The Vas Deferens Between Men And Women
This is about the young couple that came to see me some years ago for a family planning consultation. The couple had two children, but looked like that was one too many already. Cine they couldn’t do much about the children they already had, they were determined not to have a third at any cost, I supposed. Their determination showed, especially on men can Be curvaceous too wife’s face. Apparently, the lady’s obstetrician had tried to persuade her to undergo a tubal legation (female sterilization) operation, but the lady had refused. Instead, she wanted her husband to undergo a vasectomy. They were in my office to check out the pros and cons of a vasectomy operation.
It seemed to me that I was not really necessary here. The couple looked like they were ready to sterilize each other right then and there without my assistance, given half a chance and a quarter of a scalpel. They might have even done so, were it not for Munna, there obnoxious, two-year-old brat. This nuisance was sequentially plucking at the stationery on my desk, his mother’s salwar (loose pants worn with long shirts), and his dad’s spectacles, in no particular order, with a manic kind of gusto. For respite, he ran around the entire office, fancying himself to be a whistling express train.
Under such circumstances, it was understandably hard for Munna’s parents to perform surgery on one gain one organ lose another . injuries could occur and the wrong body pats might get cut off.
I had to finally silence Munna the Pest with a killer look and the flashing of a fifty ml syringe with a huge attached needle. For those who might not know, the combined length of this syringe-needle contraption is a bout the length of a grown man’s forearm. Once Munna saw that, he abruptly sat down in a corner, like a frozen bar of ice cream, for the remainder of the afternoon. I shuddered to imagine what his sibling must be like. It was no wonder that the poor parents wanted sterilization.
‘Doctor,’ the wife began, ‘We want to know about vasectomy.’
I turned to Mr Touch-Me-Not and asked him what his reservations about vasectomy were. ‘Well, doctor, I’ve heard horrid thing about the operation,’ he said.
‘No, no, doctor. That’s not what he means. He thinks that a vasectomy causes all kinds of weaknesses. Please explain to him that it does not,’ Ms Sterilise Him commanded.
This young mother of two certainly knows a thing or two about vasectomised men, I thought to myself, but, being a good doctor, I dismissed the thought and resisted pondering how. That was outside the purview of this consultation; and none of my business anyway.
Since the gamut of imagined weaknesses that could be caused by a vasectomy range from ‘total body weakness’ to ‘sudden death’, I thought that it might be simpler for Mr Touch-Me-Not to indicate to me what his specific apprehensions were. I told him so.
‘Well, I’ve heard that a vasectomy operation causes impotence, stops ejaculation, and induces many kinds of weaknesses,’ he said lamely, shiftily avoiding any eye contact whilst speaking. ‘Besides, the part is soooo….so…delicate. I can’t bear to have any incisions made on it, doc. How will I walk? How will I ever sex again? Ooooo! I shudder at the mere prospect. Do you give general anesthesia for such major operations? Will you keep me in hospital for a week?’, he was eager to know.
I see many such men. All of them think that their wives have pachyderm hide in the place of skin, and that these women don’t feel any pain at all during labor, Caesarean sections, and several other operations that women undergo from time to time. what two-faced, sissy hypocrites these men are! It is sad, but true, that most Indian men are like this. It must have something to do with the khandaan ka chiraag (light of the family), laadla-beta (darling son) syndrome that is so glamorized on Indian celluloid. Anyone who has seen a fifty plus on-screen Dharmendra run into Nirupa Roy’s arms shouting ‘Maaaa!’ will know exactly what I am talking about. Mr Touch-Me-Not was of that same mollycoddle ilk. No doubt about it.
‘Have you ever know anyone who has become impotent or has developed ejaculatory problems after vasectomy?’, I asked him.
Once again, he glanced evasively all over the room, taking his time to answer. Finally, he shook his head.
‘Then who told you all this rubbish?’. I asked.
It was determined to do something about this. I spoke for the next several minutes, explaining the fact as they are, allaying apprehensions, and placing on the fast guys and other seminal matters in correct perspective. Luckily for both him and me, Mr Touch-me-Not was very receptive.
I began by telling them that the vas deferens is the tube that carries sperm from the testis up into the pelvis. Here, the sperm join the seminal secretions from other glands and get expelled in the ejaculate. Sperms in the semen are responsible for fertilization of the egg. A vasectomy is an operation in which the vas deferents is cut and tried off. This blocks the sperm from entering the ejacualte and thus sterilizes the male.
A vasectomy is usually performed under local anaesthesia. It takes just a few minutes and the patient usually goes back home or to the office within a few hours. It is a very safe operation and carries a very high success rate. The vasa deferentia (plural for vas deferens) are located in the scrotum. Thus, they are also just a few millimeters below the skin. By contrast, the Fallopian tubes in the female are located deep in the pelvic cavity, right inside the body. The complications of a tubectomy are thus potentially a lot more serous than those of a vasectomy.
Also, should the need arise, a vasectomy can be much more successfully than a tubectomy, using modern microsurgical methods. I perform several of these operations regularly, with very good results. In fact, nowadays, due to a rise in medical tourism, I increasingly perform these on patients coming in from other countries too.
The vas deferens has no anatomical or physiological connection with the penis, though the two are juxtaposed. Hence, it is impossible for a vasectomy operation to cause any impotence or sexual dysfunction, and any perceived weaknesses after operation are purely imaginary, and just a big, convenient myth. Similarly, ejaculatory function is not affected either, since the ejaculatory apparatus is located much higher up, in the pelvis. Also, a vasectomy results in only a ten to twenty percent reduction in the total semen volume, because most of the seminal fluid is secreted by the seminal vesicles and the prostate gland, which are located much higher up in the pelvis and are not even touched during a vasectomy.
‘So, you see, in short, a vasectomy is a very safe and successful, minimally invasive operation that is performed under local anaesthesia, and allows you to go home in a few hours. It has no serous adverse effects,’ I concluded pedantically.
Mr Touch-me-Not looked like he was about to weep. He rose from his chair, walked to his wife and put his arms around her. ‘I’m sorry, really, really sorry darling,’ he said, his voice choking with emotion. ‘I am sorry if I have hurt you. I was really misinformed.’
He wiped his tear drenched face with his shirt sleeve and turned to me, ‘Can we fix up the operation for tomorrow itself, doc?’, he asked, still stifling his sobs.
My gaze fell on Munna. Suddenly, a warning bell went off in my head. ‘We can even do it right now,’ I enthused. ‘It’ll take only a few minutes.’
Take Home Message:
A vasectomy, or a male sterilization operation, is a very simple, safe and effective procedure. It carries very high success rates and low complication rates. It is much simpler to perform than a female sterilization operation, and is easier to reverse, should the need arise. Reversal also carries higher success rates, especially if performed at centers of microsurgical excellence. It is wrong to suppose that vasectomy causes many fearsome complications and side effects. It does not.
Thus, unless there are specific reasons against it, a vasectomy should unhesitatingly be the sterilization procedure of choice for couples. Check out http://www.IndiaInfertility.com http://AndromedaAndrologyCenter.com