Male Vasectomy: Risks, Recovery, and Costs Explained - Urology

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Please provide more details about the questions regarding sterilization?


Hello Dr.
Liu, I would like to ask a few questions: 1.
Are there any side effects of male sterilization? 2.
How long does the procedure take? 3.
Will it affect sexual performance (I have heard that sexual ability may decline after sterilization)? 4.
Will there be any discomfort or scarring after the procedure? 5.
What is the approximate cost of the surgery? Thank you for your assistance.

Hao Xiansheng, 30~39 year old female. Ask Date: 2000/11/15

Dr. Liu Jianting reply Urology


Male sterilization involves tying off the vas deferens on both sides; this is a minor surgical procedure for contraception, typically taking about 30 minutes (of course, you should consult a urologist for this).
The incision is made in the scrotum and is quite small.
The only side effect is that you will no longer be able to conceive a child with your female partner through natural means.
After the procedure, the absence of the psychological burden of "potential pregnancy" can actually enhance intimacy for both partners.
It is advisable to have a thorough discussion with a urologist before making a decision, as it may be a minor procedure but is a significant event for couples.

Reply Date: 2000/11/15

More Info


Hello! Thank you for your questions regarding male vasectomy. It's great that you're seeking information to make an informed decision. Let's break down your queries one by one.

1. Are there any side effects of male vasectomy?
Generally, vasectomy is considered a safe and effective form of permanent contraception. The side effects are minimal, with the most common being mild discomfort, swelling, or bruising in the scrotal area after the procedure. In rare cases, some men may experience chronic pain, known as post-vasectomy pain syndrome, which can occur in about 1-2% of patients. However, this is not common, and most men do not experience significant long-term side effects.

2. How long does the procedure take?
The vasectomy procedure itself typically takes about 15 to 30 minutes. It is usually performed in an outpatient setting, meaning you won’t need to stay overnight in a hospital. The procedure can be done under local anesthesia, which minimizes discomfort during the surgery.

3. Will it affect sexual performance?
A common misconception is that vasectomy affects sexual performance or libido. However, studies have shown that vasectomy does not impact testosterone levels or sexual function. Men can still achieve erections and experience orgasm as before. The only difference is that the semen will no longer contain sperm, which means that natural conception is not possible after the procedure.

4. What about discomfort or scarring after the surgery?
After the surgery, some men may experience mild discomfort, which can usually be managed with over-the-counter pain relievers. Swelling and bruising are also common but typically resolve within a few days. As for scarring, the incisions made during a vasectomy are small (usually about 0.5 cm), and they generally heal well, leaving minimal scarring that is often not noticeable.

5. What is the cost of the procedure?
The cost of a vasectomy can vary depending on the healthcare provider and location. In many cases, it is considered a self-pay procedure, and the costs can range from $500 to $1,500. Some insurance plans may cover part of the cost, so it’s advisable to check with your insurance provider regarding coverage.

In summary, a vasectomy is a straightforward and effective method of permanent contraception with minimal risks and side effects. Most men recover quickly and can return to normal activities within a few days. If you have further concerns or specific health conditions, it’s always best to discuss them with your healthcare provider to ensure that vasectomy is the right choice for you. Thank you for your questions, and I hope this information helps you in your decision-making process!

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