VasectomyWhat really is vasectomy?

What really is vasectomy?

Vasectomy is a microsurgery procedure with the purpose of causing a periodical infertility in men. It is one of the most popular forms of contraception in USA and many other countries. It is safe, simple and highly effective (99,9%). Although men continue having sexual intercourse and orgasms as previously, their sperm does not contain spermatozoa.

The no-scalpel technique - No-Scalpel Vasectomy (NVS) - is one of the two main surgical methods of performing vasectomy. Most doctors support NVS. The use of scalpel as well as the cut itself is not required, only skin sloughing without stitching up. Additionally, while applying this technique, smaller discomfort is observed with reduced risk of bleeding or infection. The scar is almost invisible. Since July 30 this year, after eight years of clinical experiences we apply the method called "Total Vasectomy" (TV). What does this mean? In TV: on a given vas deferens we put double non-dissolvable stitches, cut out several millimeters of the vas deferens and micro-coagulation of the vas deferens outlets.

How long does the NVS procedure last (Non-Scalpel Vasectomy)?

The very NVS procedure lasts 7-10 minutes. Depending on the anatomy of the vas deferens the procedure may last as long as 25 minutes. Patient is in the room for about 30 minutes, and this is related to the preparation, reading and signing of documentation, conversation before and after the procedure.

After the vasectomy it is advisable to be careful and lead a sparing life style for about 7 days since the patient may feel slight pain and delicate "pulling".

How efficient is NVS?

Vasectomy in comparison to other contraception methods is the most efficient contraception method. Couples which choose highly effective and permanent form of contraception frequently pick vasectomy, the efficiency of which exceeds 99,9%.

Description of the Total Vasectomy TV method

After many conversations and discussions conducted most frequently during the vasectomy procedure, I decided to show future Patients what the very procedure of VASECTOMY is like. Very frequently, such is their request. The second request, a very frequent one is: "Doctor, please do not show this movie on an Internet website because it looks horrible, maybe only two pictures or so". This is the most frequently conduced procedure in the world. So far, over 70 000 000 such procedures have been conducted. And a significant number of Men are frequently afraid of pain (painless procedure) after the procedure. Sometimes I ask them: "have you ever been kicked with a football in your crown jewels?" If you compare a football hit with anesthesia and the pain after vasectomy, the latter really feels like caresses. As men, in comparison to women we do not frequently have anything to do with pain - especially in that area of our body. The most frequent reason, which justifies the decision to perform vasectomy is: "I do not want to trouble my wife/partner with contraceptive pills and we are not planning to have any more children". These are the two main causes of taking the decision to perform vasectomy.

... In pictures I present the vasectomy procedure step by step, also looking at our beautiful Wilanów.

Explanation to the vasectomy procedure!!!

The use of surgical stitches in the vasectomy procedure only serves to block two ends of the cut out vas deferens. The core of the procedure is to cut out a piece of the vas deferens.

The entire view of the lens in the camera amounts to 6-8 mm, although in the picture it looks slightly magnified. In one of the pictures where the end of the procedure was shown it is difficult to see the micro-scars on the surface of the scrotum skin. Similarly, we will not see any stitches there. You also do not see any needle and syringe. Therefore, let us look at the "Total vasectomy procedure" together. In the pictures below, you can not see the moment of putting on the surgical stitches on the vas deferens, cutting out several millimeters and performing a micro-coagulation of outlets of the vas deferens, although these activities are being performed. This was dictated by the request of sensitive patients, that these procedures should not be recorded in the pictures.

Szczegółowy opis metody wazektomii wraz ze zdjęciami

Wilanów Palace in Wilanów. Distance from the doctor's office 400m.

Szczegółowy opis metody wazektomii wraz ze zdjęciami

In a moment the patient will arrive. - General view of the doctor's office.

Szczegółowy opis metody wazektomii wraz ze zdjęciami

In the picture, the author of all pictures (apart from the airplane picture) dr. Krzysztof Pietraszkiewicz-Strumiłł, a professional journalist, author of 18 books.

Szczegółowy opis metody wazektomii wraz ze zdjęciami

Dr. Eugeniusz Siwik, Liliana Owczarska, Mateusz Siwik in the doctor's office before the arrival of the patient.

Szczegółowy opis metody wazektomii wraz ze zdjęciami

Busy before the procedure.

Szczegółowy opis metody wazektomii wraz ze zdjęciami

I discuss the procedure with Liliana

Szczegółowy opis metody wazektomii wraz ze zdjęciami

Short discussion with the Patient before the vasectomy procedure

Szczegółowy opis metody wazektomii wraz ze zdjęciami

Table with several tools

Szczegółowy opis metody wazektomii wraz ze zdjęciami

General model of the vas deferens. In this example, surgical stitches are being placed and several mm of vas deferens is being cut out (A?)

Szczegółowy opis metody wazektomii wraz ze zdjęciami

Fenestrated foreceps used for grasping the vas deferens.

Szczegółowy opis metody wazektomii wraz ze zdjęciami

Looking for the vas deferens, preparation to anesthesia

Szczegółowy opis metody wazektomii wraz ze zdjęciami

Anesthesia apparatus for use without needle and syringe. The anesthetic is injected under pressure in the area of the vas deferens.

Szczegółowy opis metody wazektomii wraz ze zdjęciami

One can anesthetize own finger if necessary.

Szczegółowy opis metody wazektomii wraz ze zdjęciami

Liliana is putting on the gloves. Patient is laying comfortably on the operation table. It is easy to see the he's been to the hairdresser's. Most frequently hair removal is performed by the patient, or by the wife/partner and even by a hairdresser. Frequently it is an amusing procedure.

Szczegółowy opis metody wazektomii wraz ze zdjęciami

This time the Operator is considering if the procedure will last 7 minutes or even 30 minutes and this depends on the anatomic conditions of the Patient. One can see the separating screen, over which during the entire vasectomy procedure we talk most frequently about what the patent and the partner does and about the children if they are doing good at school, if they do go to school.

Szczegółowy opis metody wazektomii wraz ze zdjęciami

First delicate disinfection.

Szczegółowy opis metody wazektomii wraz ze zdjęciami

The penis is plastered to the surface of the belly so as to make the procedure easier.

Szczegółowy opis metody wazektomii wraz ze zdjęciami

Search for the vas deferens

Szczegółowy opis metody wazektomii wraz ze zdjęciami

Vas deferens is easy to detect under the surface of the skin, it even bulges slightly.

Szczegółowy opis metody wazektomii wraz ze zdjęciami

Beginning of anesthesia. The anesthetic is applied under the surface of the skin under certain pressure which feels like a rubber band snap. After the last snap-snap we can continue the procedure.

Szczegółowy opis metody wazektomii wraz ze zdjęciami

The anesthetized vas deferens was captured with the fenestrated foreceps. Appropriate grasp of the vas deferens is the beginning and end of the procedure. Rest of the activities is very simple.

Szczegółowy opis metody wazektomii wraz ze zdjęciami

The beginning of sloughing of skin to show the vas deferens.

Szczegółowy opis metody wazektomii wraz ze zdjęciami

This is what vas deferens look like.

Szczegółowy opis metody wazektomii wraz ze zdjęciami

In the picture you can not see any bleeding from the surface of the skin.

Szczegółowy opis metody wazektomii wraz ze zdjęciami

The vas deferens in its place, you can see a slight mark on the surface of the scrotum's skin.

Benefits of vasectomy, the most reliable form of contraception

  • The most comfortable, modern and available form of contraception.
  • Freedom from fear of unwanted pregnancy.
  • Better sexual life
  • Positive influence on the marriage
  • Improvement of women's health
  • Men after vasectomy live longer
  • Improvement of partnership relations by 78%
  • The procedure is conducted without anesthetizing, painless, non-scalpel
  • Awareness of taking responsibility for contraception in the relationship
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