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Next elective surgery... vasectomy

At 1:30 today I had a vasectomy. This is the second time I was scheduled for the procedure. The first time I bailed on it. Here's how things went down.

The Surgery

The whole procedure took about 20 minutes. My doctor used a bladeless and no-needle process. The bladeless part is due to the fact that he punctured a single hole (3mm in width) rather than making two small incisions with a scalpel. The no-needle part was due to the fact that he used a jet injection gun instead of a needle to administer the anesthetic. The procedure was performed in his office. I went in and laid down on a generic examination table with my pants off of course. I was flat on my back with my legs together. He prepped the area with the brown betadine antiseptic and then gave me anesthesia via the jet injection gun. It felt and sounded like a small rubberband snapping on my skin... a little startling but not really uncomfortable. He did the injection three times on each side. Then he snipped and cauterized the vas deferens. That's it simple and painless.

Right after

No pain at all. I'm walking funny because he stuffed my jock strap (good idea to bring one in to surgery) with a bunch of gauze. There was one guy sitting in the waiting room who was going next. I gave him a half hearted/pained "good luck, man" as a joke.. his facial response was priceless.. total fear and apprehention. I wasn't expecting him to totally freak, but he did. I quickly told him that I was just joking and that it was completely painless. I hope he didn't bail because of that..Eye-wink I somewhat irrationally thought that I might feel different mentally, after the procedure; thankfully that didn't pan out-- I felt exactly the same as when I walked in the door.

1 hour later

Feels like I got grazed.. a dull discomfort/pressure feeling. I popped a couple of Tylenol and that seems to be working pretty well. I'm sitting around with my legs up doing some work.

Next day

No pain in the morning. I took some Tylenol just in case (no need to test out my pain threshold). I looked at the wound and there was a little swelling right around the puncture hole not much else though. Not bad at all.

Four days later

The puncture wound is almost gone. I have some pain now (4 out of 10). Just behind the left testicle feels swollen and is painful to touch. It doesn't hurt after I sit for a while, but walking doesn't feel that great.

1 week later

My testes are sore but only after an ejaculation. I wish I had pushed for an open-ended vasectomy.. it feels like pressure pain. I'm going to try running tonight as the 1 week exercise moratorium is now over.

10 days later

Everything is back to normal. Running and exercise is no problem and there is no pain after ejaculation.. whew! Things are just like they were before-- the testes are out of site (usually) and out of mind.

vasectomy

It is quite remarkable that you are so high on listing, googling "bladeless vasectomy." I wish there had been a forum in my urologists office, so let me communicate with your readers, if you would! Anyway, without being asked to leave your site or blocked, my experience is not like those on all the DR. videos of bladeless or open-ended or other "refinements" of vasectomy, and on this blog...

For any man, unlike myself, (I looked at none of the warnings about epididymitis, being coerced by partner into permanent decisions, etc. 'cause my mind was made up) who is actually checking it out BEFORE setting the appointment, THIS PROCEDURE IS A HUGE DECISION both physically (I've had no day without pain, pressure, and reduced arrousability since my Y2K vasectomy 7 years ago) and mentally.

Please DO note that all these great personal annecdotes aboout vasectomy deal with surface issues--method of cutting (slow "bladeless" tightening of blade on your scrotum, "jet" injection, just as painful as needle) and deal with "whew-My dick didn't fall off! I'm so gratified" Remember that these men have had just that--about 1-10 days with the procedure, and STILL in the "LAST MEAL" stage of death of their reprodictive ability & ability of epididymis to detect sexual need...

They have just received exiting "DOCTORS ORDERS" for their mates-- to have intercourse 30 times in the next month or some malarky, to get all those nasty sperm out of their plumbing, so they've just been able to TELL their mate to have sex repeatedly. For some men this "last meal" after the "execution" (slow poisoning, in my case) of some of their sexual pleasure and all of their reproductive ability is so exciting, because their mate has been less interested in sex than they, or even uses sex (or NO SEX) as a weapon....)

Just remember this: In my SMALL interviews of a dozen or so men after my vasectomy I found 3 with problems similar to mine--that admitted it, anyway--loss of arrousability, allergic issues (sperm autoimmunity?) and the pulling sensations, pain, in my case in left testicle, itching underside of scrotum from auto-immune reaction to trapped sperm in nearby epeididymis, etc., and changes in sex act ( I likened it to Black & White tv after having had color...) and arrousability (exciting--I can now turn away from my wife & say "not tonite" Fun, for a little "payback" but scary after she gives in and WANTS it, but now you don't... As one guy I talked to said, "I had sex and said, 'oh, shit!' its not the same, but what can I do now?" and another told me of a friend who's girl left 'cause he didn't want sex like he had. Great if you are like the pre-med who tried to remove his adrenals at my college by operating in his dorm room, 'cause he felt OVERSEXED; or if like my most vasectomy-positive friends, you were caught in adultery & want to do pennance--but not so great if like me a couple of your kids were getting ready to leave, good times were going to start with wifey but now you're suddenly sexually 55 years old and she's hornier than you though you were the stud just before the procedure.

(But you'e only 42 years old...and you're driving holding your left testicle, 'cause the urologiest told ya that the only guy he'd ever had with pain was a hairdresser (to play on your macho...)

And think--Remember when you sat around and all the newest, coolest people in your small town or clique finally smoked pot, and they all wanted to SHARE their doobie with you? These brave new VASECTOMY BOYS all want to share with you, but none of them talk about post vasectomy syndrome, or the fact that the vas deferens isn't some whimpy little unfeeling duct from a gland, but a well-enervated, highly sensitive & muscular tube that is AN IMPORTANT PART OF THE SEX ACT, as is the sensitive sperm-holding part of the testicle, the epididymis, which becomes overfilled and essentially "blows out" in most men, and no longer has its role as "pressure guage" in determining sexual need, being either always painfully OVER filled (my case) after doctor cauterizeses vas shut (definition of epididymitis in Tabor's Medical Dictionary IS BLOCKAGE of VAS!!!!) or, NEVER filled in case of "open ended" vasectomy, therefore not serving purpose of determining sexual need, while prostate instead becomes over-filled and painful, and even more so in the days AFTER your wife becomes outgoing and does all you ever wished she had.

In short this operation is at best a sort of "gift of the magi" where you take away some of the very satisfaction you and your wife hoped to have, while trying to manufacture a sexual renaissance that a few more years of patience would give you, NATURALLY. And consider this: as a misguided guy at my church told me, vasectomy may show LOVE to your wife, but how about using 3 condoms at once until she gets over her fears, reaches menapause, or you get that unexpected promotion (like I did just AFTER my vasectomy) that would make another kid a possibility and a blessing? (I got a $750 / week contract in addition to my other work that grew to 1,200 / week, but lost it after 3 1/2 years: It involved lotsa physical work but also lotsa driving, and I was driving with my left hand holding my still-painful left NUT --I credit vasectomy for LOSING me that contract!... Wait on God and do not sell that pocket watch--your sexual enjoyment is actually important to your wife even if she doesn't realize it yet and you will both be sorry to see it diminished before its time... God has me getting up a programmer who has CP and is raising a boy he adopted, so I'm getting to experience raising a boy (wife called it quits after 3 girls, all of them blessings!!!) but why wait 7 yars & go thru the pain when you can TALK to your wife now, show some backbone, and REFUSE that doobie? And don't let her get a ligation--Increased PMS, Bleeding, abdominal pressure, due to cutoff of blood supply to ovaries caused by tying off the fallopian tubes. God wired us carefully 'cause He MEANT it when he said "be fruitful and multiply" and in Ps 127 that we are BLESSED with children, and in proverbs when he said a nation becomes STRONG (not weak) with increased population....Andy Rowe, Georgetown, TX