what are the potential risks of having a vasectomy?
No-needle, no scalpel is a very low risk procedure. However, the following complications can occur:
Bleeding: Bruising of the scrotal skin is common, harmless
and not a complication of surgery. Significant swelling
of the scrotum with bleeding into the scrotal sac is
very rare (less than 1%). To minimize swelling, make
sure you rest as much as possible for two days after the
procedure and apply ice to the area. Do not resume full
activities until discomfort and swelling have subsided;
usually about a week.
Infection: Infection of the skin or deep tissues is seen in
fewer than 1% of patients and can be treated with oral
antibiotics. Epidydimitis, or inflammation of the epidydimis
occasionally can be very uncomfortable. A one to
two week course of oral antibiotics and scrotal elevation
usually resolves this problem.
Pain: Another potential problem is the development of a
tender nodule, a "granuloma," at the cut end of the vas
deferens resulting from leakage of sperm into the tissue.
The tenderness usually subsides after several
weeks, although very occasionally an operation to remove
that nodule is necessary.
Failure: Rarely, a granuloma can also cause a bridging
of the divided ends of the vas, thus reconnecting the
vas and restoring fertility. For this reason, no one can
guarantee sterility after vasectomy. The incidence of
recanalization has been estimated at one per thousand
vasectomies. The no-scalpel vasectomy technique is
thought to have the best chance of preventing this problem.
As a practical matter, vasectomy is a far more certain
method of birth control than any method you are
currently using.
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