Snip snip extreme edition

Snip snip extreme edition

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Prizam

Original Poster:

2,335 posts

140 months

Tuesday 8th November 2022
quotequote all
I have read through the various vasectomy threads on here in search of clear guidance on getting neutered, and I take note that I will need to wear super-tight undies, sit on a bag of ice and not ride my unicycle back from the appointment, no matter how "fine" I feel. It

My other takeaway is that PH needs a league table of how quickly one might be able to "flush out the pipes". I know you need your certificate for the "all clear".

Some of the questions that I could not find proper answers to are:


- Does a vasectomy have any long-term side effects? I mean... the swimmers have to go somewhere, right?

- Can you get insurance? Not to insure that the procedure "works", but if for some reason I end up with another child, (Twins last time) I'm going to need to get my sad face on for some compensation. those little rascals really take it out of you!

- What are the real statistics on long-term pain and problems with the procedure? There are massive variations in the statistics and reports I can find. Is there any reliable research on this?

- What if you happen to have varicoceles (Varicose veins in the left nut) and don't fancy getting your sack spliced twice? Can you make like a bowl of spaghetti and have them all pulled out in one swift manoeuvre? A cursory google suggests yes, but I can't find a UK site talking about it. Does anyone have first-hand experience in combining the operations?

- Is it worth going private? I suspect the service will be quicker and I'm not worried about the cost, but is it as well regulated? I'm just a little worried about turning up to see DR Zoidberg waiting for me.

FourGears

270 posts

54 months

Tuesday 8th November 2022
quotequote all
Prizam said:
I have read through the various vasectomy threads on here in search of clear guidance on getting neutered, and I take note that I will need to wear super-tight undies, sit on a bag of ice and not ride my unicycle back from the appointment, no matter how "fine" I feel. It

My other takeaway is that PH needs a league table of how quickly one might be able to "flush out the pipes". I know you need your certificate for the "all clear".

Some of the questions that I could not find proper answers to are:


- Does a vasectomy have any long-term side effects? I mean... the swimmers have to go somewhere, right?

- Can you get insurance? Not to insure that the procedure "works", but if for some reason I end up with another child, (Twins last time) I'm going to need to get my sad face on for some compensation. those little rascals really take it out of you!

- What are the real statistics on long-term pain and problems with the procedure? There are massive variations in the statistics and reports I can find. Is there any reliable research on this?

- What if you happen to have varicoceles (Varicose veins in the left nut) and don't fancy getting your sack spliced twice? Can you make like a bowl of spaghetti and have them all pulled out in one swift manoeuvre? A cursory google suggests yes, but I can't find a UK site talking about it. Does anyone have first-hand experience in combining the operations?

- Is it worth going private? I suspect the service will be quicker and I'm not worried about the cost, but is it as well regulated? I'm just a little worried about turning up to see DR Zoidberg waiting for me.
Swimmers just get absorbed back into the body

I get achey plums sometimes but it is mild.

I had it on the NHS and it was fine. Chatted about Tennis.

Very tight briefs you need

Steve H

5,225 posts

194 months

Tuesday 8th November 2022
quotequote all
Private, definitely.

In many cases you may end up with the same surgeon on NHS but equally it might be his understudy so why take the chance.

It wasn’t that expensive when I had it done and I was reassured by feeling I had the full attention of the guy with a knife near my equipment.

popeyewhite

19,626 posts

119 months

Tuesday 8th November 2022
quotequote all
Vasectomy / increased risk of prostate cancer

https://en.ssi.dk/news/news/2019/vasectomy-is-asso...

The_Doc

4,856 posts

219 months

Wednesday 9th November 2022
quotequote all
popeyewhite said:
Vasectomy / increased risk of prostate cancer

https://en.ssi.dk/news/news/2019/vasectomy-is-asso...
Is that a fair and balanced statement, because it isn't really very helpful or represent the full picture. A reader of pistonheads could easily read that as Vasectomy increase(s) the risk of prostate cancer. (It makes the cancer more likely)

Things aren't clear or proven yet, there is association but not causation. Particularly when the actual author of the paper Anders Husby says "“There might also be an association between other elements of male reproductive health and the risk of developing prostate cancer,”

The follow up article once the community had had the time to digest and criticise, although the intial paper was peer reviewed, was https://academic.oup.com/jnci/article/112/1/5/5497... and said
" So where do we stand? It is an unsatisfying answer, but it remains unclear whether vasectomy is a cause of prostate cancer. "

What would the uninitiated and non-critical or non scientific reader make of a one line "Vasectomy / increased risk of prostate cancer"

I'm not here to chide, but there is nothing more damaging than poor and incomplete research and that article is one or the other.

The interesting interpretation is that "...Although some well-designed, prospective studies have not observed associations (5,7), the HPFS analysis (4) within the highly screened population illustrates the possibility that insufficient adjustment for screening intensity could underestimate an association of vasectomy with more clinically relevant cancer."

If you understand that paragraph and the refs, then the answer might be clearer, but at the moment it's We Don't Know.

4 Siddiqui MM, Wilson KM, Epstein MM, et al. . Vasectomy and risk of aggressive prostate cancer: a 24-year follow-up study. J Clin Oncol. 2014;32(27):3033–3038.
5 Shoag J, Savenkov O, Christos PJ, et al. . Vasectomy and risk of prostate cancer in a screening trial. Cancer Epidemiol Biomarkers Prev. 2017;26(11):1653–1659.
7 Bhindi B, Wallis CJD, Nayan M, et al. . The association between vasectomy and prostate cancer: a systematic review and meta-analysis. JAMA Intern Med. 2017;177(9):1273–1286.


Edited by The_Doc on Wednesday 9th November 09:13

popeyewhite

19,626 posts

119 months

Wednesday 9th November 2022
quotequote all
The_Doc said:
Is that a fair and balanced statement, because it isn't really very helpful or represent the full picture. A reader of pistonheads could easily read that as Vasectomy increase(s) the risk of prostate cancer. (It makes the cancer more likely)
It's a header to introduce the study

People can make up their own minds I'm sure. HTH

Prizam

Original Poster:

2,335 posts

140 months

Wednesday 9th November 2022
quotequote all
Thanks for the articles both. Your statements aline with my own reasearch and conclue with "no one really knows".

andy_ran

554 posts

192 months

Wednesday 9th November 2022
quotequote all
FourGears said:
Swimmers just get absorbed back into the body

I get achey plums sometimes but it is mild.

I had it on the NHS and it was fine. Chatted about Tennis.

Very tight briefs you need
Same for me - did mine Jan 2021

Waited for what felt like a year on the NHS (covid) so looked to go private - Ended up getting a NHS spot. It was the same surgeon and he said there was no advantages to going private other than the speed you may get seen

Yep tight undies with lots of support for the plumbs

I still get an "achy" run when i need to put more supportive underwear on for a few days - Emptying ones tank helps at this point

You cant get insurance, There are chances you body will fix itself but its bloody rare.

Prizam

Original Poster:

2,335 posts

140 months

Saturday 12th November 2022
quotequote all
Is sexy time any diffrent?

ChevronB19

5,738 posts

162 months

Saturday 12th November 2022
quotequote all
Steve H said:
Private, definitely.

In many cases you may end up with the same surgeon on NHS but equally it might be his understudy so why take the chance.

It wasn’t that expensive when I had it done and I was reassured by feeling I had the full attention of the guy with a knife near my equipment.
Mine was fine (NHS). The surgeon and I talked about Aston Martin’s and the nurse held my hand! (2013, not 1964).

A bit tender for a couple of days, tight pants definitely, some enthusiastic self enjoyment for a couple of weeks, then a screen to ensure the boys are no more (they get reabsorbed).

ChevronB19

5,738 posts

162 months

Saturday 12th November 2022
quotequote all
Prizam said:
Is sexy time any diffrent?
You’d have to ask my wife, but for me, no.

Steve H

5,225 posts

194 months

Saturday 12th November 2022
quotequote all
ChevronB19 said:
Steve H said:
Private, definitely.

In many cases you may end up with the same surgeon on NHS but equally it might be his understudy so why take the chance.

It wasn’t that expensive when I had it done and I was reassured by feeling I had the full attention of the guy with a knife near my equipment.
Mine was fine (NHS). The surgeon and I talked about Aston Martin’s and the nurse held my hand! (2013, not 1964).

A bit tender for a couple of days, tight pants definitely, some enthusiastic self enjoyment for a couple of weeks, then a screen to ensure the boys are no more (they get reabsorbed).
I’m sure the vast majority are absolutely fine, I just didn’t feel like chancing it just to save a few hundred quid (it was a while ago so rates may have change laugh).

Onelastattempt

386 posts

46 months

Saturday 12th November 2022
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I had my vasectomy in 1994, it was done at a Marie Stopes clinic in Leeds.
Nurse sat talking to me, a quick injection for pain relief, ( actually the worst part of the procedure, the nurse said when the stuff injected reaches the end of your penis it will definitely bring tears to your eyes for a couple of seconds and it definitely did ! ).
A small V shaped cut was made and I think they used a laser to cut and cauterize the tubes at the same time, no pain or discomfort at all during the procedure. A pair of tight trunks to keep it all secure and I drove home afterwards.
Next day the bruising was quite impressive but no discomfort.
No long term after effects at all.

Don Roque

17,990 posts

158 months

Saturday 12th November 2022
quotequote all
Insurance for a failed procedure? Good luck with that laugh

Post-op complications are fairly rare but they do happen. You can get some issues with sperm granulomas forming hard lumps at the end of the cut tube. The sperm itself is also apparently an irritating to your body, when the sealed system is cut it can leak into your ballsack and create irritation.

The whole thing isn't so bad if you get the 'no scalpel' procedure they use these days. It's all done through a tiny incision just off centre on your scrotum, you'll have what looks like a couple of pin-pricks there afterwards and some minor swelling. I had a sore left ball for about six months afterwards and it still occasionally feels a bit tender but it's not a big deal. I assume it is some scarring around the cut tubes, all par for the course and part of the expected outcomes that the doctor will discuss with you.

I don't know what your local provision is like bit I don't think it's worth going private unless they're dire. I spoke with my doctor and a couple of months later I was booked into the clinic for the procedure. It was actually a private practice that does NHS vasectomies. The doctor that sorted mine said he does vasectomies privately but there was no real need to pay for it since the referral and turnaround time was pretty much the same if you went through your GP.

Register1

2,131 posts

93 months

Saturday 12th November 2022
quotequote all
Think twice about the snip.
It costs twice the price to get the plumbing put back to working order again.
Then it only works for a couple of years, until the scar tissue blocks the pipes again.

Hub

6,413 posts

197 months

Saturday 12th November 2022
quotequote all
Prizam said:
- Does a vasectomy have any long-term side effects? I mean... the swimmers have to go somewhere, right?

- What are the real statistics on long-term pain and problems with the procedure? There are massive variations in the statistics and reports I can find. Is there any reliable research on this?
I wonder about the first one too - without relief I would end up with ball ache, but I assume that the sperm is actually only a small proportion of the overall ejaculate?

The NHS site used to say that there was a 1 in 10 chance of chronic long term pain, which put me right off. I don't think it says that now

BabySharkDD

15,077 posts

168 months

Saturday 12th November 2022
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I know chaps who’ve had no problems and just the one who suffers a bit. He has a constant ‘blue balls’ (epididymal hypertension) feeling that hasn’t gone (several months). It could be psychological rather than physical as he was looking up every adverse effect before the surgery, but he hasn’t sorted it yet.

Skyedriver

17,667 posts

281 months

Saturday 12th November 2022
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Allegro_Snapon

557 posts

27 months

Saturday 12th November 2022
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Hurts much less than a dual hernia. But more than giving birth.

Don't try and drive home, even on good painkillers.

Flushing the pipes, there are 55,897,675 movies on the internet to help or ask a family member (close one, related to legally) or a friend, just no teabagging for once.

When about day 2 the good painkillers were off just DO NOT bang the clockweights on the toilet seat when sitting down to send a number 2 to United Utilities....I suffered badly from this, my friend whom I told went feral and used a cats litter tray for three days to avoid said issues. Did I say DO NOT!!!!!!!!!!

Scars after were fun! Damn it crops the nackers off but they were more blue and black than all the Everton Fans in Goodison piling on the referee and linesman.



Clockweights and toilet seats OK. DO NOT BANG them. And be prepared for the funny smell of the loose juice once the plumbing has been changed for a few weeks, mine was a cross between slightly sugary fruit juice and cat piss.

Edited by Allegro_Snapon on Saturday 12th November 23:14


Edited by Allegro_Snapon on Saturday 12th November 23:17

Scabutz

7,482 posts

79 months

Monday 14th November 2022
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Cant add much other than a joke I heard a comedian say the other day when talking about. Having a vasectomy is like buying an exercise bike. You think you are going to use it all the time but soon it has washing hanging on it.