4. Vasectomy
• Vasectomy or male sterlisation, is simple operation performed
under local anesthesia and does not required hospitalization
of the patient.
• A surgical procedure designated to make a men sterile by
cutting or blocking both righ and left vas deference. The tubes
through which sperm pass into the ejaculate.
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5. Cont…
• it is essential to explain to the patient that the operation is
perminant and it will not affect his sexual behavior in any
way.
• As the testes contribute only a small portion of the volume
of ejaculate, there will be no noticeable change in the
ejaculate after vasectomy.
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7. Cont…
• It is also essential to explain to the patient that he will not
become sterile immediatelly after the operation for at least
6-8 weeks, untill all sperms between the site of vasectomy
and point of ejaculation are expelled.
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8. Cont…
• The only common complication of vasectomy if infection and
haematoma formation
• A strictly aseptic technique minimize postoprative infection
• Ice bag to the scortum helps counteract swelling and
discomfort.
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9. Tubal ligations or Tebectomy
• Tubal ligation or female sterlization has been greatly
simplified and this is performed under local anesthesia
• Operative technique used for tube-ligation are :
• Minilaparotomy (minilap), laparotomy, laparoscopy,
colpotomy and culdoscopy.
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11. Cont…
• If females sure won't want biological children in the future,
she may be ready for permanent birth control. The
traditional method for women is called tubal ligation or
"having your tubes tied." A surgeon closes off the fallopian
tubes, preventing eggs from making their journey out of the
ovaries
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12. Cont…
• The complication of female sterlization include infection ,
haemorrhage and complication of from anesthesia has been
given
• Endoscopic procedures may damage blood vessels or the
intestines and cause air embolism as a result of peritoneal
insuffiation.
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