Vasectomy

Vasectomy is a urological microsurgical procedure that involves cutting the vas deferens, disrupting the transport of sperm from the testicles to the penis. This method does not cause permanent infertility of the man, but leads to a lack of sperms in the ejaculate. Sperm are still produced in the testicles and can be used for fertilization after a vas deferens reconstruction procedure or retrieval directly from the epididymis. In many cases, a vasectomy is performed using a "no-scalpel" method, which involves one or two punctures without the necessary incision.

The success rate of vasectomy is up to 99.9%. However, to make sure that the procedure went well, it is recommended to have follow-up semen check-ups several weeks afterwards. Following treatment, the effect is not immediate. There may be sperm in the ejaculate for up to several months – this depends on individual sperm characteristics and anatomical conditions.

The procedure is done under local anesthesia, therefore it is considered virtually painless. The anesthetized vas deferens is visualized through a puncture/minimal skin incision. At Tartaczna 2 Medical Center, Dr. Misterek uses a procedure based on the highly effective Canadian method. The vas deferens is transected. The testicular end remains open and displaced beyond the sheaths of the vas deferens. The end leading to the penis is clipped and coagulated, and it remains in place in the penile structures. The advantage of this method is one of the highest efficiencies – 99.5%, and a mild postoperative period, without any discomfort from the testicle. After the procedure, a minimal-sized wound and mild discoloration of the skin is visible on the scrotum.

You should not have intercourse for one week after the procedure.

After the surgery, a semen test for sperm is required at 3 and 6 months.

The procedure itself is not burdensome and the patient can return to his normal activities after the procedure.