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Procedures:
Cystoscopy
("cysto")
[information]
Lithotripsy
(ESWL)
[information]
Prostate
Biopsy
[information]
Ureteroscopy
[information]
Vasectomy
[information]
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Vasectomy
Preliminary Information:
1. Patients are to come by for consultation with procedure scheduled for a later date. In rare instances both consultation & vasectomy can be done on the same day.
2. The amount of fluid (ejaculate) that comes out at time of orgasm after vasectomy is a little lower, but not usually by a lot as most of the fluid comes from the seminal vesicles and prostate which aren’t influenced by vasectomy.
3. The testicles still produce sperm, but with the system being obstructed the sperm will just get broken down & reabsorbed into the body. This isn’t harmful or painful.
4. There should be no alteration in erectile function.
5. The risks with the procedure are skin infection & bleeding initially, but the bigger concern is failure to achieve sterility. Reports have shown re-establishment of ductal patency in upwards of .5% of men (1 in 200). As such, follow up semen tests will be necessary to assure that sterility has been achieved.
6. There was a report many years ago that suggested that men that have had a vasectomy will be at an increased risk for prostate cancer later in life, but subsequent reports have disproved this theory.
7. A vasectomy reversal is later sought in 6% of men that have the procedure. While this is possible to do, don’t think of this as an "out" as the expense of a reversal is considerable and the success rate in terms of later pregnancies is about 50%.
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