You have decided to go ahead with the momentous decision to have this surgery, and if you are like
many, you wonder…
are you awake during a vasectomy?
Do you feel anything while they are performing the procedure? Can you see what they are doing?
Researching what to expect before you check in while ease your mind and prevent pre-surgical anxiety.
Before. Carefully review all pre-op instructions, and follow them to the letter. These are meant for your
safety, and they can directly impact the success of your procedure.
Some frequent recommendations include:
Do not take medications that cause thinning of your blood.
Some of these include the pain medicines you buy over-the-counter, like aspirin and ibuprofen. Examples of
prescription products include Coumadin, also known by the generic Warfarin.
Wash up and shave. (Not your face.) Check with your doctor, as
he or she may request that you take certain hygiene-related preparatory steps. At a minimum, you should
careful clean the area to be operated upon, and you may need to shave your pubic hair.
If you and your doctor agree, take any prescribed sedative
before you leave your house, to be sure it is working well when you arrive at the surgical office. Have
someone else drive you there, and plan to get a ride home, to ensure your safety.
During. Expect the procedure itself to take about half an hour. Are you awake during a vasectomy? The
answer is yes. Your surgeon will use local anesthesia only, applied to the scrotum and surrounding area. Steps for
the surgery itself are as follows:
Once the skin is numb, your doctor will cut into one side of
the scrotum.
A bit of the tube (called the vas deferens) that allows
sperm to join the semen, is accessed through the opening.
Your physician will make the cut, then tie the ends, cauterize
the ends, or surgically clip the ends, before putting everything back in place.
A few small stitches are all it takes to close the
incision.
This process is completed on the opposite side, and then you
are finished and ready to rest.
After. We have established that you are awake during a vasectomy, but it is a great idea to try and
sleep through the recovery period. Prevent complications by following your post-op instructions carefully to
minimize discomfort, swelling, and bruising.
The first 48 hours – stay in bed and rest. Keep a bandage over the
genitals and hold it in place with tight underclothes. Use an ice pack for short stretches at a time – no more
than 10 minutes – to keep swelling down. Stay away from water – do not shower, bathe, or go swimming during
the first few days after your procedure.
The first week – once you are out of bed, continue to take it easy.
Do not participate in heavy lifting or sports at all. No sex until your doctor gives the go-ahead. Watch for
infection. If you see anything unusual, suspect an infection, or have a fever, get medical attention
immediately.
Most men find vasectomies reasonably easy and pain-free, as long as they follow their doctor’s
instructions.
Complications are rare with this outpatient procedure, and having your questions answered in advance goes
a long way towards helping you relax.

|