Vasectomy surgery: step by step
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- Vasectomy surgery is an elective operation to treat male infertility.
- It is a very simple, short-term surgery that is performed on an outpatient basis.
- The patient leaves the hospital under his own steam, but must wait a few months before being able to have sex without the risk of pregnancy.
Step by step of a vasectomy
Vasectomy is a surgery that is mainly performed as a form of family planning. It is used by men who decide together with their partners not to have children again, so with this surgery they avoid unexpected "scares".
It is an irreversible operation, so the patient is usually urged to think very carefully before undergoing it, because although there is a surgery to try to restore fertility, the success rates are very, very low.
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The vasectomy operation is performed under local, topical or regional anaesthesia on an outpatient basis, so the patient will return home the same day without the need for hospitalisation. Below we explain the vasectomy operation step by step:
The vasectomy
- The patient arrives at the hospital shortly before the operation and hands over all the necessary documents for the surgery to the administration. The patient is then taken to a waiting room where he/she will remain until the nursing team calls him/her for the operation.
- When it is time for the surgery, the patient will enter a room where he/she will be asked to undress, remove any accessories or metallic elements and put on operating theatre clothes.
- In the operating theatre, the medical team consisting of the anaesthesiologist, the surgeon and a member of the nursing team will be waiting for you.
- The patient will be positioned on the table as indicated by the surgeon. An anaesthetic will then be administered to the area to be operated on so that the patient does not feel any pain during the surgery. The patient will feel the area being touched.
- The surgeon will disinfect the lateral area of the scrotum, shaving it if necessary.
- The doctor makes an incision in the side of the scrotum and, using a surgical instrument, removes part of the vas deferens (the tube that connects the testicles to the urethra and through which sperm reach the urethra).
- Next, a small portion of the vas deferens is sectioned and both ends are sutured together to prevent sperm from passing from one end to the other.
- Finally, the incision is sutured and a dressing is applied.
- This entire process is also performed on the other side of the scrotum, as both testicles connect to the urethra.
- Once completed, the patient is taken to a room where he will rest for a short period of time and then leave the hospital on his own.

Despite having performed the operation, the surgery does not become effective until after 2 clean spermiograms, as it is possible that sperm may remain in the upper section of the vas deferens (which has been cut during the vasectomy operation) or in the urethra.
During the recovery time after vasectomy surgery, it is recommended to avoid heavy exercise for about 15 days and to avoid sexual intercourse until the wounds are completely closed, etc.
Are you interested in having a vasectomy surgery?
Request a free and immediate appointment with our specialists in Urology
Come to Spain for your surgery or treatment
We manage everything from start to finish
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