nursing

1. Class Presentation
on
“Permanent contraception method of
male(Vasectomy)”
Mittal college of nursing
A part of mittal hospital and research center
Ajmer
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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

7. A RINGED VAS FORCEPS:
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8. A VAS DISSECTING FORCEPS:
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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.

11. MALE REORODUCTIVE SYSTEM:
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Before surgery After surgery

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

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