Conditions and Treatments

Family planning

What is a vasectomy?

It is a simple and office procedure, which takes about 15-20 minutes, in which a segment of the ducts that communicate the testicles with the rest of the genitourinary system is extracted to prevent the expulsion of sperm. This results in the permanent and total decrease in male fertility. In short, it is a fast, effective and inexpensive method of birth control.

Is vasectomy dangerous?

Vasectomy is a procedure that can be performed with minimal risks. The main possible side effects and associated complications can be temporary pain, bleeding, wound infections, and inflammation in the testicles. The risk of some of these complications occurring is less than 2%.

The procedure does NOT affect sexual function, nor does it decrease ejaculation volume too much.

What should I expect after a vasectomy?

The patient usually requires rest from exercise activities for at least 3 days. Pain medications are used occasionally, and rest and application of ice packs to the genital area for the first 24-48 hours is recommended. The use of scrotal support and avoiding sexual intercourse for 5-7 days is recommended.

The complete absence of sperm in the semen will take between 4-6 weeks, within which the patient will still be fertile. Protective methods are recommended until your doctor tells you otherwise. A sperm count is required between 6-8 weeks after the procedure to confirm the success of the procedure.

Is vasectomy reversible?

In theory, it is. But the reversal process requires a vasovasostomy, which is a more complicated surgery, which involves the use of microscopes or special loupes to reconnect the sperm ducts. Success depends on the surgeon’s experience, the length of time the patient had the vasectomy, and other existing conditions.

That is why the patient who chooses a vasectomy should consider it an irreversible procedure.

Male infertility

What are varicoceles?

They are dilations of the veins that carry deoxygenated blood out of the testicle. This occurs because valves within the veins of the spermatic cord prevent proper flow. They are often present in patients with infertility.

How can varicoceles affect me?

On some occasions, deficiency in the drainage of these veins could cause:

  • Infertility
  • Testicular pain
  • Testicular atrophy
  • Deficiencies in testosterone and sperm production of the affected testicle

How are varicoceles treated?

The management of varicoceles depends on the size of the veins and the effects these may have had on the testicles. Options include:

  • Observation
  • Varicocelectomy with the use of a microscope or magnifying glasses
  • Laparoscopic varicocelectomy
  • Embolization

What is varicocelectomy?

It is a simple and outpatient operation, which requires a small incision in the groin area, by which the deficient veins are identified and ligated to avoid the accumulation of blood in the scrotal area. Recovery time is usually 3-5 days. The benefits of surgery are both short and long term.

What is a vasovasostomy?

Sometimes life changes, and patients who have opted for vasectomy as their contraceptive method request a reversal of the procedure in order to conceive naturally. Vasovasostomy involves reconnection of the vas deferens, which requires the use of a microscope or high-magnification loupes.

How successful is vasovasostomy?

The success of this procedure depends on the technical expertise of the surgeon, the length of time the patient has had the vasectomy, and other factors associated with the patient’s condition. In expert hands, 60% to 90% of patients will have a successful reversal.

At the Puerto Rico Sexual Wellness Clinic we are here to help you with any family planning issue in a discreet and confidential way.

Contact us today to make an appointment

Contact us today to arrange an appointment

You can also call us at 787-777-6690





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