Vasectomy In Singapore

Types of Vasectomy Procedures

• Conventional Vasectomy: One or two small incisions are made in the scrotum to access the vas deferens. A small segment of the vas deferens is cut out and removed. The ends are sealed with heat (cauterised) and tied with stitches. The incisions in the scrotum are then closed with stitches or skin adhesive. While this method is highly effective, it may lead to more discomfort and a slightly longer recovery period due to the incisions made in the scrotum.
• No-Scalpel Vasectomy: This procedure involves making a small puncture hole in the scrotum to access the vas deferens, rather than making an incision. The vas deferens is then cut and a small segment is removed. The ends are either cauterised or tied off, and then put back in place. The puncture hole is so small that it doesn’t require stitches to close. This method is associated with less bleeding, a lower risk of infection, and less pain and discomfort after the procedure compared to the conventional method. The recovery period is also typically shorter.

While both methods are highly effective as a form of permanent contraception, the choice between the vasectomies often depends on the patient’s personal preference and the surgeon’s recommendation. Have a thorough discussion with your urologist to understand the benefits and potential risks of each method before making a decision.

What Is The Process Of A Vasectomy In Singapore?

Pre-procedure Preparations

• Medication Guidelines: Patients may be advised to avoid certain medications, such as blood thinners, for a specific period before the procedure. This is to minimise the risk of excessive bleeding during the procedure.
• Personal Care: The scrotum should be shaved and cleaned thoroughly to reduce the risk of infection.
• Transportation Arrangements: It’s recommended to arrange for someone to drive them home after the procedure as there may be some discomfort or drowsiness from the local anaesthesia.

During the Procedure

The procedure is usually performed under local anaesthesia, meaning the patient will be awake but will not feel any pain in the area being operated on. The procedure typically takes about 20 to 30 minutes. The method of accessing the vas deferens differs between the two types of vasectomy:

• Conventional Vasectomy: The surgeon makes one or two small incisions in the scrotum to access the vas deferens. A small segment of the vas deferens is cut out and removed. The ends are then sealed with heat (cauterised) and tied off with surgical sutures. The incisions in the scrotum are then closed with stitches or skin adhesive.
• No-Scalpel Vasectomy: Instead of making an incision, the surgeon makes a small puncture hole in the scrotum to access the vas deferens. The vas deferens is then cut and a small segment is removed. The ends are either cauterised or tied off, and then put back in place. The puncture hole is so small that it
  doesn’t require stitches to close.

Post-procedure Care and Recovery

After the procedure, patients are to rest and limit their physical activity for a few days to allow the area to heal. They may be prescribed medication to manage any discomfort.

Patients are given specific instructions regarding post-procedure care, including:

• Bathing: Patients may be advised to wait for a certain period before bathing to allow the incision or puncture site to heal.
• Physical Activity: Heavy lifting and strenuous physical activity should be avoided for a specific period to prevent strain and promote healing.
• Sexual Activity: Urologists will provide guidance on when it’s safe to resume sexual activity. Other forms of contraception should be used until a semen analysis confirms the absence of sperm.

Risks and Potential Complications

• Bleeding or Hematoma: There is a risk of bleeding during or after the procedure. In some cases, a blood clot, or hematoma, may form inside the scrotum. This can cause swelling and pain, but it usually resolves on its own with time. If the hematoma is large or painful, it may require additional treatment, such as medication or, in rare cases, surgery to drain the blood.
• Infection: Any surgical procedure carries a risk of infection. With vasectomy, the risk is low, but an infection can occur at the site of the incision or puncture. Symptoms of an infection may include redness, swelling, pain, or a discharge from the incision or puncture site. If an infection occurs, it can usually be treated effectively with antibiotics.
• Pain: Some men may experience pain in the scrotum after a vasectomy. This is usually temporary and can be managed with over-the-counter pain relievers. In rare cases, some men may experience long-term or chronic scrotal pain. This can usually be managed with medication, but in some cases, additional treatment or even a reversal of the vasectomy may be necessary.
• Sperm Granuloma: A sperm granuloma is a hard, sometimes painful lump about the size of a pea that can form as a result of sperm leakage from the cut vas deferens. This occurs when sperm leak out of the vas deferens into the surrounding tissue. While a sperm granuloma can cause discomfort, it’s not dangerous and is usually treated with rest and pain relievers.