Frequently asked questions about Steralization

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General Information

A vasectomy, also known as sterilization, is a way for a man to become infertile. The vas deferens are cut, clotted and tied off. This, over time, prevents the production of active sperm cells that can conceive a child.

It is a fairly simple procedure that is usually done in an outpatient clinic and under local anesthesia. If you are taking blood-thinning medications, it is important to tell your practitioner beforehand. Some medications may require temporary discontinuation.

  • For the woman, no disruption of her hormone balance by using hormonal contraception and all its consequences
  • Recovery time is minimal
  • No more worrying about contraception

As with any surgery, there are always risks involved. Risks are rare with a vasectomy, but may include infection, bleeding, or prolonged pain. Provided the treatment is performed by an experienced and certified physician, these risks are minimized. Following aftercare instructions after the procedure is also very important to reduce risks.

It is normal for the scrotum and/or the base of the penis to turn a little blue after the procedure. Also, some blood or fluid may come out of the wounds for about 2 weeks after surgery, depending on what you do. This is usually not something to worry about and often disappears on its own. Post-operative bleeding or infection of the wounds rarely happens.

After surgery, you may experience pain, often accompanied by a feeling of bruising in the testicles or pain while walking. This usually lasts only a few days.

Contact your doctor if you:

  • Gets a fever (above 38.5 degrees)
  • strong swelling of the scrotum occurs
  • the wound continues to bleed (the bleeding does not stop or increases)
  • there is extreme pain

Sometimes after the vasectomy, you may experience a feeling of accumulation, which can cause painful sensations before ejaculation. However, this rarely happens and is usually only for a short time.

There is a also a very small chance that the ends of the vas deferens will grow back together and a passage - and thus fertility - will occur again. Even if the examination of the sperm sample shows that there are no sperm cells, you may still become fertile again after a while. This happens in about 1-3 out of 10,000 patients. Sometimes sperm cells remain in the sperm sample even after surgery. In that case, your doctor may suggest re-sterilization, after consulting with you.

After surgery, you are not immediately infertile. In the first months after the operation, sperm cells that were still in the sperm ducts are released during ejaculation. Therefore, you should continue to use contraception during this period. After at least 20-30 ejaculations, which you should have, spread over about 3 months after the operation, the sperm cells are usually gone. Do the semen analysis no earlier than 3 months. After this period, the semen sample will be examined.

Sterilization is not covered by the basic health insurance package! We advise you to check your policy carefully or contact your health insurance company if you have any questions.

A sterilization, also called a vasectomy, is usually permanent, meaning it is difficult to reverse later. It is therefore a wise choice if you are sure you do not want to have children (again).

About 10% of men later regret this decision. Although recovery surgery is possible, the chances of becoming fertile again are about 85%. Still, this is no guarantee of having children. If you are unsure whether you still want to have children later, you can also choose to have your sperm frozen at a sperm bank.

A vasectomy/sterilization does not affect your sexual life, and you can ejaculate as usual even after the procedure. The surgery does not change how the penis works or how it feels when you ejaculate. After a vasectomy, the sperm cells, which are still made in the testicles, are broken down by the body. It is a safe form of contraception. However, it is important to know that a vasectomy does not protect against sexually transmitted diseases such as AIDS, gonorrhea or syphilis. Therefore, it is still wise to use a condom if necessary.

This depends on your personal situation and whether you are sure you do not want children (anymore). Please discuss this in detail with our specialists before scheduling surgery. In many cases the surgery/ vasectomy is irreversible.

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Preparation

To prevent infections, it is important that the surgery be performed under sterile conditions. Therefore, you must completely shave the area around the scrotum before the procedure. You do not need to be sober for the procedure, so eating and drinking something is allowed. After the procedure, you must wear tight underpants or swimming trunks for at least 24 hours. Take paracetamol 2 times beforehand.

No, you do not have to be sober for the procedure; in fact, it is often nice to have something given or drunk.

No, you are not allowed to drive or bike back home by yourself. Please bring someone with you to the appointment, He/She can then take a seat in our waiting room.

After the procedure, i should wear tight underwear or swimming trunks. Take a clean one with you. Also bring 2x paracetamol, you will take it half an hour before the procedure.

To prevent infections, it is important that the surgery be performed under sterile conditions. Therefore, you should completely shave the area around the scrotum before the procedure.

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Treatment

First, the scrotum is disinfected. Then you will receive two injections on either side of the skin of the scrotum or in the spermatic cord in the groin area to numb the skin. Sometimes it is chosen to make a small incision in the middle, requiring only one injection.

Next, the surgeon makes a small incision in the anesthetized skin, freeing the vas deferens. A piece of both vas deferens is removed and the ends are tied off. Next, the ends are burned shut. Then the wounds are closed with sutures that dissolve on their own after about 2 weeks, so they do not need to be removed.

At the appointed time, you will report to the front desk. A nurse will call you in for surgery. The procedure usually takes 15-20 minutes. In total, you will be outside again after an hour.

You are sedated, so you will not feel much of the treatment, however, during the procedure you may experience a pulling and aching sensation, especially in the groin area, as the vas deferens run through there.

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Aftercare

After the anesthesia wears off, the area around the scrotum and groin may feel painful. You can then take a painkiller, such as paracetamol (a maximum of 1000 mg 4 times a day).

After the procedure, as after any surgery, there are some side effects:

  • The surrounding skin may turn a little blue
  • Some fluid or blood loss from the wounds, up to 2 weeks after surgery
  • A sore and sore feeling for several days
  • An oppressive feeling, for example, after ejaculation. This goes away by itself
  • What are the risks of a vasectomy

As with any surgery, there are always risks involved. Risks are rare with a vasectomy, but may include infection, bleeding, or prolonged pain. Provided the treatment is performed by an experienced and certified physician, these risks are minimized. Following aftercare instructions after the procedure is also very important to reduce risks.

It is normal for the scrotum and/or the base of the penis to turn a little blue after the procedure. Also, some blood or fluid may come out of the wounds for about 2 weeks after surgery, depending on what you do. This is usually not something to worry about and often disappears on its own. Post-operative bleeding or infection of the wounds rarely happens.

After surgery, you may experience pain, often accompanied by a feeling of bruising in the testicles or pain while walking. This usually lasts only a few days.

What is normal after sterilization?

  • The surrounding skin may turn a little blue
  • You may lose some fluid and/or blood from the wounds; this may occur up to 2 weeks after surgery
  • You experience a sore and sore feeling for several days
  • An oppressive feeling, for example, after ejaculation. This goes away by itself

Sometimes after the vasectomy, you may experience a feeling of accumulation, which can cause painful sensations before ejaculation. However, this rarely happens and is usually only for a short time. There is a also a very small chance that the ends of the vas deferens will grow back together and a passage - and thus fertility - will occur again. Even if the examination of the sperm sample shows that there are no sperm cells, it is still possible that you may become fertile again after a while. This happens in about 1-3 out of 10,000 patients. Sometimes sperm cells remain in the sperm sample even after surgery. In that case, your doctor may suggest re-sterilization, after consulting with you.

The first week after surgery it is important that you take it easy. Also, try to limit walking as much as possible. Also, during the first two weeks, it is not recommended to cycle, exercise, swim or do heavy lifting. Sexual intercourse is allowed again 5 days after surgery. Please note that there is a chance that your partner may become pregnant. Therefore, use contraception. You are not truly infertile until the semen analysis 3 months after surgery indicates that you are infertile.

About 5 days after surgery, sexual intercourse is allowed again. Please note that there is a chance that your partner may become pregnant. Therefore, use contraception. You are not truly infertile until the semen analysis 3 months after the surgery indicates that you are infertile.

After surgery, you are not immediately infertile. In the first months after the operation, sperm cells that were still in the sperm ducts are released during ejaculation. Therefore, you should continue to use contraception during this period. After at least 20-30 ejaculations, which you should have, spread over about 3 months after the operation, the sperm cells are usually gone. Do the semen analysis no earlier than 3 months. After this period, the semen sample will be examined.

A sterilization, also called a vasectomy is usually permanent, meaning it is difficult to reverse later. It is therefore a wise choice if you are sure you do not want to have children (again).

About 10% of men later regret this decision. Although recovery surgery is possible, the chances of becoming fertile again are about 85%. Still, this is no guarantee of having children. If you are unsure whether you still want to have children later, you can also choose to have your sperm frozen at a sperm bank.

A vasectomy/sterilization does not affect your sexual life, and you can ejaculate as usual even after the procedure. The surgery does not change how the penis works or how it feels when you ejaculate. After a vasectomy, the sperm cells, which are still made in the testicles, are broken down by the body. It is a safe form of contraception. However, it is important to know that a vasectomy does not protect against sexually transmitted diseases such as AIDS, gonorrhea or syphilis. Therefore, it is still wise to use a condom if necessary.

After surgery, you are not immediately infertile. In the first months after the operation, sperm cells that were still in the sperm ducts are released during ejaculation. Therefore, you should continue to use contraception during this period. After at least 20-30 ejaculations, which you should have, spread over about 3 months after the operation, the sperm cells are usually gone. Do the semen analysis no earlier than 3 months. After this period, the semen sample will be examined. Further information about this will be given to you after the procedure. Are no more living sperm cells visible? Then the vasectomy is successful and the treatment is over.

Decrease

Before submitting the sample, it is important to have had no ejaculation for 2-3 days. It is also best to submit a sperm sample that is no more than 1-1.5 hours old. Don't forget to bring your ID.

How to deliver

Empty your bladder by urinating. After urinating, wash your penis thoroughly with water (without soap) and rinse well. Dry the penis with a clean towel. The sample must be obtained by masturbation. Interrupting intercourse is not suitable for obtaining semen because the first part of the semen will not be collected. It is important that the entire sample is collected in the special container you received from your practitioner. Incomplete samples cannot be analyzed.

Do not rinse the jar beforehand and do not use condoms because of spermicides. Seal the jar tightly and clearly write your name and date of birth on it.

Store the sample at room temperature, but never store it in the refrigerator! The sample should not cool down too much (not below room temperature), otherwise the measurement may become unreliable. For transport, it is best to store the sample in an inner bag.

If you have had a fever or have been sick within the last 3 months, postpone sperm testing until you are 3 months better.

Within two weeks to a month, the doctor will call you to give you the results of the sperm test. If too many sperm are still found, the doctor will advise you to check again after 6-8 weeks.

It is important to still use contraception until the next check-up. After the procedure, you will be given instructions on how to submit sperm. You do not need to make an appointment for a checkup with a urologist.

Sterilization is not reimbursed from the basic health insurance package! If you have supplementary insurance, it is possible that part of the costs will be reimbursed. In that case, you will need an invoice with a DBC code, which we will provide to you. We advise you to check your policy carefully or contact your health insurance company if you have any questions.

Please contact us when you:

  • Gets a fever (above 38.5°C)
  • strong swelling of the scrotum occurs
  • the wound continues to bleed (the bleeding does not stop or increases)
  • you are in extreme pain

  • Wear tight underwear or swim trunks for 3 days to reduce swelling
  • Take it easy for 2 days, it's okay to stay home
  • Avoid exercising or heavy lifting for 7 days
  • You can shower the day after surgery
  • You can take a bath after 5 days
  • Wait until 5 days after surgery to have sex
  • For the first few days, take 1000 mg of paracetamol up to 4 times a day

Still have questions about your treatment? Please contact us at [email protected] or call us at 033 2022 322.

Not satisfied with your treatment? You can file a complaint at [email protected]. More information about our complaint procedure can be found at: https://sterilisatie-kliniek.nl/klachtenprocedure/

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