What to Expect Before, During, and After a Vasectomy Procedure?
The brief facts on vasectomy
The first vasectomy was performed on a dog in 1823. The first human vasectomy was performed a short time after that. However, vasectomy didn't become common until after the Second World War. India launched the first national program in 1954.
Vasectomy is a simple, safe procedure that is an excellent solution to prevent unwanted pregnancy and has a low rate of failure. The alternative for a couple is to have the woman undergo a tubal ligation, which is a major surgery that has a significant rate of failure as compared to vasectomy. Despite these differences, many men compel their partner to undergo tubal ligation for a variety of reasons, usually involving their sense of virility and its connection to their sense of self. I would go so far as to suggest that men who force their partners to undergo a major surgery when they could undergo a simple procedure are, at best, selfish, and at worst, participating in a form of ritual abuse. Choosing to undergo a vasectomy is the right choice when deciding how to permanently prevent unwanted pregnancy and I hope that this article will compel some men to go in that direction. Recovery after vasectomy is barely uncomfortable and relatively easy.
The following will provide concise details about what to expect from a vasectomy.
Visiting the Doctor prior to the Vasectomy
Prior to getting a vasectomy, a pre-procedure doctor's visit will be required. You may not realize when you go to the first doctor's visit that you will not be getting the procedure that day, so don't worry that the doctor might spring a surprise on you (It occurred to me that if the doctor saw nothing wrong that maybe he'd just want to go ahead and do the procedure right then and I wasn't quite ready). The doctor will ask you some basic questions and tell you what to expect from the procedure. Generally, and depending on your doctor, the entire time at the doctor's office during the procedure will take about 90 minutes although the actual procedure takes only 20 minutes. The doctor will tell you not to take any aspirin, Advil or similar drugs that can result in increased bleeding.
Visiting the doctor for the Vasectomy procedure
Expect to have some anxiety prior to the visit or right before the procedure. In my case, I became a little nervous waiting for the doctor to finally arrive while lying on the table with a sheet over my genitals. Prior to that, a registered nurse or similar staff member will prepare you for the procedure by cleaning the work area (your scrotum) and shaving it. Effectively, the entire area will be sterilized. I've got to say, having my scrotum shaved wasn't very pleasant. Also, depending on how your doctor does the procedure, the nurse (in my case it was a male nurse), may set up a cauterizing tool, which requires a big, sticky pad being attached to your thigh (the removal of this bad was like ripping off a giant bandaid).
The doctor came in to my procedure room and began by performing an examination. Shortly thereafter, he began the actual procedure by injecting lydocaine into my scrotum. Of the many things that happen during the procedure, the lydocaine injections were the most uncomfortable. There were probably four injections total. Beyond that, I couldn't feel much of anything. The cauterizing gun does sound like a low-grade cattle gun, but it's not disturbing. The procedure does indeed take a short amount of time. I actually sent a few emails using my phone while the procedure was going on to amuse my friends.
The procedure itslef involves making a small incision below the base of the penis and then cutting the tubes that deliver the sperm, known as the Vas Deferens. Both tubes can be cut using the same incision.
After the procedure is over, the nurse or doctor will advise you to take it easy, stay off your feet for a few days, and avoid heavy lifting. I asked some questions about picking up my kids and was told if I had to, it was okay, but it was better avoided. I was told I would need to provide a sperm sample in 30 days. I was to avoid strenuous physical activity for three days. Basically, stay off my feet. My plan to return to work in three days was approved. I was told riding my bike should wait at least a week.
One year later: an update
The major worry among men who get a vasectomy is this: will everything work the way it used to? The answer to that question (at least for me and probably most other men) is yes.
One year later and everything feels exactly the same. Function is exactly the same. Sensation is exactly the same. I have a friend who had the procedure as well as described a change in feeling as feeling "fuller", but I never experienced that. I was good to go once the incision healed up.
Ultimately, the choice to have a vasectomy is each man's. For me, it proved to be a safe and relatively uneventful experience. I highly recommend it as a form of permanent birth control.
The days following the vasectomy
I drove myself home from the procedure, about a fifty minute drive. My scrotum was numb and I didn't really notice much when the anaesthetic wore off. I was not sent home with any pain medication. Only ice and Tylenol was advised. Although I moved a bit slowly all night, I didn't require any Tylenol. I did use ice as it keeps swelling down. Overall, I felt like somebody had kicked me in the balls, but the discomfort was very minor. That night of sleep was erratic, but since I have kids, it was hard to notice too much of a difference. I usually sleep on my side and I tried to be careful when I rolled over, but ultimately, I slept on my back due to comfort.
The Next Day
I tried to apply ice and remain horizontal as much as possible. There was no further pain, just a very mild amount of discomfort. Again, like I'd jarred myself. Things were a bit swollen, but not too much, and there was some bruising near the base of the penis. I walked around, albeit slowly, and picked up my 7-month-old son without much concern. I was a tiny bit uncomfortable most of the day, but there was no pain. I moved a little bit more slowly than normal.
In my mind, this was where things definitely felt back to normal. I could still sense that I had been worked on, but I felt like I could move normally. I was getting up easily (I had to get my infant son from his room) and felt good.
The Next Day
I felt like I could have gone back to work, but had planned to stay home and follow the guidelines for recovery. There were moments of feeling a little tight, but nothing remotely painful. Nothing unusual. I ran up the stairs a little bit too fast and felt a little bit odd, but there was no pain or anything.
Slept great. Felt normal.
Went back to work. It snowed and was very slippery outside and I had to walk to work on slippery sidewalks, which concerned me a bit, but nothing happened. I even slipped once and almost fell and didn't feel anything. Anyway, I can still sense something was done down there, but overall I felt great. Incidentally, I still have used not a single painkiller post-procedure. The bruising around the base of the penis is more visible now, having moved a bit, but there's no pain.
I felt a little more sore after a day of work than I expected. Overall, it was very insignificant, but it was noticeable. After all, you sit around all day on something that's been operated on and you're bound to notice as you shift. Tight pants are not recommended. Also, perhaps the strangest thing, is that the bruising moved around. Most of the purple spots went from being on my testicles to the top of my penis. For anyone who's ever had a bruise, you know it can move. When it's in this area of your body, it's a bit strange.
Note: I've decided to publish what I have here and will add to it as information becomes available. There's still some sperm sampling I have to do, but other than that, this pretty much covers the experience.