Vasectomy is a safe, effective and permanent contraceptive option for men who have ended their desire to procreate. By providing a reliable alternative to female sterilisation and long-term contraceptive methods, vasectomy offers individuals and couples greater control over their reproduction and family life. By understanding the process, benefits and implications of vasectomy, men can make informed decisions about their reproductive health and general well-being.
What is a vasectomy?
A vasectomy is a surgical procedure that involves cutting and sealing the vas deferens, the tubes that carry sperm from the testicles to the urethra. This operation is generally carried out under local anaesthetic. Once the vas deferens have been cut, the sperm produced in the testicles can no longer reach the ejaculated sperm.
After a vasectomy, sperm production in the testicles generally continues as before. However, as the ducts that transport sperm from the testicles to the urethra are cut during vasectomy, the sperm can no longer reach the ejaculated semen.
The spermatozoa produced are either reabsorbed by the body or eliminated naturally. They are no longer present in the ejaculated sperm, leaving the man unable to fertilise an egg.
However, it is important to note that vasectomy is not immediately effective. It generally takes a few months and a number of ejaculations to empty the vas deferens of the remaining sperm. During this period, another form of contraception is required to avoid an unwanted pregnancy.
What are the significant benefits?
- Effectiveness: Vasectomy is one of the most effective forms of contraception, with a success rate close to 100%.
- Reversibility: Although a vasectomy is considered permanent, it can sometimes be reversed through a surgical procedure called a vasovasostomy.
- Safety: Vasectomy is a safe procedure with a low risk of serious complications.
- Comfort: After a short recovery period, most men return to their normal level of activity.
What are the misconceptions?
Malgré ses avantages, la vasectomie est souvent entourée de mythes et de préjugés. Certains hommes craignent que cela affecte leur virilité ou leur fonction sexuelle, mais en réalité, la vasectomie n’a aucun impact sur la libido, les érections ou les orgasmes. De plus, la vasectomie n’augmente pas le risque de cancer ou d’autres problèmes de santé.
How does it work?
Before the procedure, patients discuss their motivations, their state of health and the implications of vasectomy with their doctor.
The procedure itself is relatively quick, usually taking less than an hour. After a local anaesthetic, the surgeon makes small incisions in the skin of the scrotum to access the vas deferens. The ducts are then cut, ligated (tied) and often cauterised to prevent reconnection. Once the ducts are sealed, the skin is closed.
After the operation, post-operative pain is perfectly bearable and subsides in 1 to 2 days.
As with any surgical procedure, local infection cannot be ruled out with absolute certainty.
Rarely, haemorrhage may occur, necessitating revision surgery. In the event of a post-operative haematoma (collection of blood), it may be reabsorbed without consequence; sometimes, the radiologist may perform a puncture under ultrasound.
It will be possible to take a shower. However, you will have to wait about ten days before taking a bath.
What are the financial conditions?
Most supplementary insurance policies cover the cost of the operation. Check with your insurer to find out how much you will be reimbursed.
- The vasectomy procedure alone costs CHF 850.
If you have any further questions, please do not hesitate to ask your surgeon. Confidentiality is guaranteed!