41. Vasectomy Drs. WERNER, MURDOCK FRANCIS, PA urology ASSOCIATES. (There is a procedure knownas the no scalpel vasectomy, where instead of What complications can happen? http://www.wmfurology.com/vasectomy.htm

Greenbelt - Laurel - Bowie, Maryland wmfurology.com Home Vasectomy How Where ... Can it be reversed What is Vasectomy A vasectomy is on operation to remove a small portion of the sperm ducts in the scrotum to create "permanent" sterility in men. It should not be done when there is any chance that the patient may want to have children again in the future. How is a vasectomy done Using either local anesthesia and/or sedation, an incision is made into the scrotum, (sac), the vas, (sperm tube), is dissected from the scrotal tissues and a segment removed. The vas ends are then sealed using either cautery, (welding shut), a permanent tie, or clips. Frequently tissue is sewn between the vas ends, to help prevent regrowth. The procedure is repeated on the other vas, and the incision(s) sewn shut with an absorbable stitch. Some surgeons use one incision, some two. (There is a procedure known as the no scalpel vasectomy, where instead of cutting the skin with a scalpel, it is torn open with a very sharp clamp. Otherwise the procedure is the same. (see P.T.Barnum)). Where are they done We usually do them at our Surgicenter, but vasectomies can be done in a doctor's office, a surgicenter or a hospital.

42. Postgraduate Medicine: Vasectomy urology 1998;52(4)68591; Raspa RF. complications of vasectomy. AmFam Physician 1993;48(7)1264-8; Stockton MD, Davis LE, Bolton KM. http://www.postgradmed.com/issues/2000/08_00/greek.htm

Procedures in Primary Care Vasectomy A safe, effective, economical means of sterilization Greg Greek, MD VOL 108 / NO 2 / AUGUST 2000 / POSTGRADUATE MEDICINE CME learning objectives To appreciate the value of careful patient counseling before vasectomy To review a simple technique To be aware of the potential complications The author discloses no financial interests in this article. Ninth in a series of articles on office procedures coordinated by David A. Driggers, MD, faculty member of the Alaska Family Practice Residency Program, Anchorage, and Roger A. Schauer, MD, director of predoctoral medical education in family medicine and associate professor of family medicine, University of North Dakota School of Medicine, Grand Forks. Preview : Vasectomy is a cost-effective, safe method of contraception with a low failure rate and few complications. Men who request permanent sterilization should be offered vasectomy, but not before thorough counseling about the procedure and its benefits and potential complications. Dr Greek describes the simple vasectomy technique he uses and discusses preoperative and postoperative concerns. Greek G. Vasectomy: a safe, effective, and economical means of sterilization. Postgrad Med 2000;108(2):173-9

43. Urology Of Virginia A vasectomy is an outpatient procedure that is usually done in a doctor you understandthe nature of this operation and the possible risks and complications. http://www.urologyofva.com/services/vasectomy information.htm

Patient Information for Vasectomy Is Vasectomy Right for You? Vasectomy is a simple, safe and effective method of birth control. Approximately one-half million men in the United States undergo this surgical procedure each year. A vasectomy should be considered irreversible , thus you and your partner must be sure you don’t want any more children. You should discuss possible circumstances that might change your mind such as divorce and remarriage. A vasectomy is a permanent decision so you should have no doubts about these issues. The Effects of a Vasectomy This operation prevents sperm from traveling from the testes to the penis. The rest of your reproductive system remains unchanged. The testes will continue to produce sperm, but they die and are absorbed by your body. Semen continues to be produced by the prostate and the seminal vesicles, and will not look or feel different. Your male hormone level, sex drive, and ability to have an erection remain unchanged after this procedure. The Before, During, and After A Vasectomy A vasectomy is an outpatient procedure that is usually done in a doctor’s office, clinic, or hospital.

44. Prostatitis Website -- Vasectomy Page vasectomy has several known potential complications, including hematomas in 1985,noted Dr. Allen Seftel, an associate professor of urology at Case http://www.prostatitis.org/vasectomy.html

Home Causes of prostatitis Drainage in Prostatitis Methods of treatment ... Archive Vasectomy Many patients report that their chronic prostatitis problems began after they had a vasectomy. Doctors and scientists have not provided any evidence which firmly disproves or proves that vasectomy can lead to chronic prostatitis. As is usual with issues unresolved by science, we're not going to tell you what to think, but just present the several arguments and let you make up your own mind. This file contains a number of newsgroup comments and private e-mails on the topic. Most of the names and e-mail addresses have been removed. Webmaster I've been suffering with pain and a "non bacterial" prostatitis diagnosis for 5 years now, following a painful vasectomy. I too have had a vasectomy, but I had my first run-ins with prostatitis before the vasectomy. I date my chronic prostatitis (continuous symptoms for 9 years now) to the time I was catheterized for unrelated back surgery. I think the catheter introduced drug-resistant, hospital-bred bacteria into my prostate. But who can prove such a thing? My feeling is, with millions of men have vasectomies, and millions of men having prostatitis, there will be many cases of both whether prostatitis is causative or not.

45. Why Vasectomy Is Risky? Some Men Suffer Some Pretty Severe Side Effects After Un Werthman is chief of urology at Century City Hospital. vasectomies a year, and scientificstudies show that complications are rare I think that vasectomy is the http://www.skfriends.com/is-vasectomy-risky.htm

Diagrams Source: http://dontfixit.org/references.htm Click on images to enlarge (Don't get the wrong idea) Friday May 11 08:56 PM EDT Why Vasectomy Is Risky? Some men suffer some pretty severe side effects after undergoing the operation. Aired Thursday, May 10, 2001 at 11 p.m. By CBS 2 News Special Assignment reporter Linda Alvarez bringing to light some of the risks of vasectomy. Alvarez met Rob Morrison, an active guy who's raced dirt bikes competitively and won a number of championships. When Rob and his wife Jodie decided that they were done having kids, he decided to have a vasectomy. "I'd say within 3 to 4 months, I started feeling these things, these symptoms which I hadn't experienced prior to my vasectomy," he told Special Assignment. Allergic reactions, aches in his joints and pain in his testicles caused him constant discomfort. "I've got pain now that I didn't have before; I've got these allergic types of symptoms that I didn't have before and they're telling us it's a safe and simple operation they do on 500,000 guys a year," Morrison said. It wasn't until after he found a book on the Internet that Morrison discovered he may have been suffering from post vasectomy pain syndrome.

46. Well Man Advice - Urology Department, Edith Cavell Hospital, Peterborough The urology Department at the Edith Cavell Hospital hours to minimise the risk ofpostoperative complications. addressed when considering a vasectomy, and these http://freespace.virgin.net/cd.1/ech/wellman.htm

The Urology Department at the Edith Cavell Hospital, Peterborough, UK. Part of the Peterborough Hospitals NHS Trust Devoted to Urological Services Revised: 02 Oct 2002 13:21:59 +0100 Urology Internet Site ABC of Urology Clinical Guidelines Consultant / SpR On Call Rota ... Well man Advice Well Man Advice You may be interested in the following useful link to The Men's Health Trust UK which provides information on issues of men's health This section, is designed to cover issues related to men's health. If you have any particular questions or concerns that you would like rectified please Contact us ,or send your comments by E-Mail This Page deals with common questions that men have. Some of these topics may already be found on other parts of this site and, if so, will appear as a hyperlink to take you to the correct page Benign Prostatic Hypertrophy Epididymal cysts Hydroceles Hernias ... Vasectomy / Vasectomy reversal Benign Prostatic Hypertrophy As men get older the prostate enlarges, although why it does so remains unclear. From a practical point of view the enlargement of the prostate may result in the development of a number of symptoms when passing urine

47. What You Never Hear hard to find Web site UroWeb. Journal of urology J Urol 155(4)12841286; Questionnaire-basedoutcomes study of nononcological post-vasectomy complications. http://www.missouri.edu/~cak307/vasect.htm

What You Never Hear About Vasectomy By Michael Hall The vasectomy is not free. It can cause frightening and frustrating long term effects which are about as permanent as the sterility that it was intended to produce. The numbers of dissatisfied vasectomized men are increasing, primarily with the affliction of post vasectomy pain, (about 20%, but that number is adjusted upwardly every year). Once one finds out that there are others like him, he is more likely to drop stoic pretenses and admit that his balls hurt. A vasectomy is almost always referred to in terms of "harmless," no "secondary long term effects." It's a good sell, but it is not the whole truth. Little or nothing is said about life after except for the benefits of sterility. In more true to life terms, a vasectomy is having your vas defrens cut in two, the ends are cauterized or sutured, interrupting the flow of sperm from the testis, sterility is achieved. Unfortunately the testis aren't informed and continue to function normally, producing sperm cells. With the holes on the tubes bunged up and the testis of a normal healthy man still dedicated to the production of sperm, something has got to give... and it does. The sperm backs up and eventually forms a tooth paste like sludge. as the sperm backs up so does the pressure and blow outs begin to occur along the epididymis. Because the body is not ordinarily exposed to sperm (with leakage after the blow outs) antibodies to the sperm are produced and the problems begin. The sperm cells are actually quite irritating and resistant, they have to be to withstand the hostile environment of someone else's body in a reproductive role.. they were never meant to be out in the blood stream.

48. Vasectomy are possible. • Though rare, bleeding (hematoma) and infections arethe most common complications of vasectomy. Noscalpel vasectomy http://www.clevelandclinic.org/urology/patients/infertility/vasectomy.htm

Infertility Sperm Bank Quality Indicators Information provided by: Jeannette M. Potts, M.D. Cleveland Clinic Foundation Glickman Urological Institute Safe, Effective Birth Control Vasectomy is one of the safest and most effective methods of permanent birth control. It is much safer and less expensive than the other most common contraceptive surgery, tubal ligation. For these reasons, some 500,000 men in North America choose vasectomy each year. No-Scalpel Vasectomy Benefits of NSV No-scalpel vasectomy uses an advanced technique to anesthetize the scrotum more effectively. It requires no scalpel. Instead, the physician avoids complex surgery by carefully isolating the vas deferens using the fingers of one hand. The vas deferens are then fixed just below the scrotal skin with an instrument designed to hold firmly without pinching. A single small opening in the skin is made with a pointed forceps. The vasa are then delivered through the skin, cut, and sealed in a conventional way. When the operation is complete, no sutures are needed to close the tiny opening.

49. Urology San Antonio the patient heals quickly with relatively few complications or failures Compared tothe conventional vasectomy, the noscalpel Copyright 2002 urology San Antonio http://www.urologysanantonio.com/vasectomies.html

Vasectomy is the most common form of male contraception in this country. Each year, about half a million men in the United States who want to practice reliable birth control without placing the burden on their female partners undergo this relatively simple surgical procedure. Vasectomy is the clinical term given to the process of dividing the tubes that deliver sperm from testes. The procedure typically takes about half an hour and involves minimal surgery. Generally, the patient heals quickly with relatively few complications or failures, and no discernible negative impact on sexual performance. Although intended as a permanent form of male sterilization, it is sometimes possible to reverse the process surgically at a later date. In a vasectomy, the surgeon cuts and ties off the ends of the vas deferens. This prevents sperm from mixing with the seminal fluid. At ejaculation then, the semen is devoid of sperm. Although the testes will continue to produce sperm, they can no longer pass through the vas deferens. Instead, they die and are absorbed into the body. Because semen consists of about 95% seminal fluid, there is virtually no discernible difference in the ejaculate. Similarly, because the testes continue to produce the male hormone testosterone, which is absorbed into the bloodstream, the procedure also has no effect on a man's sex drive. A typical vasectomy is done on an outpatient basis. The urologist or surgeon first numbs the scrotum and vas deferens with a local anesthetic. Then, one or two incisions about half a centimeter long are made on each side of the scrotum. The vas deferens are located, a one-centimeter section is removed and the upper end is tied off. Sutures or stitches are used to close the incision in the scrotum. The ties around the vas deferens usually dissolve over a period of 4 to 6 weeks.

50. Female Incontinence - MetroWest Urology to drain the bladder and prevent complications, such as brought to the area byMetrowest urology include the 5minute no-scalpel vasectomy and office http://www.mwurology.com/f_incontinence.html

Female Incontinence Women are twice as likely as men to experience the frustrating, embarrassing problem of urinary incontinence. People tend to suffer in silence with incontinence because they are afraid or ashamed to tell their doctor or because they believe incontinence is a normal part of the aging process. Most symptoms of urinary incontinence can be improved or corrected with the help of a urologist. The Urinary Tract The kidneys constantly produce urine, which flows through two long tubes, called ureters, to the bladder. The bladder stores urine until it is full. At the lowest part of the bladder - the bladder neck - the urinary sphincter muscle surrounds and constricts it. The sphincter's job is to ensure that no urine escapes through the urethra, the channel that carries urine out of the body, before the bladder is full. When functioning properly, the urinary tract works as follows: 1. The bladder fills. 2. The nerves around the bladder send a message to the brain, and the urge to urinate is felt. 3. When the person decides to urinate, the sphincter muscle relaxes, allowing urine to flow through the urethra.

51. Thomas Rand Pritchett, M.D. — Curriculum Vitae Pritchett TR complications of vasectomy and their diversion after radical cystectomy,Western Section Meeting of the American urology Association, August http://www.vmmc.org/dbUrology/sec110991.htm

document.write(TopLinks); Thomas Rand Pritchett, M.D. — Curriculum Vitae Online bio card: Thomas Rand Pritchett, M.D. Background Education Honors and Awards Publications Postgraduate Training ... Presentations Education Doctor of Medicine, UCLA School of Medicine, Los Angeles, California. 1980 Bachelor of Science, Bioengineering, highest honors , University of California at Berkeley, Berkeley, California. 1976 San Ramon Valley High School. 1971 Postgraduate Training Internship, General Surgery, University of Washington, Affiliated Hospitals, Seattle, Washington. June 1980 - June 1981 Residency, General Surgery, University of Washington, Affiliated Hospitals, Seattle, Washington. June 1981 - June 1982. Residency, Urology, University of Southern California, School of Medicine. July 1982 - June 1986. Clinical and Research Fellowship, Urological Cancer, University of Southern California School of Medicine. July 1986 - June 1988. Licensure and Certification Washington 1981 California 1982 Alaska 1993 American Board of Urology, February 21, 1988

52. Healthy Knowledge - Men's Health June 2002 - Index - Methodist Health Care Syste study in the Journal of urology found that Risks or Side Effects Associated With vasectomy.Although complications such as swelling, bruising, inflammation, and http://www.methodisthealth.com/news/mens/june2002/

June 2002 In This Issue: What is Vasectomy What Are the Different Types of Vasectomy? Birth Control After Vasectomy Risks or Side Effects Associated With Vasectomy ... Visit our animated library on vasectomies. Online Resources: (Our Organization is not responsible for the content of Internet sites.) American Urological Association, Inc. Fertility and Sterility Journal of Urology Men's Health Network ... National Kidney and Urologic Diseases Information Clearinghouse (Part of NIDDK) Clinical Services Urology Institute at The Methodist Hospital Methodist Diagnostic Hospital San Jacinto Methodist ... Home Page Vasectomies Not Necessarily As Permanent As You Might Think An Oregon urologist contends in a new study that men can successfully reverse vasectomies more than 15 years after the original operation. Some physicians have thought the success rate of reversals declined significantly over time, and some patients wanting to have children were forced to turn to in-vitro fertilization. However, Dr. Eugene Fuchs, a urologist at Oregon Health Sciences University, found half of his patients with old vasectomies were able to impregnate their wives the old-fashioned way. In a vasectomy, a physician snips the vas deferens, the tube that carries sperm to the urethra, and then seals off the two ends. Various methods are used for the sealing process; physicians use stainless steel clips or sutures.

53. Clinical Programs | KU Medical Center MD Assistant Professor of urology, is the vasectomy The noscalpel vasectomy was brought Theprocedure has significantly fewer complications than conventional http://www.kumc.edu/urology/programs.shtml

Cancer Incontinence Interstitial Cystitis This often devastating disease process is the subject of intensive clinical and basic research. Our specialists (Dr. John Weigel and Dr. Tomas Griebling) have one of the largest interstitial cystitis practices in the Midwest offering the latest medical and surgical therapies in a compassionate supportive environment. Male Infertility Infertility is a common problem affecting up to 15% of couples. In over 50% of cases, a male factor is solely responsible or is contributing to the problem. We have a comprehensive male infertility center that includes an andrology laboratory capable of semen analysis, cryopreservation, and other sophisticated sperm testing. Erectile Dysfunction Public awareness of erectile dysfunction as a significant medical problem is finally being achieved. We offer all forms of diagnostic and therapeutic modalities including penile blood flow assessment, oral and transurethral medication, vacuum devices, penile injection therapy, and surgical placement of a penile prosthesis. Benign Prostate Hypertrophy (BPH) We offer a comprehensive array of diagnostic and treatment options for the enlarged prostate. These include oral medications, minimally invasive techniques and transurethral resection of the prostate. We are the only major medical facility in this area offering the TransUrethral Needle Ablation of the prostate (TUNA) which involves the use of radio frequency to heat the prostate and shrink it over a 3-to-6-week period. The procedure is offered on an out-patient basis and has very few complications.

54. :: Brazilian Journal Of Urology :: HARRIS M. NAGLER Department of urology, Beth Israel of obstructive azoospermia aftera vasectomy thus, it complications are similar to those related to scrotal http://www.brazjurol.com.br/vis.asp?code=53

55. The Patient's Guide To Vasectomy Reversal Postoperative complications that require prompt attention are wound Linnet L. Clinicalimmunology of vasectomy and vasovasostomy. urology 1983;2210114. http://cpmcnet.columbia.edu/dept/urology/vasrev.html

The Patient's Guide to Vasectomy Reversal The Patient's Guide to Vasectomy Reversal has been written to assist men who want to restore their fertility through vasectomy reversal surgery. In practice, I have treated many individuals who have successfully undergone vasectomy reversal surgery and while each case is unique, I have found similar questions and concerns. The purpose of the Patient's Guide to Vasectomy Reversal is to familiarize men with the procedures that are involved, from the initial examination through surgery and the post-operative period, to help lessen the apprehension that can accompany the decision process. This guide is designed in a simple question and answer format to address particular concerns, as well as to expand on other issues that also need to bb understood before proceeding with a vasectomy reversal. Harry Fisch, MD Table of Contents The Basics 1. What is a vasectomy? 2. What is a vasectomy reversal? 3. What are the success rates associated with vasectomy reversal? 4. Is vasectomy reversal a common procedure? ... 7. Does health insurance cover vasectomy reversal? The Specifics of Microsurgery 8.How have microsurgical techniques improved results of vasectomy reversal?

56. Jonathan Peter Jarow, M.D. In Marshall FF, ed. Urologic complications. St. 410422. Jarow JP. vasectomy.In Whitehead ED, ed. Atlas of Surgical Techniques in urology. http://urology.jhu.edu/faculty/jarow/publication.html

Associate Professor of Urology Director of Outpatient Urology Johns Hopkins Medical Institutions E-mail jjarow@jhmi.edu JOURNAL ARTICLES Michaels EK, Jarow JP , Schaeffer AJ. Ventral bladder hernia facilitates study of urinary tract infections in rats. Urol Res Jarow JP , Budin RE, Dym M, Zirkin BR, Noren S, Marshall FF. Quantitative pathologic changes of the human testis following vasectomy: a controlled study. New Engl J Med Jarow JP , Marshall FF, Isaacs JT. A chicken chorioallantoic membrane assay for the evaluation of the androgen responsiveness of prostatic tissue. J Urol Jarow JP , Berkowitz GD, Migeon CJ, Gearhart JP, Walsh PC. Elevation of serum gonadotropins establishes the diagnosis of anorchism in prepubertal boys with bilateral cryptorchidism. J Urol Jarow JP , Cooley BC, Marshall FF. Laser-assisted vasal anastomosis in the rat and man. J Urol Mohler JL, Jarow JP , Marshall FF. Unusual urological presentations of acquired immune deficiency syndrome: large cell lymphoma. J Urol Jarow JP , Brendler CB. Urinary retention caused by a large bladder diverticulum: simple method of diverticulectomy.

57. Editor' The major complications of surgery are as follows Mebust(10) also recommends againstroutine vasectomy. in Walsh et al, Cambell’s urology, Saunders, 1992, pp http://www.shemayisrael.co.il/forums/physician/medical.htm

Medical Considerations Benign prostatic hypertrophy is an extremely common malady in men age fifty and over, causing variable degrees of bladder outlet obstruction. The etiology is unknown, but alterations in the hormonal balance associated with aging have been instigated. PATHOLOGY The prostate is a fibromuscular organ located at the base of the bladder. In pathological hypertrophy , m ultiple fibroadenomatous nodules develop in the periurethral region of the prostate. These nodules peripherally displace the fibromuscular prostate. This process may affect the lateral walls of the prostate or may include the inferior margin. Histologically, the tissue is composed of both fibrous and glandular elements. As the disease process progresses, the lumen of the prostatic urethra becomes progressively distorted, compromising urinary flow. The bladder wall undergoes morphic changes including hypertrophy, trabeculation, and diverticula formation. Cystitis frequently occurs secondary to stasis resulting from incomplete bladder emptying. With prolonged obstruction, the upper urinary tract becomes progressively involved. Calculi formation, hydroureter, hydronephrosis, and compromised renal function may ensue. DIAGNOSIS Signs and Symptoms: The patient may complain of progressive urinary frequency, urgency, and nocturia. Hesitancy, terminal dribbling, and overflow incontinence are frequent complaints. Occasionally, intermittent bouts of complete obstruction may occur.

58. Sterilization, Vasectomy And Tubal Ligation Disadvantages Late complications of sterilization 1. Campbell et al. British Journal of urology(1983), 55, 430433. vasectomy and Atherosclerosis An Association in Man http://www.geocities.com/Heartland/Meadows/2879/fixed.html

The Downside of Sterilization Out of desperation, you may be considering getting cut open and having your plumbing plugged to destroy your fertility, probably forever. You may be afraid of the alternatives: side effects, sickness or death from the Pill and/or the IUD; the abortion causing effects of the IUD and the Pill; fear of unplanned pregnancies resulting from the less effective barrier methods, perhaps fear of exercising sexual self-control. After you see the rest of our website on natural family planning, we hope you will see sterilization as drastic, unwise, and completely unnecessary, since Natural Family Planning is very effective, safe, and reversible. We wouldn't recommend it for your cat. But you are smarter than your cat. POP QUIZ: What are the three 100% effective ways of preventing pregnancy? If you guessed vasectomy or tubal ligation, give yourself zero points. Vasectomy has a failure rate of .15, or 15 pregnancies per 10,000 woman-years of exposure.[1] (Notes are at the end of this piece.) Recannulation, the reestablishment of a vas deferens by internal healing processes, occurs in one instance per thousand, and sometimes the urologist misses a rare third vas deferens. More often pregnancies result from the failure to wait until two negative sperm counts are obtained before considering oneself sterile. And it takes over 22 weeks for sperm counts to go to zero, according to recent research: http://www.fhi.org/en/fp/fpother/conferences/vascet/vasectomymtg.html

59. Update Journal No Scalpel Vasectomy UK 2000 Article I had previously trained in urology and General Surgery days, rather than 3.5 dayswith the standard vasectomy. The rate of complications such as haematoma, and http://www.daysurgery.fsnet.co.uk/documents/english/index_article.htm

Home Article Slides Premiere ... Des Contacts UPDATE Journal 6th April 2000, page 505, Procedure in Practice "No-Scalpel Vasectomy" Our seven-partners group practice has been running a Vasectomy Clinic for the past five years. I had previously trained in Urology and General Surgery, and am able to offer the latest No-Scalpel Vasectomy technique on our premises. An Improved Technique For A Popular Procedure Traditionally, the conventional technique required an incision in the scrotum, stitches, and causes some degree of post-operative discomfort. However, the no scalpel vasectomy does not involve an incision. Two unique instruments are used to perform the procedure: a specially designed vas fixation clamp (ringed forceps) to encircle and secure the vas without penetrating the skin (Fig1), and a curved surgical forceps with sharpened points to puncture the skin and vas sheath and to stretch a small opening in the scrotum (Fig2). The vas is delivered with the same forceps (Fig3) and the upper end occluded with a high frequency hyfrecator diathermy (Fig4). ( More slides Figure 1 Figure 2 Figure 3 Figure 4 Benefits of the No-Scalpel Technique Patients seem to prefer the option of a procedure suture free, involve just a single small puncture and causes less post-operative swelling.

60. Vasectomy, The Male Menopause Or Andropause, And Its Treatment With Testosterone range of short and long term complications, would surely have and testicular histologicchanges in humans after vasectomy. urology 1994;43 5214. Ref ID 8118 http://www.goldcrossmedical.com/androscreen/vasectomy.htm

The AndroScreen Information Center www.androscreen.com You are here: Male Menopause - Vasectomy A real Problem Do I have it? Potency Problems find a doctor ... legal / privacy Recent evidence is that Vasectomy may eventually reduce production of the key hormone Testosterone , and contribute to onset of the Male Menopause In a series of over 1,000 cases of Andropausal men seen at the e-medicine Andrology Clinic over the past ten years, 25% had had vasectomy , about twice the level in the general population. The Unkindest Cut of All Vasectomy is a seemingly simple operation, a real snip, which couldn't possibly go wrong - or could it? It is often presented as the ideal and infallible solution to family planning. What could be simpler than tying the vas, the narrow tubes carrying the sperm from the testicles to the prostate, where the seminal vesicles add the other ingredients of the seminal fluid making up the ejaculated semen? No sperm - No problems. Unfortunately, it's not quite that easy. The testicles, as any man will testify, are very delicate and sensitive structures. They are very complex organs, with a rich nerve, blood and lymphatic supply. Also they are under intricate hormonal and temperature control to regulate sperm and testosterone production. So that the man doesn't produce antibodies to his own sperm, which to the rest of the body is foreign protein, there are important defences keeping the sperm isolated from the immune system. All these systems can be disrupted, even when the vasectomy seems to have gone smoothly, and there can be an alarming variety of short and long term complications, which can sometimes be serious

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