Male
Contraception
Vasectomy
is a permanent method of male contreception requiring minimum facilities simple
surgical skills and has minimal complication. It is a part of the national
family welfare programes.
VASECTOMY
OBJECTIVE
- to achieve permanent male contraception
- excision of a segment of the vas deferens
- ligation of the distal and proximal ends
POSITION
Supine (legs apart)
ANAESTHESIA
Local
Bilateral Vasectomy Steps
Patient
supine
Clean shave
and drape serotal area
Isolate
with finger and thumb the vas on one side near neck of scrotum
Inject 1%
lidnocaine in skin and dartos overlying the vas
Incise skin
and dartos till vas is seen
Hold with
allis tissue forceps so as to isolate vas
Separate
vas for 3 cm
A segment
1-2 cm is excised between ligature
The skin is closed
Procedure
repeated on other side
INSTRUMENTS
+ SUPPLY
Vasectomy set
Scrotal support
Small specimen container
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