Definition
- Excision of a segment of the vas deferens with ligation of distal and proximal ends.
Discussion
- This procedure is performed as an elective sterilization procedure or to prevent orchitis prior to a prostectomy.
- It can be performed under local, regional, or general anesthesia and as an out patient procedure.
Positioning
- Supine, with legs slightly apart
Incision Site
Packs/ Drapes
- Laparotomy pack or basic pack with transverse Lap sheet.
Instrumentation
- Vasectomy tray or minor tray.
Supplies/ Equipment
- Basin set
- Blades
- Suction
- Solutions
- Sutures
- Scrotal support (optional)
Procedure
- The vas deference is palpated through the scrotum before anesthesia (local) is administered.
- A small incision is made in the scrotum.
- The vas is seized with an Allis or Bobcock clamp and is freed of surrounding tissue.
- A segment of the vas is excised and the ends are ligated or cauterized.
- The ends may be nuried within the scrotal fascia with one or two sutures.
- The procedure is repeated on the other side, and the incision is closed in layers.
Perioperative Nursing Considerations
- Local anesthesia is frequently used.
- An ice pack may be applied to the scrotum immediately after surgery.
- A sterilization permit may be needed in addition to the operative consent.
