EasyVas Africa

What is a Vasectomy?

Vasectomy is the common name for male sterilization—a permanent method of contraception. A vasectomy involves cutting and separating the ends of the tubes (vas deferens) that move sperm from the testicles to the penis. After the procedure (once you have the all-clear after approximately 3 months), ejaculated semen will contain no sperm.

Sperm is the part of semen that leads to pregnancy, and after a vasectomy, it will be broken down in your body instead of making its way into your semen.

BOOK PRIVATE SESSION

STEP 1

Before Vasectomy

1. Consultation on the phone with a nurse to discuss your medical history and how to prepare you for your procedure.

Vasectomy can be provided at any time the client requests it
Pre-procedure instructions:

2. The client is advised to attend in clean, loose-fitting clothes and to bring tight fitting underwear to wear following the procedure

3. The client should remove any metal (jewellery, braces, piercings etc.)

4. Fish oil, aspirin and any non-steroidal anti-inflammatory drugs (NSAIDs) should be ceased one week prior to the procedure. Anticoagulant medication should also be ceased in consultation with the patient’s treating doctor

Before commencing the surgical procedure the surgical provider will perform a genital examination
No-scalpel vasectomy (NSV) with fascial interposition using an aseptic no touch technique is recommended:

5. No-scalpel vasectomy (NSV) is the recommended technique as it is a minimally invasive technique done through a single puncture without any stitches. Compared to conventional techniques using incisions, the procedure is quicker, with a quicker recovery, and there are reduced rates of pain, bruising, bleeding, infection, and haematoma.

6. Conventional technique e.g. the incisional method for doing a vasectomy, is no longer recommended

7. Fascial interposition is a vital step in the procedure. It is a vasectomy technique in which one end of the cut vas deferens is enclosed within its own sheath by using a suture or clip, resulting in the two ends of the cut vas deferens laying in different tissue planes, separated by the fascial sheath. This has the lowest rate of recanalisation of current techniques

8. Aseptic no touch technique is a standardised method of aseptic technique used to prevent contamination of the sterile field by microorganisms that could cause infection.

9. Vasectomy should be performed under local anaesthetic– Local anaesthetic should be administered via infiltration of the subcuticular tissue and by direct injection to the vas deferens using a fine gauge needle to reduce pain

10. Where an anomaly of the vas deferens, or other complication, is suspected the client should be referred to an appropriate higher-level facility.

STEP 2

During Vasectomy

Once vasectomy is done you should:

1. Make sure the client understands key aspects about vasectomy, aftercare and recovery time and that they should call or return for follow-up if they have any concerns or problems or experience any warning signs

2. Advise use of and provide condoms or effective regular contraception for their partner for the next three months (ideally until they receive final all-clear results from a semen analysis, if available)

3. They can usually leave within an hour

4. The client should rest for 2 days after, avoiding any long periods of standing or walking

5. They should wear snug underwear or pants (or scrotal support, if available) for 2 to 3 days to support the scrotum as this reduces the swelling, bruising and pain.

6. They should not drink alcohol for at least 48 hours after the procedure – this can cause blood vessels to dilate, resulting in an increased risk of bleeding

7. They should keep the puncture site clean and dry for 2 to 3 days to avoid infection. They can use a damp towel to wipe their body clean but should not soak the wound in water

8. They should not have sex for at least 2-3 days

9. They should not do any heavy lifting or strenuous activity for at least 2 weeks after treatment

10. They should understand how long the procedure will take to become effective and until then, their partner will not be protected from pregnancy if they decide to have unprotected sex. This is because some sperm have already passed beyond the site where the vasa (tubes) are tied off. These sperm have to be cleared by normal ejaculation which takes approximately 3 months

11. They or their partner will need to be provided with an effective method of contraception for three months after vasectomy.

STEP 3

After Vasectomy

You should rest as much as possible for the first day or so. Do not stand and walk much. Use cold therapy regularly to help with healing.

Follow-up:– Semen analysis

After 3 months the client should preferably return for a semen analysis to see if their semen is clear of sperm before stopping use of the alternative method of contraception. (However, a semen analysis is not mandatory)– When to seek medical assistance

Although a routine follow-up visit is not required after vasectomy, the client should seek medical assistance if they have intolerable side effects or other concerns e.g.: Their partner thinks they are pregnant; or The client has any of the following warning signs:

Any of the following symptoms which either persist or worsen:- Bleeding, Pain, Pus, Heat, Fever, Excessive swelling, Redness in the genital area Or, the client feels that there is something seriously wrong with their health.

Vasectomy does not protect against sexually transmitted infections (STIs) and the client or their partner will need to use condoms for protection.

EASYVAS CENTRES

MAIN CENTRE

Stima Plaza Ngara

MOMBASA CENTRE

Mikindani Hospital

MALINDI CENTRE

Venoma Centre

KISUMU CENTRE

Mega City Mall

VASECTOMY PROCEDURE

MAKE AN APPOINTMENT

~ Professional Medical Evaluation
~ Pre-Procedure care
~ Private & Confidential
~ No-scalpel vasectomy (NSV) procedure
~ Post Procedure Care Guidance
~ After Care Guidance & Support

Consultation Services & Fees | Vasectomy | Pre Procedure Counselling

USD 115 | Ksh 19,500/=

BOOK TODAY