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Vasectomy Surgery​ (Male Sterilization)

Vasectomy Operation in Hyderabad, India | Male Sterilization

PACE Hospitals is renowned as the best hospital for Vasectomy in Hyderabad, Telangana, India, offering safe, painless, and highly effective procedures for permanent male sterilization. Our expert urologists specialize in no-scalpel vasectomy (NSV), a minimally invasive technique that ensures quicker recovery, minimal discomfort, and fewer complications.


With state-of-the-art operation theaters, an advanced 3D HD laparoscopic system, and personalized patient care, we provide a seamless surgical experience tailored to your needs. Our commitment to men’s health, safety, and excellence makes PACE Hospitals the top choice for vasectomy surgery in Hyderabad.

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    What is a Vasectomy​ Surgery?

    Vasectomy definition


    A vasectomy is a procedure that blocks sperm from entering the semen. So, when a man ejaculates, he releases sperm-free semen. 

    

    During surgery, two tubes known as the vas deferens are cut and sealed. The vas deferens transports sperm from the testicle to the urethra. The urethra is a tube inside the penis. Once vas deferens are cut, sperm cannot enter the semen or exit the body. The testes may still produce sperm, but they die and are absorbed by the body.


    A person who has undergone a vasectomy can still ejaculate. However, the semen contains no sperm. All male sex features, including testosterone levels, remain constant. For most people, the capacity to have an erection remains intact.

    Vasectomy meaning​ | vasectomy Definition | vasectomy procedure

    Vasectomy is usually done in the clinical setting of a urologist, a specialist who specializes in male urinary tract and reproductive health. In some situations, the urologist may choose to perform a vasectomy in an outpatient surgical center or hospital. This could be due to patient nervousness or because other operations will be performed simultaneously.


    Urologists perform about 75% of vasectomies, with the remaining performed by general surgeons and family medicine practitioners.

    Vasectomy meaning


    The term "vasectomy" is a Latin word in which "vas" means a ‘tube or duct’ and "ectomy" means ‘cutting or surgical removal’

    Types of Vasectomy Procedure

    Vasectomy is a permanent birth control or sterilization option for men. There are several methods of vasectomy performed by a doctor or surgeon. The pain, discomfort, and time consumed for the individual method is what makes them differ from each other. Different types of vasectomy procedures include:


    Conventional vasectomy

    A traditional vasectomy involves making an incision on one side of the scrotum and extracting one vas deferens, which is then fitted with two clamps. The piece between the clamps is then removed, and the two open ends are sutured and cauterised using an electric needle. The sealing process may not be the same in every circumstance. It might be typing or clipping. Once the sealing technique is completed, the vas deferens will be gently reinserted into the scrotum, and the same procedure will be performed on the remaining vas deferens.

    

    Open and closed-ended vasectomy

    In an open-ended vasectomy, just one end of the vas deferens is sutured while the other remains open. The end connecting to the prostate is tied, but the end attached to the testis remains open. An open-ended vasectomy is one of the most common types of vasectomy since it reduces the risk of complications before, during, and after the procedure. Unlike an open-ended vasectomy, a closed-ended vasectomy involves sealing or tying both open ends of the vas deferens that are cut.


    No-scalpel vasectomy (NSV)

    During this surgery, the urologist locates the vas deferens beneath the skin in the scrotum and clamps it in place. A small opening is subsequently created, and the vas deferens is gently pushed out. The doctor can then cut, knot, or cauterize the two ends before returning them to their proper positions. The little opening in the scrotum will heal on its own.


    Vasclip implantation

    In this technique, a vas clip (a rice-sized plastic clip) is used to lock the vas deferens and prevent sperm from passing through the ejaculation channel. This method does not require closing the vas deferens tubes. Only the vas clip can lock the vas deferens. Although there are no problems, this birth control method is less effective than other vasectomy operations.

    Vasectomy is a highly successful method of male sterilisation that is frequently selected by males wanting permanent contraception. It is intended for persons who are definite about not wanting future pregnancies and is frequently explored after other contraceptive techniques are no longer desired or suitable. The common indications of vasectomy include the following:


    • Permanent contraception: The primary indication for vasectomy is to provide a permanent method of birth control for men who do not wish to father any more children.


    • Stable relationships: Men in stable relationships where both the partners agree on the intention to avoid future pregnancies frequently may select vasectomy as a reliable contraceptive technique.


    • Health risks associated with pregnancy: Vasectomy may be recommended when pregnancy offers a health risk to the partner, such as pre-existing medical issues that could complicate the pregnancy.


    • Genetic concerns: Men may choose a vasectomy to avoid passing on hereditary illnesses or genetic problems to their offspring.


    • Post-prostatectomy complications: Vasectomy can be used to avoid post-prostatectomy epididymitis, which is inflammation of the epididymis caused by prostate surgery.


    • Previous contraceptive failures: Men who have been unsuccessful with other means of contraception may choose vasectomy as a more effective and permanent alternative.

    Contraindications of vasectomy

    There are no absolute contraindications for vasectomy, meaning that, in theory, any man can undergo the procedure. However, certain conditions may necessitate caution or further evaluation. Relative contraindications for vasectomy include the following: 


    • Absence of children: Men without children may be recommended to reconsider vasectomy, as it is supposed to be permanent sterilization.


    • Age under 30: It is frequently believed that younger males have not thoroughly gone through the consequences of permanent sterilization.


    • Severe illness: Men with serious health problems may face higher risks during or after the procedure.


    • No current relationship: Those without a constant companion may not be the best candidates due to potential changes in life circumstances.


    • Scrotal pain: Chronic testicular pain or preexisting testicular disease may complicate recovery and outcomes.


    • Anatomical abnormalities: Large varicoceles or hydroceles may make the surgery unfeasible.


    • Acute skin infections: Active infections in the genital region may increase the risk of problems during surgery.


    • Previous scrotal surgery: A history of scrotal surgery can complicate the vasectomy surgery by changing the anatomy or forming scar tissue, making it difficult for the surgeon to detect and access the vas deferens. This complexity can raise the likelihood of complications, such as infection or incomplete occlusion, making past scrotal surgery a relative contraindication for having a vasectomy.

    

    • Coagulopathy: Patients with coagulopathy may experience major difficulties during vasectomy, such as heavy bleeding or hematoma formation, making the procedure risk and potentially needing alternate contraceptive options.

    Advantages of Vasectomy Surgery

    Vasectomy provides various advantages as a permanent means of contraception for males. Apart from its great effectiveness in preventing conception, it offers a long-term, hassle-free option with minimal maintenance, making it an increasingly popular choice for individuals who have completed their family planning.


    Benefits of vasectomy as birth control may include: 


    • High effectiveness: Vasectomy is one of the most successful types of contraception, with a failure rate of less than 0.15% when done appropriately. This makes it an excellent option for men who are certain they do not wish to have children in the future.


    • Lower complication rates: The no-scalpel technique has been found to considerably lower the likelihood of surgical complications, such as hematomas and infections, as compared to typical incisional procedures. This leads to a safer operation and quicker recovery times.


    • Cost-effectiveness: Vasectomy can be less expensive in the long run than alternative contraceptive options, such as condoms or hormonal birth control for women. It removes the continuous costs associated with these procedures.


    • Psychological benefits: After having a vasectomy, many men report feeling more at ease about unintended pregnancies, which can improve closeness and lessen anxiety in sexual interactions.


    • Quick recovery: Most men may resume normal activities after a week of surgery, making it an ideal option for those concerned about downtime.


    • Satisfactory outcomes: According to studies, a considerable majority of men are satisfied with their decision to get a vasectomy, with high rates of contentment over their choice.

    

    • Reversibility options: While vasectomy is supposed to be permanent, there are techniques for reversal (vasovasostomy), albeit success rates vary depending on the amount of time since the treatment.

    Vasectomy procedure steps

    The vasectomy procedure is a simple, minimally invasive operation that may usually be performed as an outpatient. Understanding the steps of a vasectomy operation is vital for anyone considering the treatment, since it clarifies what to expect before and after the surgery.


    Steps of vasectomy may include:


    Preparation


    • Consultation: Prior to the surgery, the patient consults with their healthcare professional, who describes the procedure and answers any questions.


    • Consent: The patient signs a consent document after fully comprehending the surgery and its consequences.


    • Preoperative instructions: Patients may be advised to discontinue blood thinners (such as antiplatelets) several days before surgery.


    Procedure Steps


    • Anesthesia: The area is numbed using a local anaesthetic, allowing the patient to stay awake and make patient feel no pain throughout the procedure.


    • Incision or puncture:
    • In case of a conventional vasectomy: Small incisions are made on both sides of the scrotum to provide access to the vas deferens.
    • In case of no-scalpel vasectomy: A tiny puncture is made instead of an incision to reduce hemorrhage and healing time.


    • Isolation of vas deferens: The surgeon finds each vas deferens, which transports sperm from the testicles, and pulls it through the incision or puncture.


    • Cutting and sealing: Each vas deferens is cut and then sealed using one of the following methods 
    • Tying off with sutures.
    • Cauterization (using heat).
    • Surgical clips


    • Closure: After sealing both ends of the vas deferens, the surgeon returns them to the scrotum and repairs the incision or puncture site, usually without stitches or with absorbable sutures.


    Postoperative care

    

    • Recovery instructions: Patients need to use ice packs to minimize swelling and wear supportive pants for a few days.
    • Activity restrictions: Light activity is encouraged after 24 hours, but intense activities should be avoided for at least a week.
    • Follow-up: A semen analysis is often indicated several weeks post-surgery to establish that there is no sperm in the semen, providing effective contraception.

    Vasectomy complications

    Vasectomy is a common surgical technique for male sterilization, but like any other surgery, it has complications. Although complications are uncommon, they might range from little pain to significant difficulties, affecting the patient's recovery and health.


    Complications after vasectomy may include the following:


    • Pain: Post-vasectomy pain syndrome (PVPS) refers to testicular pain that lasts longer than three months following the procedure. The discomfort might range from mild to severe and persistent.


    • Infection: Infections are usually small and treatable with medications. Symptoms of infection include fever, scrotal redness, and soreness.


    • Sperm granuloma: A tender lump beneath the skin caused by an inflammatory response due to sperm that spills during surgery. These lumps are normally harmless and composed of sperm. 


    • Epididymitis or orchitis: Painful, swollen, and tender epididymis, or testis, that usually appears within a year of surgery.


    • Hematoma: Bleeding under the skin can cause severe swelling.


    • Vasectomy failure: This occurs in 0-2 percent of patients. 


    • Antisperm antibodies: Around 60% of males who have a vasectomy will have anti-sperm antibodies in their seminal fluid.


    Other risks and complications of vasectomy include 

    • Short-term bleeding
    • Swelling, and bruising

    Recovery after vasectomy

    It’s normal to experience some pain and swelling in the testicles for about a week after a vasectomy. Over-the-counter pain relievers can help manage the discomfort.


    Initially, the patient might feel some pain when getting an erection and may notice a small amount of blood in the semen. These symptoms are temporary and should go away quickly.


    There’s no evidence to suggest that a vasectomy has any long-term impact on sexual performance or satisfaction.


    Most men can return to work within 24 hours after the procedure.

    Questions that the patients can ask the healthcare team about vasectomy surgery?

    1. What is the difference between a conventional vasectomy and a no-scalpel vasectomy?
    2. How long will the procedure take, and what can I expect during it?
    3. What are the potential risks and complications associated with a vasectomy?
    4. How long should I wait before resuming sexual activity after the procedure?
    5. Will a vasectomy affect my testosterone levels or sexual performance?
    6. What should I do if I experience severe pain or unusual symptoms after the surgery?
    7. How effective is a vasectomy, and when will I know if it has worked?
    8. Can a vasectomy be reversed, and what are the chances of success if I choose to do so later?
    9. What kind of post-operative care should I follow to ensure proper healing?
    10. Will I need to use alternative contraception immediately after the procedure, and for how long?

    Difference between Vasectomy and Tubectomy

    Vasectomy vs tubectomy

    Vasectomy and tubectomy are both permanent contraception methods, but they differ significantly in procedure, gender, recovery time, and reversibility. Understanding these differences is crucial when considering which method is best to an individual's needs and circumstances. The table below contains some key differences between vasectomy and tubectomy.

    Aspect Vasectomy Tubectomy
    Definition Vasectomy involves the cutting and sealing of vas deferens (the tubes that carry sperm) Tubectomy involves cutting, tying, or obstructing the fallopian tubes that prevent eggs from reaching the uterus.
    Gender Performed on males Performed on females
    Reversibility Although outcomes can differ, vasectomy reversal is generally regarded as easier to reverse than other surgeries. Tubal ligation is often irreversible; reversing it is more difficult, with poor success rates.
    Effect on hormones Does not influence male hormones (testosterone) or sexual function. Does not affect female hormones (estrogen, progesterone), as it does not involve ovaries.
    Post-procedure recovery Quicker recovery; usually takes a few days to a week with no discomfort. Longer recovery: it may take several days to weeks, with increased discomfort and a longer healing time.
    Cost and accessibility Generally, less expensive and simpler, these procedures are frequently performed in an outpatient setting. Typically, more expensive, needs general anesthesia, and takes place in a hospital or surgical center.

    Frequently asked questions (FAQs) on Vasectomy Surgery

    • Can a vasectomy be reversed?

      Yes, nearly all vasectomies are reversible. A vasectomy reversal is a surgical operation that reconnects the vas deferens, the tubes that transport sperm from the testicles. The success rate of reversing a vasectomy is between 60% and 95%.

    • What happens in a vasectomy?

      Vasectomy is a type of male birth control that restricts the supply of sperm to semen. It is accomplished by cutting and closing the tubes that transport sperm. Vasectomy has a low risk of difficulties and can normally be performed as an outpatient procedure under local anaesthesia.

    • Can a man ejaculate after vasectomy?

      Yes, men can ejaculate after a vasectomy, but the semen will not contain sperm. A vasectomy is a permanent birth control procedure that involves cutting and closing the vas deferens, the tubes that transport sperm from the testicle to the urethra.

    • Is a vasectomy permanent?

      Yes, a vasectomy is intended to be a permanent method of male sterilization. It is an extremely successful method of birth control, with a failure rate of less than 1%2. However, it is not instantly effective, and follow-up semen analysis are required to establish the absence of sperm.

    • How does a vasectomy work?

      A vasectomy prevents sperm from passing through the tubes that connect the testicles (where sperm are produced) to the penis. Because semen is largely made up of fluid produced outside of the testicles, the amount that men ejaculate should remain constant. However, sperm will no longer be present in the semen.

    What happens to sperm after vasectomy?

    Once the vas deferens are cut off, sperm cannot enter the semen or leave the body. The testes still produce sperm, but they die and are absorbed by the body.

    Does a vasectomy hurt?

    A vasectomy is usually a painless procedure as the testicles are numbed with local anesthesia. While the anesthetic injection may cause a slight pinching sensation, and some men experience tugging during the procedure, significant pain is uncommon. Mild discomfort, bruising, and swelling are common side effects of the surgery, but they are usually tolerable. Ice packs and over-the-counter pain medications may be used to alleviate post-surgical discomfort.

    Is vasectomy safe for male?

    Yes, a vasectomy is often safe and effective for men who are sure they do not want to have children in the future.

    Is there any chance of pregnancy after vasectomy?

    While extremely rare, there is a small chance of pregnancy occurring after a vasectomy, usually due to not waiting long enough after the procedure to have unprotected sex, or a technical failure during the surgery where the vas deferens reconnects, allowing sperm to still be present in the semen; however, a vasectomy is considered a highly effective method of birth control with a failure rate of less than 1% when fully effective.

    Is epididymitis more common after vasectomy?

    In certain men, vasectomy can lead to gland inflammation, also known as epididymitis. The condition's symptoms include discomfort and oedema. Epididymitis after vasectomy occurs in an estimated one to three percent of all males after a vasectomy.

    How common is vasectomy in India?

    Vasectomies are rare in India, with about 0.3% of couples selecting this method of contraception. Despite government campaigns promoting vasectomies, the procedure's popularity has been dropping. Female sterilization remains the most popular method of birth control in India, with over one-fifth of couples selecting it.

    Does vasectomy affect erectile function?

    Many patients are concerned about the link between vasectomy and sexual function, and they are worried that the quality of their sexual lives would suffer as a result of the procedure. Fortunately, most studies have shown that vasectomy does not harm, or even improves, sexual function.

    Does having a vasectomy increase the risk of cancer?

    A research study demonstrated that vasectomy is connected with a statistically significant increase in the long-term risk of prostate cancer. The absolute increase in risk following vasectomy is less, but the research findings have showed a link between reproductive factors and prostate cancer risk.

    Does it hurt to pee after a vasectomy?

    While some slight discomfort or pulling sensation when urinating is usual after a vasectomy, if there is severe, sharp pain, or trouble urinating after the procedure, it is recommended to consult the concerned health care expert as it could suggest a complication.

    At what age does a man stop ejaculating?

    Men do not often stop ejaculating at a certain age, and many continue to ejaculate throughout their lives. However, some men may develop erectile dysfunction or other sexual difficulties in their 40s and 50s, which might cause less frequent ejaculation.

    What is the success rate of vasectomy?

    The success rate for vasectomy is 99.7%, with typically low complication rates ranging between 1% and 2%.

    How much does vasectomy cost in Hyderabad, Telangana?

    The cost of vasectomy surgery in Hyderabad, Telangana, India; varies depending on the hospital and procedure type. At PACE Hospitals, we offer affordable vasectomy pricing with the highest standard of care. Contact us for a detailed cost estimate and insurance coverage options.

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