Introduction: How to Get a Vasectomy

Picture of How to Get a Vasectomy

This will hopefully be a painless introduction to the process of getting a vasectomy. A vasectomy is a serious undertaking and should be considered irreversible. Any goggle worthy pics will be linked so as to spare the viewer.

Step 1: Visit Your Regular Doctor

Picture of Visit Your Regular Doctor

Remember, this is irreversible, consult with your regular doctor first, ask him for recommendations for a board certified urologist and a complete physical. Check the credentials of your Urologist, don't just pick him from the yellow pages.

Step 2: Going to the Urologist

Picture of Going to the Urologist

This is the initial uncomfortable part, you're asking this man to perform a surgical procedure on you, therefore there will be a complete exam. If you've never been to the urologist before, look forward to: A hernia check, a digital rectal exam, a microscopic exam of your seminal fluid and a check for epididymitis. At this point, some Urologist will request that you go to a counseling session, because a vasectomy is considered irreversible. Mine said "How's thursday for you?"

Step 3: The Day Before the Procedure

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You will need to shave your genitals, if this is something you've never done before, a straight razor is NOT recommended. Use a quality disposable razor.

Step 4: The Day of the Procedure

Picture of The Day of the Procedure

Call off work. You will need a, preferably, attractive friend to drive you to the doctor's, if he has prescribed you a valium, take it about 1 hour before your appointment time.

The procedure, the doctor will have you disrobe, and your scrotum will be swabbed with betadine solution, the doctor will ask you to lay back on the table, but if you like you can prop yourself up on your elbows and watch. The doctor will inject Novocaine under the skin of your scrotum and after a suitable waiting period come back and make two small incisions into the skin. Reaching in, he will pull the vas deferens outside the scrotal sac. I'm a little hazy at this point ;-) But the deferens were severed and the ends tied. The vas deferens were pushed back inside and the incisions sutured.

Step 5: After the Procedure

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The next two weeks will be the most uncomfortable of your life for the simple fact that you need to wear an athletic supporter 24 hours a day, removing it only to bath. I'd recommend having more than one ;-).

At the 10 day to two week point you will return to the doctor for the removal of the stitches.

At eight weeks you will return to the doctor with a "specimen"

At twelve weeks you'll return with another "specimen"

The specimens must be fresh, and uncontaminated.

At the twelve week point the doc should know whether the procedure was a success, until the doctor clears you you must continue to use other forms of birth control.

Step 6: The Aftermath

The most common question I'm asked by people is, does it change the, umm, outcome? The answer is no, there are no outward manifestations that a man has has had a vasectomy.

There are the possibility of complications in order of importance

chronic testicular pain
changing your mind.

All in all, it's provided a worry free solution to birth control for my wife and I, and I've never regretted the choice.

Although I've stated that they're irreversible, that's not strictly true, but the expense of reversal is not generally covered by insurance and has a high failure rate.


heatblast (author)2010-05-18

ouch..........that's gotta hurt.

westfw (author)2007-06-17

Recovery time seems to vary quite a bit. I was sore for about the two weeks mentioned, but some of my contemporaries healed faster. You didn't mention the frozen peas (a bag of frozen peas makes a reasonably good and quite form-fitting ice pack; good for lots of things. Everyone should have a package of frozen peas in their freezer.) Does anyone know to what extent (if any) the various "fertility" procedures available these days are able to conceive a child starting with a man who's ha a vasectomy? Reversibility goes down over time. I was told that after a couple years your body develops antibodies for sperm, so it's not JUST that the ducts aren't connected anymore.

Tool Using Animal (author)westfw2007-06-17

I did forget the peas ;-) I also forgot that I was admonished not to take a bath, but to shower only to keep water from leaking in...

OK..... WHO...........IS.........GOING...........TO.............EAT...........THE.............PEAS????

Bigdawg (author)2007-06-17

I've never been a fan of the K'nex gun instructables. Until now. They don't give me a sick feeling in the pit of my stomach! ;-)

Pazzerz (author)Bigdawg2009-04-01

BWUAAAHAHAHAHAHAA! K'nex is scraping the bottom of the barrel to me!

westfw (author)2007-06-18

Oops. one more comment (?) If you're NOT 100% certain that you don't want to have any (more) kids, I believe it's a relatively simply matter to "bank" sperm before your operation. There's probably a yearly fee attached to "private" storage of your genetic material; looks like "about" $100/year (most of the hits on "sperm bank fees" seems to be about buying sperm. That ... interesting, from a sociological point of view...)

Pazzerz (author)westfw2009-04-01

Also: there are many children already in this world who are going to need good parents. I myself don't feel the need to propagate my own species ( I've been told I was a species unto myself, once... but she was angry and we were breaking up...).

vasdef (author)2007-11-19

One thing not mentioned: There are many cases where the snipped vasdeferens regrew and attached itself again, making it possible for the little tadpoles to find their way onto that crusty gym sock. Mother nature always finds a way...

Pazzerz (author)vasdef2009-04-01

The procedure that I had solved this problem: One end was 'sewn' inside the scrotal sac while the other end was outside. When the incision healed, there was no way for the little buggers to make their way out.

Thinktank (author)2007-06-17

One word. Lobster. I am done.

T3h_Muffinator (author)Thinktank2007-06-17

No, Two Words: Rock Lobster

my grandad mentioned something about bulldog clips for 24 hours once.....

girrrrrrr2 (author)Vendigroth2007-08-02


rickyd! (author)girrrrrrr22009-02-11

my uncle uses rubber-bands for cows.....000000wwwwww!!!!

Bubbler (author)2007-06-22

Cutting the Vas Deferens makes a vast differenze!

rickyd! (author)Bubbler2009-02-11


Aburame Shino (author)Bubbler2008-05-31


Matt D655 (author)2008-07-19

does it hurt like hell?

No, the only part that hurt was when the incision was made, and it hurt no worse than when they prick your finger for blood. The jock strap for two weeks is the unpleasant part. That and maybe explaining to your boss why you can't do heavy lifting. ;-)

Cryptonat (author)2008-05-29

OMHO.... Evil!

maven (author)2007-12-16

I found it interesting as a woman (39yrs old) that after giving birth to my last child, every single Dr and nurse who cared for me in the hospital asked did i or when was I having my tubes tied. Yet our family practitioner tried to talk my husband (age 50) OUT of a vasectomy just in case he wanted more children someday! A bit of gender inequality there... My husband decided a simple out-patent surgery for him beat having to take full care of the kids for a month or more it would have taken me to recover from a major abdominal surgery.

gannon (author)2007-06-21

You can buy a do-it-yourself kit on ebay and save big bucks.

ProfessorZ42 (author)gannon2007-10-15

Eww. That is all.

Elastometer (author)2007-06-18

Nobody, but nobody... Get's within reach of my Tookie with a razor!

carbon (author)Elastometer2007-06-18

Well, I'm sure you could singe the hair off with some careful application of a blowtorch. Would you prefer that? :P

westfw (author)Elastometer2007-06-18

ya know, once you've been there as your wife gives birth to a couple of children, having a razor near your "tookie" really ought to seem like a pretty small risk... That's one of the major advantages of a vasectomy; it's a hell of lot less invasive and less dangerous than ANY sterilization procedure for women...

cokebottle tuque (author)2007-06-18

You forgot a vary important step. Step 2.5 put some on ice in case you change your mind, you don't need the revers procedure.

westfw (author)2007-06-18

I suppose someone should say "while a successful vasectomy is one of the most effective forms of birth control possible, it does not provide either partner with any protection against sexually transmitted diseases."

Duranis (author)2007-06-18

"Don't worry the Doctor doesn't expect you to fill it"..... LMAO! Best use of photo's ever! :)

zmatt (author)2007-06-17


canida (author)2007-06-17

A very useful Instructable! Hopefully it gets referenced a lot.
You should add a "why" step.

jackrackam (author)2007-06-17

Is that the Simpsons I see! Radioactive man rulez.

Williz (author)2007-06-17

Uh it IS reversible.

Mitten (author)Williz2007-06-17

It's a serious undertaking that should be CONSIDERED irreversible. I'm sure its not cheap and/or comfortable to get this reversed.

lebowski (author)Mitten2007-06-17

That's pretty much exactly what the doctors will tell you. I've also heard plenty of stories where guys get all the way to d-day and then just don't show up at the doctor's office, but I'm not quite sure what they tell their wives. After your wife goes through giving birth to your child(ren), it's pretty hard to come up with any excuse that's gonna fly. A friend of ours passed out after he was shaved by the nurse. I'm not sure if all procedures require shaving though.

Kiteman (author)Williz2007-06-17

Reversability is not certain, it is only possible if you are lucky.

When tenderness finally reduces to a point where you could consider ... er ... extreme friendliness with a person of a female persuasion, remember that viable sperm can still be released for several weeks thereafter. A colleague who had the snip was told to stick with condoms for six months after the op, just to be on the safe side.

Weissensteinburg (author)2007-06-17 were serious about making one... Did you just have one, or something?

No i had it five years ago

!Andrew_Modder! (author)2007-06-17

...what the hell man!?

joejoerowley (author)2007-06-17

Well this is not at all sick (JK). Did any of you see the Family Guy were they sing in a barber shop quartet about getting a vasectomy. It is really really funny!

i saw that 1 lol :-)

About This Instructable




Bio: Working my dream job in the Telecom industry, so chances are, i'll never have time to respond to comments or messages, nothing personal.
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