Paediatrics Urology Unit
Prostate Growth And Greenlight Method
Premature Ejaculation (Early-Fast-Rapid Ejaculation)
Penile Prosthesis İmplantation
Sexually Transmitted Diseases (Venereal Diseases)
Testicle And Epididymis İnfection
• Assoc. Prof. Ömer ÖGE, MD
• Işık H. ÖZGÜ, MD
• Uğur SARAÇOĞLU, MD
What Is Vasectomy?
Vasectomy is one of the male birth control methods. This is increasingly becoming popular all over the world. It is one of the most effective, reliable and permanent birth control methods. Through vasectomy intervention, sperm transmission routes from testis are cut off and connected with a small surgical intervention under both two groin area and in this way, they are aimed not to mix with semen (ejaculate).
Production and Transportation of Sperm
Male reproductive organ located inside scrotum that is a kind of skin bag at the back of male sexual organ in the body produce male hormone called function of testis, sperm and testosterone. Sperm production starts within seminiferous tubules in microscopic size located in testis. Sperm cells reveal with differentiation of stem cells located inside these tubules. After sperm in the first step of development, not yet acquired the capability of fertilizing the egg reveal inside the testis, it reaches epididym formed from a thin tube wrapped intensively just at the back of testis. While sperm progresses along epididym, it continues to grow, it gains automatic ability to move by itself. Then, epididym combines with the canal called seminal duct (vas) that is a tube in flat muscle structure where sperm flows which is larger than that.
It starts from seminal duct and extends groin area and passes from groin canal (the area where groin hernia is formed), penetrates into pelvis and reaches the back of urinary bladder. (Figure 1). In this area, it combines with seminal vesicles and forms ejaculatory canal. Seminal fluid made by prostate during ejaculation mixes with sperm and is discharged in semen form.
Vasectomy is a relatively simple intervention carried out safely with local anesthesia under the same day surgery conditions. - sending the patient home on the same day after a specific of time-.
It is less costly and easier than connection operation of tubes applied in women with surgical method and it has fewer unwanted side effects. Despite this, the most important reason why men prefer voluntary sterilization less when compared with women is their wrong beliefs that "they will lose their manhood" with this surgical intervention. The operation does not affect and damage production of manhood hormones; it does not create any difference in semen appearance or ejaculation sense; it does not cause any decrease in sexual desire or erectile dysfunction.
What Are the Advantages of Vasectomy?
This is a permanent and lifelong birth control method. Following the operation, sperm production continues in the testis; for this reason, you will not lose the chance of having a child in the future. Sperms produced are destroyed and absorbed by the body.
Who is a candidate for vasectomy?
Vasectomy eliminates unplanned (undesires) pregnancy anxiety for the couples not wanting to have more children. The person should be certain of implementing this permanent method. Prior to taking a decision to perform vasectomy, the age of your child (especially the youngest) should be considered by envisaging the fact that this procedure is relatively irreversible.
Men desiring to get a vasectomy;
• They have had children in the number they have desired and they do not want to have a child in the future,
• They have revised other birth control methods,
• They have regular and unchanging relationship and age of his spouse has reached the end of her fertility,
• They should undertake the responsibility in being protected from unwanted pregnancy.
• In case of hesitation of vasectomy method, sperms can be frozen before the operation and can be stored -for having a child- as to be used in auxiliary reproductive techniques in the future. Furthermore, sperm production does not end after vasectomy; for this reason, even if sperms are not frozen and stored prior to the operation, when it is desired to have a child, testis biopsy should be conducted and sperm can be obtained from testis and can be utilized in this sperm auxiliary reproductive techniques.
Other Birth Control Methods For Men
Withdrawal (Coitus Interruptus): This is based on ejaculation of semen outside of vagina during sexual intercourse. Failure rate is 4-18 %. This method is not recommended for men who do not predict when to ejaculate and who have a second sexual intercourse one after another. In addition to this, that sexual intercourse is interrupted during orgasm phase may reduce sexual satisfactions of the couples.
Condom (Hood): This is non-permanent, effective and reliable barrier contraceptive method. Condom is a very thin rubber sheath applied on penis in erection state before entering the vagina during sexual intercourse. It prevents entrance of sperms into vagina. Failure rate is around 2-5 %. Condom should be removed without softening of penis. Condoms must be disposed of after it has been used once and it should be checked whether it has a hole before being discarded. Condoms with 5 years expiry date as of production date should not be used. Those having Latex and spermicidal (sperm killer matter) allergy should keep away from these condoms.