In the picture above one can see the white epididymis transitioning into the vas deferens. Follow the blue arrow. You can see where the vas is cut (red), fulgurated (green) and tied (yellow).
The answer to the question: Two things happen.
There is a blockage after the vasectomy and this cause a mild back pressure. The vas dilates due to this and as a result there is a markedly decreased production of sperm.
The sperm in the vas is also broken down initially into sperm parts and over time eventually becomes a creamy fluid of amorphous debris.
At the time of a vasectomy reversal these changes are seen. A dilated vas on the testicle side of the vasectomy and visual and microscopic changes of the fluid which is released when the vasectomy site is incised.
Fun fact: Only approximately 5-10% of the ejaculate is sperm, the majority is from the prostate so there is very little noticeable change in the volume of the ejaculate after a vasectomy.
Once the vasectomy procedure is over and you are well on your way to full recovery, the next important thing to remember is , “No unprotected sex until there is proof there are no residual sperm in the ejaculate.”
Many patients feel that the time from the vasectomy is the factor that influences sterility, however it is the number of ejaculations. It usually requires 20-30 ejaculations to achieve sterility (i.e. no sperm).
You can use in certain cases the test kit available from spermcheck.com, however at Northeast Georgia Urological Associates we personally evaluate each post vasectomy specimen under a microscope at no additional charge.
How your anticipated urologist plans to handle the evaluation of your specimen, the cost if any, how it is done, may be one of the factors that should determine who performs your vasectomy.
We’ve done thousands, we offer conscious sedation (absolutely painless), accept most all insurances and offer fair all inclusive pricing for self pay patients.
A common question is “Is the vasectomy procedure like a vasectomy reversal?”
Well, a vasectomy takes about 15 minutes and done through a small “grain of rice” opening.
A reversal is done using an operating microscope and takes about 2 hours to perform usually through two small openings. Due to the time of the procedure there is more swelling and bruising.
So, in fact they are not similar but both are done through the scrotum and on the same structure. It is a fair question and it is important that the patient consenting to a reversal know the difference. It is a question I answer with each reversal phone consultation.
First interesting thing: Getting an infection is uncommon. Most urologists do not place a suture in the small opening necessary for doing the procedure and this may be protective. Second interesting thing: If there is a sperm granuloma or some swelling or tenderness under the scrotal skin, it usually resolves on its own and…is…