Vasectomy is the solution.
Vasectomy is a surgical procedure that involves cutting and tying the two vas deferens of man thus achieving 100% sterilization. Before
do it is necessary to inform the patient, and in some cases accompanied by his spouse, the benefits of it as a method of birth control, limitations and complications.
very important to stress that sterility is not achieved immediately because some sperm store viable distal to the site of the operation and these are eliminated by ejaculation. We recommend a control with a semen analysis, ie analysis of seminal fluid, at 4 weeks and eventually 8 weeks after surgery. I remember one patient in the first test had a residual number "twenty" sperm, over a million normal before surgery, and although these have been still could get pregnant by the sperm.
An important limitation of this procedure is the possibility of reversibility, ie the pipes back together, because it is a very complex operation using mandatory a microscope to perform the suture material which is thinner than a hair. The success rate varies according to time of vasectomy and of course the surgeon's skill and experience.
Among the complications, which in my experience are minimal, is scrotal pain, the formation of a highly sensitive sperm granuloma at the site of vasectomy, hemorrhage, scrotal wound infection or epididymitis, inflammation is epididymis. This is a long, narrow tube that connects the vas deferens with the back of the testicles and their function is to store and maturation of sperm. Also
may have adverse psychological effect on feeling the man a decrease in masculinity expressed in low libido and potency even to think that the vasectomy was a form of castration. This can be avoided with proper counseling.
Vasectomy is an outpatient procedure, which can be local or general anesthesia.
After making a transverse incision on the scrotal skin are separated from the surrounding tissues by isolating the vas deferens. Then cut the vas deferens and right now that can be a needle aspiration to obtain seminal fluid to protect frozen sperm in a laboratory bench expertise at its disposal. Continued surgery with ligation and electrocoagulation of both ends. At the end of the skin is closed with absorbable suture material. Later, a procedure identical to the opposite side.
Some considerations to be mentioned
The preservation of frozen sperm would allow the boy if necessary artificial insemination, treatment for which there are different methods.
Vasectomy does not cause any hormonal or sexual type, ie has no influence on the libido or erection.
Post-vasectomy ejaculation is not lost as liquid semen is produced in the prostate and seminal vesicles stored and not in the testes.
corollary desire to have an anecdote that happened in Germany in a very prestigious urological consultation in which I worked as assistant urologist.
This consultation was attended by a master, a bank director, very concerned because he had surgery a year ago had a vasectomy and that probably had not worked well because his wife was pregnant. Requested a re-operation and to please leave him this time either.
the end the truth was that the vasectomy had been well done and with my colleague We reserve the right to make no mention of it and just think that Mr. banker would worry a little less than your bank and a little more than his wife. Bolivia
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