Vasectomy

nursing

1. Class Presentation on “ P ermanent contraception method of male(Vasectomy)” Mittal college of nursing A part of mittal hospital and research center A jmer 1

2. INTRODUCTION 2 Vasectomy is also called as a male sterilization, a surgical procedure which aim to prevent conception and prevent from pregnancy. The procedure is done by doctor mostly urologist and in an in patient department or clinical setup. In the procedure the small tube which are called vas defernas are cut , blocked or tied.

3. definition Vasectomy is a surgical procedure for male sterilization and a method of permanent birth control , in which the vasa diferentia of a man are tied and separate to prevent sperms to entering into seminal stream which results to prevent conception. 3

4. History of vasectomy: First recorded vasectomy 1823 by Coper from England After a short time a barber R. Harrison by profession performed first human vasectomy in 1924 First programe on a national scale launched 1954 in India. 4 Poornima College Of Engineering, Jaipur

5. Case selection and indication : When person are in relationship and both partner did not want any childern . They are in relationship and any partner having health problem that would make pregnancy unsafe. if one or both partner having any genetic disorder. 5

6. Types of vasectomy: There are mainly 3types of procedure: Convential vasectomy(scalpel): The oldest method. Total 3 incision ,1 on each side and 1 in middle of scrottum. (1.5 -3 cm. on each side). Closure by sutures ,High risk for infection. Non scalpel vasectomy: Two special forceps Vas ring clamp and vas dissectors. Less complication and not required sutures. Minimally invasive: It is also type of non scalpel , Minor complications and low risk of infection. 6

7. A ringed vas forceps: 7

8. A vas dissecting forceps: 8

9. Procedure: (Non scalpel) 9 A sign consent of person who will be undergone with procedure. Explaining the procedure for a good cooperation. Operation done in an in patient dept. or in clinic. Provide supine position to the patient , assure the local area should be shaved and clean with full aseptic technique. Procedure done under local anaesthetic agent for numb the area. Vas is palpated at the level midway between the top of testies & the base of penis.

10. 10 cont …. - the vas is grasp with the help of ringed clamp applying then the skin is punctured by sharp pointed dissecting forceps. - vas is elevated by dissecting forceps and hold with ringed clamp. Then division of vas is made by diathermy and ligated apart from and by tip 1 cm. No skin suturing required small pressure bandage will be applied. Same procedure done on other side.

11. Male reoroductive system: 11 Before surgery After surgery

12. What to expect after surgery The patient can resume sexual intercourse once pain and swelling subsides. But the partner can still get pregnant until the sperm count is zero. Till that another birth control methods can be used , until the patient has follow up sperm count test, 6 weeks after the vasectomy or 10 to 20 ejaculations. 12 Poornima College Of Engineering, Jaipur

13. 13 Pre operative evaluation: Complete history collection and physical examination Bleeding disorders & any surgical history related to genito urinary tract. Avoid aspirin and NSAID drugs 24 to 48 hrs.prior . Anxiolytic drugs administer before the procedure. Post operative evaluation: Rest for next 24 hrs.. Light work 2-3 days. Do not put heavy weight upto 7 days. Scrotal support and pressure bandaging should apply. No sexual activity till 3 days.

14. 14 Advantages: An effective and permanent way to prevent pregnancy for that couple who did not want children. It does not affect sexual activity. More easier and less expansive then female contraception. Disadvantages: It does not protect against STDs. Other short term risks are: swelling , bleeding , blood presence in the semen and infection

15. Complications: Bleeding and bruising. Infection at the site. sperm leaking from a vas defernas into the tissue around it & forming a small lump. 15 Poornima College Of Engineering, Jaipur

16. Nurses role: Asses the patient carefully. Note if any complication seen. Some times the sedation and pain will be feels after operation so analgesics can be given. Advice them about next 7 days of life style changes. 16 Poornima College Of Engineering, Jaipur

17. conclusion: - As a part of my class presentation I discussed about permanent contraception in male (Vasectomy), intro. Definition , types , procedure , its advantages and disadvantages and case selection etc. I would like to thanks M rs. Snehlata parashar mam (lecturer), MCN A jmer for the further guidance and helping me for the preparation pf presentation and helps for a collection of data. 17

18. 18 Bibliography: A book of obstetrics Dc. Datta including perinatology and contraception. pg >. 630-634. A book of obstetrics & gynecology by dr. G.K. Sandhu pg. no. 412. Net reference: www.google .Wikipedia.org

19. 19 Thank you

20. 20 Poornima College Of Engineering, Jaipur