of vasectomy? ›
There are two types of vasectomies: the incision method, and the no-scalpel (no-cut) method. No-cut methods lower the risk of infection and other complications, and generally take less time to heal. Vasectomies are meant to be permanent — so they usually can't be reversed.
How do you sleep after a vasectomy? ›Lie down as much as you can for the first 24 hours. Rest when you feel tired. Getting enough sleep will help you recover. After the first day, try to walk each day.
How do you shower after a vasectomy? ›You may shower after 24 hours, but do not take a bath or use a hot tub for 48 hours. Wear your athletic underwear, compression shorts, jock strap/athletic supporter for the next 72 hours. Remove it to shower after 24 hours, but then replace it afterwards.
How can I support my husband after a vasectomy? ›Let your partner lay down as much as possible for two to three days after the procedure. Help with tasks that involve heavy lifting or strenuous movement for about a week after the procedure. Provide your partner with lots of ice or bags of frozen peas to ease the post-surgery pain. Encourage your partner take it easy.
Can I drive myself home after vasectomy? ›Vasectomies are typically complete within 15 to 30 minutes. The surgery is performed under local anesthesia, and you can typically drive yourself home after the procedure. To minimize swelling, you can place an ice pack on the area for eight hours following the surgery.
Can you drive immediately after a vasectomy? ›Do not drive for at least two hours after surgery. Sudden lightheadedness or fainting could impair your driving ability and endanger yourself and others. Rest, and avoid getting up unnecessarily. Tomorrow you may return to driving, normal activities, and light duty work.
Can I shower after a no-scalpel vasectomy? ›You may shower 24 hours after your vasectomy. Afterwards, keep the area of the incision clean and dry. Refrain from intercourse/ejaculation for one week. Ejaculation may cause some discomfort in the groin and testicles until the tissues heal.
What color is sperm after a vasectomy? ›Your semen will look just like it did before your vasectomy. Usually, semen has the consistency of thin mucus and a clear, gray, or white, opalescent color. Since the sperm makes up a very small volume of the semen, you won't notice a change in the amount you ejaculate.
Are vasectomies linked to dementia? ›When that barrier is broken, as occurs with vasectomy, sperm become exposed to the bloodstream. In response, many men who have had the surgery produce antisperm antibodies. These antibodies may affect the brain, causing damage which can lead to dementia.
What is the average age for a man to get a vasectomy? ›Vasectomy after 25
Research in the American Journal of Men's Health found that the average age for a vasectomy was about 35, with the typical age range for the procedure between the ages of 30 and 56.
Can a vasectomy fail after 2 years? ›
It is also possible for a vasectomy to fail weeks, months, or even years after the procedure through a process called recanalization. Recanalization happens when the vas deferens grow back to create a new connection, causing the vasectomy to reverse itself.
Can you wash your balls after a vasectomy? ›Wait until the day after your vasectomy to shower to give the wounds time to heal. After that, keep your groin area clean to prevent infection. But stick to the shower — stay out of the bath tub for three to four days.
Does vasectomy affect feeling? ›In the long run, a vasectomy shouldn't change the overall sensation of orgasming either. In the first few weeks after the operation, men who try to orgasm do report that it can feel a little uncomfortable. There can still be some mild swelling in the area, which might reduce the intensity of orgasm.