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How is a vasectomy performed? How long is recovery? Afterwards, do you still ejaculate?
Sex & Intimacy / 11:45 PM - Thursday March 04, 2010

How is a vasectomy performed? How long is recovery? Afterwards, do you still ejaculate?

How invasive is the procedure? How long does it take to recover? How long til you can have sex? Does ejaculate still come out at orgasm? What are the pro's and con's?

- Asked by A Mr. Nice Guy, Male, 46-55

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A local anesthetic is administered prior to the operation. The vas deferens (The tube connecting the testes with the urethra), are operated on one at a time. A very small incision is made and the tube is cut then sutured, cauterized, or clipped to closed them off.

In a no-scalpel vasectomy a special forcep punctures (rather than cuts) the skin. In the one tiny puncture both tubes are tied off, cauterized or blocked. This procedure does not require any sutures.

Both types of vasectomy have the same result in as much as it makes the man sterile by keeping the sperm out of the seminal fluid. The sperm continue to be produced in the testes but are absorbed into the body with no ill effects. What this means is you will still ejaculate fluid as before, but without the sperm in it, there is no danger of an unwanted pregnancy.

A vasectomy is a relatively quick procedure that takes about 30 minutes and is performed using a local anesthetic. This reduces post operative recovery time, minimizes side effects as a general anesthetic is not necessary, reduces the costs and can be done on an outpatient basis.

As for possible side affects:

Pain. Any pain or discomfort should stop after about a week. Most pain will respond well to mild analgesics. Chronic pain is experienced by some men.

Infection A small amount of redness, bruising and swelling is normal but if you develop a temperature or the swelling is not going down, increases or becomes very painful, always seek medical advice.

Granulomas a benign (non cancerous) lump, may develop as a result of leakage of sperm from the cut end of the vas into the scrotal tissues resulting in an inflammatory reaction. This lump may be painful or sensitive to touch or pressure and is generally treated with anti-inflammatory agents.

In a very small number of cases sperm granulomas cause more serious complications and occasionally reversal of the vasectomy may be attempted to try to resolve this problem.

Epididymitis occurs when inflammation at the site of the vasectomy can causes swelling of the epididymis (the tightly-coiled tube connecting the efferent ducts from the rear of each testicle to its vas deferens). Swelling should subside within about one week.

Abscesses are rare but are the result of infection from the operation or picked up post operatively.

Erectile dysfunction or decreased sexual desire can occur in the form of impotence, premature ejaculation, and painful intercourse. The cause is believed to be, mostly psychological in nature and the vasectomy is believed to exacerbate previous difficulties and problems between sexual partners, as opposed to causing any NEW issues.

Counseling and investigation is required to resolve difficulties.

Some studies have linked vasectomy to prostate cancer and kidney but the evidence is contradictory and more research is required in this area.

Pregnancy Following a Vasectomy

In some rare cases pregnancy has occurred. The causes include a failure in the surgical procedure, the man not using additional contraceptive methods in the 3 months following the procedure, or complications following the vasectomy.

The US Agency for International Development state that commonly quoted statistic is from 0.2% to 0.4% up to failures rates as high as 3-5%. The Centers for Disease Control estimated there is a probability of 11 per 1,000 procedures over 2 years. Half of the failures occurred in the first three months after the vasectomy. No failures occurred after 72 weeks.

Recent research shows that men often do not go for follow up tests for semen analysis following vasectomy.


It is advisable to wait about a week. Remember for the first 15-20 ejaculations sperm will still be present in your system, so use another form of contraception until semen analysis shows that sperm are no longer present in your seminal fluid.

How and when is the semen analysis done following my vasectomy?
You will have to provide a specimen of your semen by masturbating into a container provided by the doctors office. This fluid is then examined under a microscope to see if there are any sperm.


- Response by randyl, A Thinker, Female, 46-55, Los Angeles, Who Cares?

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The incision is made over each testicle and the vas deferens is pulled out and either snipped or cauterized. Then it is replaced and the small opening it stitched shut... There is no walking over the weekend except to the bathroom etc...and you are requested to elevate your feet and use a covered ice pack on your testicles to keep down the swelling.You may return to work by Monday if the procedure is done say Friday...You won't feel like having sex until all swelling and tenderness have subsided if you are like most squeamish males.. Yes you have ejaculate and you will be requested to give a couple sperm counts a week apart(via masturbation) in a private restroom at the urologists office. The receptacle is prelabelled with your name date etc and pushed thru a small door/opening in to bathroom.. The sample is then examined and you are told on the next visit if you have active sperm or not..There is very little blood loss and minimal swelling if you follow doctors orders and remain non active over the weekend..Be a hero and you will pay mightily....with pain and swelling. You will be given a numbing shot that is similar to when you have oral surgery...and you can take something prior to the outpatient procedure that lessens anxiety if you are the nervous type just request it from your doctor when scheduling the procedure... It is much easier than the female counterpart tubal ligation...And I watched the procedure being performed on my then husbadn at his request.

- Response by lady4u, A Married Girl, Female, 56-65, Cincinnati, Who Cares?

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Hey guy - little surprised at your age you're not more familiar with this as relatively common procedure.

Anyway, no worries as can answer your questions with little difficulty.

Most states require a pre-surgery visit to talk with Doc & make sure this is what you want. 2-options, reversible & permanent & will get to that in a bit.

It's more a mind thing than anything as I think going to dentist was worse than this procedure. Some guys think its humiliating & I guess maybe a little. Since they have to make a small incision in your testicles, that means some shaving cream & a very careful shave [DO NOT try yourself!!]. I grabbed a sports magazine + talked football & fishing with my doc while he gave me a quick shave.

They give you a quick shot of novacain & no pain to speak of & make a small cut in your scrotum. The doc then reaches in & pulls out small like thread which carries the sperm. Now is the diff between reversible or permanent. As I indicated - no going back, they cut it & then corterize both ends sealing them & a couple stitches & done.

Whole procedure 10-15 min. I parked a block away, went by myself w/o wife & stopped at a friends on way home - it was really no big deal [BUT have heard grown men I know practically cry about how traumatic it was.. [Huh??].

Recovery a couple days. No sex 'til they check a specimen to see that you're sterile [sorry, gotta jerk off into bottle one more time, which is a bit humiliating, but necessary]. Other than that can have sex whenever you want & you'll notice no diff as you still ejaculate as normal.

Truth is if they did this while you were asleep you'd never notice any difference..more a mind thing than anything [once done you'll wonder why you were so scared..]..

- Response by hsfbfan, A Mr. Nice Guy, Male, 46-55, San Francisco, Other Profession

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well they say its an "in and out" procedure, performed in the drs office and all you have to pay is co-pay.

what happened tho, was he couldnt find one of the veins to clip (you have two) sooooo he couldnt see if he was missing it or if it just wasnt there...

so then we had to go to the hosipital, check in, go into surgery and about 10 hrs later we're home with a big cut on zee balls and now know that my hubby only has one kidney...who would of thunk?

to answer your questions: it is minimally invasive unless there are complications like what we had, but i know several guys that have had it done with no problems....we had to wait for unprotected sex for 6 wks, key word "unprotective" you can have sex whenever you feel up (no pun intended) for it, however until you provide a sample and they check it, you might still have some live bullets...yes you still squirt...pro's its simple, affordable, and you recover quickly. cons, dr is cutting on your balls mayun!!!

- Response by sherocks, A Creative, Female, 36-45, Dallas, Internet / New Media

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tiny incision

you'll feel some very small movements and some tugging

you may even see smoke

you'll be in and out in an hour

you still cum all over the place

you still have fantastic sex

give it may be 2-3 weeks after the surgery before sex (you'll live he-man)

Now stop being a pussy and get in there and get it done.

(you'll be glad you did)


- Response by A Father Figure, Male, 46-55, Consulting

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There are less invasive ones now. Recovery is fairly short. "Everything" functions as always. Knowing that pregnancy is not possible tends to make things less restrictive, but you still have to consider precautions for STDs. This from someone who works in the medical field.

- Response by suzanm, A Thinker, Female, 56-65, Houston, Medical / Dental

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4 out of 6 responses come from women, like they are experts. It is a simple procedure. Go in on a Friday plan on laying around all day and get frozen bags of peas. They conform to the area and help with the swelling. Chances are great that the whole sack with swell to the size of a grapefruit. You definitely ejaculate and you need to rub 30 out and then take one in for them to check.

Pros: You don't have to worry about pregnancy again.

Cons: That weekend.

- Response by nomadicgnu, An Intellectual Guy, Male, 29-35, Self-Employed

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