2. INTRODUCTION
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Vasectomy is also called as a male sterilization, a
surgical procedure which aim to prevent conception and
prevent from pregnancy.
The procedure is done by doctor mostly urologist and in
an in patient department or clinical setup.
In the procedure the small tube which are called vas
defernas are cut , blocked or tied.
3. DEFINITION
Vasectomy is a surgical procedure for male sterilization
and a method of permanent birth control , in which the
vasa diferentia of a man are tied and separate to prevent
sperms to entering into seminal stream which results to
prevent conception.
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4. HISTORY OF VASECTOMY:
First recorded vasectomy 1823 by Coper from
England
After a short time a barber R. Harrison by
profession performed first human vasectomy in
1924
First programe on a national scale launched 1954
in India. 4
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5. CASE SELECTION AND INDICATION
:
When person are in relationship and both partner
did not want any childern.
They are in relationship and any partner having
health problem that would make pregnancy
unsafe.
if one or both partner having any genetic
disorder. 5
6. TYPES OF VASECTOMY:
There are mainly 3types of procedure:
Convential vasectomy(scalpel):
- The oldest method.
- Total 3 incision ,1 on each side and 1 in middle of
scrottum. (1.5 -3 cm. on each side).
- Closure by sutures ,High risk for infection.
Non scalpel vasectomy:
- Two special forceps Vas ring clamp and vas dissectors.
- Less complication and not required sutures.
Minimally invasive:
It is also type of non scalpel ,
Minor complications and low risk of infection. 6
9. PROCEDURE: (NON SCALPEL)
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- A sign consent of person who will be undergone with procedure.
- Explaining the procedure for a good cooperation.
- Operation done in an in patient dept. or in clinic.
- Provide supine position to the patient , assure the local area
should be shaved and clean with full aseptic technique.
- Procedure done under local anaesthetic agent for numb the area.
- Vas is palpated at the level midway between the top of testies &
the base of penis.
10. 10
cont….
- the vas is grasp with the help of ringed clamp applying then the
skin is punctured by sharp pointed dissecting forceps.
- vas is elevated by dissecting forceps and hold with ringed
clamp.
- Then division of vas is made by diathermy and ligated apart
from and by tip 1 cm.
- No skin suturing required small pressure bandage will be
applied.
- Same procedure done on other side.
12. WHAT TO EXPECT AFTER SURGERY
The patient can resume sexual intercourse once
pain and swelling subsides.
But the partner can still get pregnant until the sperm
count is zero.
Till that another birth control methods can be used ,
until the patient has follow up sperm count test, 6
weeks after the vasectomy or 10 to 20 ejaculations.
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13. 13
• Pre operative evaluation:
- Complete history collection and physical examination
- Bleeding disorders & any surgical history related to
genito urinary tract.
- Avoid aspirin and NSAID drugs 24 to 48 hrs.prior.
- Anxiolytic drugs administer before the procedure.
• Post operative evaluation:
- Rest for next 24 hrs.. Light work 2-3 days.
- Do not put heavy weight upto 7 days.
- Scrotal support and pressure bandaging should apply.
- No sexual activity till 3 days.
14. 14
Advantages:
- An effective and permanent way to prevent pregnancy for
that couple who did not want children.
- It does not affect sexual activity.
- More easier and less expansive then female contraception.
Disadvantages:
- It does not protect against STDs.
- Other short term risks are:
swelling , bleeding , blood presence in the semen and infection
15. COMPLICATIONS:
Bleeding and bruising.
Infection at the site.
sperm leaking from a vas defernas into the tissue around
it & forming a small lump.
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16. NURSES ROLE:
Asses the patient carefully.
Note if any complication seen.
Some times the sedation and pain will be feels after
operation so analgesics can be given.
Advice them about next 7 days of life style changes.
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17. CONCLUSION:
- As a part of my class presentation I discussed about
permanent contraception in male (Vasectomy), intro.
Definition , types , procedure , its advantages and
disadvantages and case selection etc. I would like to thanks
Mrs. Snehlata parashar mam (lecturer), MCN Ajmer for the
further guidance and helping me for the preparation pf
presentation and helps for a collection of data.
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•Bibliography:
- A book of obstetrics Dc. Datta including
perinatology and contraception. pg>. 630-634.
- A book of obstetrics & gynecology by dr. G.K.
Sandhu pg. no. 412.
- Net reference: www.google .Wikipedia.org
