Surgery
The surgery is done on an outpatient basis whereby the patient goes home the same day. The procedure is performed by a urologist and done under local anesthesia with some intravenous sedation.
The procedure may be done in the doctor’s office or clinic. Prior to the procedure, the groin and scrotal area are cleansed with an antibiotic and sterile drapes are placed around the area.
A small amount of local anesthetic in injected and the vas deferens is identified after making a small 1 cm incision. The vas deferens is cut and clipped at both ends, and placed back in the scrotum. The incision is closed and the same procedure is done on the other side of the scrotum. Some surgeons may cauterize (heat) the ends of the vas deferens.
This heating of the vas deferens almost always makes reversible impossible in future. After surgery, the patient is discharged home with a scrotal support.
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