সংজ্ঞা
Sperm passes from the testes to the penis in tubes called the vas deferens. A vasectomy is a surgery that blocks these tubes. This makes a man unable to make a woman pregnant.
পদ্ধতির কারণ
The surgery is done to make you sterile. This means that you are unable to cause a pregnancy.
A vasectomy is done as permanent birth control. This option is for men who are sure they will not want to father a child in the future. There is a surgery to reverse a vasectomy. However, the reverse is not always successful.
সম্ভাব্য জটিলতা
If you are planning to have a vasectomy, your doctor will review a list of possible complications with you, which may include:
- সংক্রমণ
- ফোলা
- ক্ষত
- রক্তপাত
- Chronic pain in and around the testes
- Sperm granuloma (lumps due to রোগ প্রতিরোধক ব্যবস্থাপনা response to sperm leaking from the reproductive organs)
- Ability to still make a woman pregnant
জটিলতার ঝুঁকি বাড়াতে পারে এমন কারণগুলির মধ্যে রয়েছে:
- ধূমপান
- Local infections
- রক্তপাতের ব্যাধি
- Prior surgery in that area
কি আশা করছ
পদ্ধতির আগে
আপনার ডাক্তার নিম্নলিখিত করতে পারেন:
- শারীরিক পরীক্ষা
- Medical history
- ওষুধের পর্যালোচনা
- Discuss the effects of this procedure
Talk to your doctor about your medicines. You may be asked to stop taking some medicines up to one week before the procedure. These include:
- অ্যাসপিরিন বা অন্যান্য প্রদাহ বিরোধী ওষুধ
- রক্ত পাতলাকারী, যেমন ক্লোপিডোগ্রেল (প্লাভিক্স) বা ওয়ারফারিন (কুমাদিন)
আপনার পদ্ধতির দিকে এগিয়ে যাওয়ার দিনগুলিতে:
- পদ্ধতিতে এবং থেকে একটি যাত্রার ব্যবস্থা করুন।
- Wear comfortable clothing.
- Take any medicine as ordered by your doctor. A mild sedative before the procedure may be recommended.
- Shower before leaving home.
- You may be asked to clip your scrotal hair.
এনেস্থেশিয়া
Local anesthesia will be used. It will numb the area. You may also be given medication to help you relax.
পদ্ধতির বর্ণনা
There are three techniques for a vasectomy:
- Conventional approach—One small cut will be made in the skin on each side of the scrotum. The vas deferens will be pulled through the openings. The tubes will then be cut. A small piece of the tubes may also be removed. The ends of the tube will be sealed off with stitches, clips, or an electrical pulse. The vas deferens will then be placed back into the scrotum. The incision will be closed with stitches.
- No-scalpel vasectomy—The doctor will locate the vas deferens under the scrotal skin. A clamp will be attached to hold it in place. A special tool will be used to punch a small hole in the skin. The hole will be stretched open to pull the vas deferens through. The tubes will then be cut and sealed as above. The holes will heal without stitches.
- Vas clip vasectomy—The vas deferens will be exposed in either of the two manners above. Special clips will be placed around each vas deferens and cinched in place. The clips will block the flow of sperm beyond the position of the clip.
এতে কতক্ষণ সময় লাগবে?
Conventional vasectomies take about 30 minutes. No-scalpel procedures take about 20 minutes.
এটা আঘাত করবে?
Anesthesia prevents pain during the procedure. You can expect some soreness for a few days. Take pain medicines as directed by your doctor.
পোস্ট-প্রক্রিয়া যত্ন
When you return home, do the following to help ensure a smooth recovery:
- Apply ice packs, covered with a towel, on and off during the first eight hours.
- কখন গোসল করা, গোসল করা বা জলে ভিজানো নিরাপদ সে সম্পর্কে আপনার ডাক্তারকে জিজ্ঞাসা করুন।
- Wear an athletic supporter if recommended by your doctor.
- Keep the area clean and dry.
- Cover the incisions with clean gauze for three days, or as directed by your doctor.
- A small amount of blood on the gauze pads is normal. Tell your doctor if you have excessive bleeding or need to change the gauze pads more than 2-3 times daily.
- Your doctor may give you antibiotics for several days following the procedure. Take all medicines as instructed.
- Do not lift heavy objects or participate in sports for 2-3 weeks.
- আপনার ডাক্তারের নির্দেশাবলী অনুসরণ করতে ভুলবেন না।
Most men feel fine to go back to work in a few days. They may also feel ready for sexual activity in about a week. Ejaculation may cause some discomfort in the groin and testicles until the tissues heal.
A vasectomy may not make you sterile right away. Tests will be done to look for any sperm in the semen. The tests may be done at your doctor’s office or with a home test kit. These tests are done to make sure that the procedure was effective.
You will need to use another form of birth control until the tests show there is no sperm in your semen.
Although a vasectomy is very effective, it is not a 100% guarantee that you will never be able to make a woman pregnant.
আপনার ডাক্তারকে কল করুন
বাড়িতে পৌঁছানোর পরে, নিম্নলিখিতগুলির মধ্যে যে কোনও একটি ঘটলে আপনার ডাক্তারের সাথে যোগাযোগ করুন:
- জ্বর এবং ঠাণ্ডা সহ সংক্রমণের লক্ষণ
- লালভাব, ফোলাভাব, ক্রমবর্ধমান ব্যথা, অত্যধিক রক্তপাত, বা কাটা স্থান থেকে স্রাব
- Difficulty urinating
- ব্যথা যা আপনি ওষুধ দিয়ে নিয়ন্ত্রণ করতে পারবেন না
জরুরী পরিস্থিতিতে, অবিলম্বে চিকিৎসা সহায়তার জন্য কল করুন।