Because vasectomies are usually performed on men who are in their thirties and forties at the time of the procedure, several decades of life remain after vasectomy during which long-term effects on health might manifest themselves. Because large numbers of men are exposed to such a risk for a long period of time, an adverse effect of vasectomy on health could have far-reaching negative consequences for public as well as individual health. Concern about the possibility of long-term risks of vasectomy was fueled by findings that vasectomy may accelerate development of atherosclerosis in monkeys, 1 , 2 but it originated in observations that a high proportion of men with vasectomy develop anti-sperm antibodies. Nonetheless, the topic remains of considerable interest with reports of studies on the topic appearing regularly in the scientific literature. Box 1 Vasectomy counselling recommendations related to long-term risks following vasectomy 11 ,
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Long-Term Risks of Vasectomy | GLOWM
Request an Appointment. A vasectomy is the safest and most effective type of permanent birth control for men. In a no-scalpel vasectomy, the doctor makes a tiny puncture into the scrotal sac and spreads the skin open slightly to access the vas deferens. This is the tube through which sperm travels from the testicles for insemination. The doctor then pulls up the vas deferens through the puncture, severs the tube, and seals it. With no true incision involved, there is minimal bleeding and few complications associated with this procedure. Right after the procedure, you can expect mild pain, bruising, and swelling.
Possible Complications After a Vasectomy
Men who work in heavy lifting, stretching or manual labor may want to consider waiting longer to return to work. Complications can arise if the stitches are accidentally pulled or the surgical area is put under too much stress. Patients need to be detailed with their doctors about the specific tasks they perform on the job to determine when is the best time to return to work. A small amount of swelling, bruising and discomfort is normal after a vasectomy. Side effects should not be accompanied by a fever or sudden spike in body temperature.
Refertilizing and sperm quality are better in cases of sperm granulomata and, as opposed to previous assumptions, reduced fertility is not found in cases of sperm granulomata in patients with sperm antibodies. Fewer complaints are observed after open end vasectomy despite the particularly high incidence of sperm granulomata. Unfortunately, the literature does not appear to contain randomized investigations as guidelines for the choice of surgical method for vasectomy. New investigations have hinted at the beneficial effect of refertilization.