A detailed description of the vasectomy method along with photos

Dear Patients

After many conversations and discussions, most often during vasectomy procedures, I have decided to show future patients how the VASECTOMY procedure is performed. This is what they most often ask for. Another frequently repeated request is, “Doctor, please do not show this video on the website, because it is frightening to watch. Perhaps just some photos would be sufficient.” This is the most commonly performed procedure in the world. To date, over 70,000,000 such procedures have been performed. And it is this huge number of men who are most afraid of pain (the procedure is painless) after the procedure. Sometimes I ask them, “Have you ever been hit in the balls with a ball?” If you compare being hit with a ball to the anaesthesia and pain after a vasectomy, the latter is like a caress. As men, we do not often experience pain compared to women, especially in this area. However, the most common reasons for deciding to have a vasectomy are: I no longer want to poison my partner/wife with contraceptive pills, and we are not planning to have any more children. These are the two main reasons for deciding to have a vasectomy.

... The photos show the vasectomy procedure step by step, including a glimpse of our beautiful

Wilanów.

Explanation of the vasectomy procedure!

The use of surgical sutures during a vasectomy procedure is only to block the two ends of the excised vas deferens. The essence of the procedure is to excise a piece of the vas deferens.

The entire lens of the camera is 6-8 mm, although it looks slightly magnified in the photo. In one of the photos showing the end of the procedure, it is difficult to see the micro scars on the surface of the scrotum. Similarly, we cannot see any stitches there. There is also no syringe with a needle visible. So let's take a look at the “Total vasectomy” procedure together. The photos below do not show the moment when surgical sutures are placed on the vas deferens, a few millimetres of the vas deferens are excised, and microcoagulation of the vas deferens outlets is performed, even though these procedures are performed. This was dictated by the request of sensitive patients not to include these procedures in the photos.

2016 update

Total Vasectomy is a method we use after analysing the World Report on Vasectomy. This report is based on 275 of the most important works analysed since 1949. The report, after careful translation, has been published on our website. It is used by both patients and doctors. Our method involves isolating the vas deferens, cutting out a section of it, and placing surgical sutures on both ends. This procedure is performed on each vas deferens. The openings of the vas deferens are coagulated using a special coagulator designed for vasectomies.

Vasectomy step by step

Wilanów Palace in Wilanów. Distance from the Clinic: 400 m.
The patient will arrive shortly. General view of the clinic
A short conversation with the patient before the vasectomy procedure
The photo shows one of the patients who brought his wife with him for the procedure
Table with several instruments
General diagram of the vas deferens. In this example, surgical sutures are applied and a few millimetres of the vas deferens are excised (A?).
Window clamp used to grasp the vas deferens.
Anaesthesia device without the use of a syringe or needle. The anaesthetic is injected under pressure into the area around the vas deferens.
It is possible to anaesthetise own finger if necessary.
This time, the operator wonders whether the procedure will take 7 minutes or even 30 minutes, depending on the patient's anatomical conditions. You can see the separating screen, through which we talk most of the time during the vasectomy about what the patient does, what his partner does, as well as about the children and whether they are doing well at school, if they are already attending school.
First, gentle disinfection.
We stick the single mast to the surface of the abdomen with a plaster so that it does not interfere with the procedure.
Attempt to locate the vas deferens and familiarise ourselves with it
The vas deferens is easily palpable under the skin surface and even slightly protrudes.
Start of anaesthesia. The anaesthetic is injected under the skin surface with a certain amount of pressure, which feels like a snap of a rubber band. After the last snap-snap, we can continue the procedure after one second.
The anaesthetised vas deferens is grasped with a window clamp. Proper grasping of the vas deferens is the beginning and end of the procedure. The rest of the procedure is extremely simple.
The beginning of skin dissection to expose the vas deferens.
This is what the exposed vas deferens looks like.
None of the photos show any bleeding from the dissected skin surface.
The vas deferens is in place, with a slight mark visible on the surface of the scrotal skin.