Vasectomy Proven Safe and Effective

Q:  My husband and I have three children and have decided that our family is complete. We're looking for a permanent answer to our birth control needs. That leaves tubal ligation as the only option for me or a vasectomy for my husband. I've investigated the former and now both my husband and I would like some information on what's involved with a vasectomy.

A:  The best way to begin is with a brief anatomy lesson. The production of sperm is a continuous process occurring in the testicles of men. These sperm are delivered during the process of ejaculation through small tubes called the vas deferens. A vasectomy requires the interrupting of the vas deferens thereby preventing the deposition of sperm and rendering a man infertile.

Recent developments in the technique of performing vasectomies produce little in the way of discomfort and have a short rehabilitative process. The best known is the "no scalpel vasectomy."

According to John Seidl, MD, Assistant Professor of Family and Community Medicine at the Medical College of Wisconsin, this procedure is made safe and relatively simple due to the ease of locating the vas deferens in the uppermost portion of the scrotum. The skin is then anesthetized allowing the vas deferens to be gently grasped with a special instrument. A small opening is then made directly over the vas deferens allowing it to be interrupted and blocked off. An identical procedure is then performed on the other side.

Postoperative care consists of an ice pack and an athletic supporter followed by two days of diminished activity. Side effects and complications are minimal. There is no evidence to support earlier reports that suggest a vasectomy raises a man's risk of heart disease. There is no effect on sexual drive or performance.

Vasectomy remains a safe and effective alternative to tubal ligation with lower risks, shorter recovery periods, and lower costs and is an essential consideration for any couple considering permanent sterilization.

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