Vasectomy

 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

• Scrotum

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

1. The vas deference is palpated through the scrotum before anesthesia (local) is administered.
2. A small incision is made in the scrotum.
3. The vas is seized with an Allis or Bobcock clamp and is freed of surrounding tissue.
4. A segment of the vas is excised and the ends are ligated or cauterized.
5. The ends may be nuried within the scrotal fascia with one or two sutures.
6. The procedure is repeated on the other side, and the incision is closed in layers.

Perioperative Nursing Considerations

1. Local anesthesia is frequently used.
2. An ice pack may be applied to the scrotum immediately after surgery.
3. A sterilization permit may be needed in addition to the operative consent.