Home                Sitemap                Contact Us

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 can talk for several  hours on the topic but I guess you might  not have that much time or  interest.  What exactly do you want to know?, I offered, as efficiently as I  could.
‘Doctor, I feel that it is much easier for him to undergo a vasectomy than for me to go through  a tubal ligation.  Why must it be me all the time?  I’ve already gone through two Caesarean  sections.  He’s such a hypocrite.  He tells everybody that he’s the new the new millennium woman, but deep inside he is nothing but a Male Chauvinist Pig.  He does not  want to undergo  the operation and he’s trying to turn the tables on me with all kinds of excuses.  Please explain to him.  Plea…sss…e.’

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.
‘That was only during the days of the Emergency.  Times have  changed,’ I said, soothingly. 

‘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. 
Amused?  I don’t find it funny at all.

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.
‘My friends told me,’ said Mr touch-me-Not.  When I asked him if these   friends  had themselves  undergone vasectomies he said that they hadn’t, and that such potential complications were the very reasons why.  To avoid such ‘extremely injurious’ said effects, all these friends had subjected their wives to a tubal ligation instead!  These poor wives  actually believed  their husbands and wanted them to suffer such ‘life-threatening’  side effects, these meek ladies submitted  themselves to the gynaecologist’s scalpel.
It was a heinous national conspiracy.

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.’
I’d have done  anything  to prevent  another Munna from happening.

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