I am a Jaffa

It hurt and it hurts, but it is all over now, bar the wanking.

Vasectomy consent: Given.

Surprisingly it seemed to take Jim more summoning of nerve to sign the forms than it did me. I still feel terribly put out that Jim has to be involved in the decision.

As it happens this is her idea, although she is going off it as it comes near, in case I blame her in later life if she dies and I cannot sire children by another woman.

I am waiting with two children whilst Jim takes the third to school and yes, I suddenly can see all sorts of reasons to have a fourth. I wish I was dim enough not to realise that I am looking for outs here, so that I could legitimately bottle it, but to be honest I never want to shave my 'nads again anyway.

I, Richard Manley of XXXXXX
Hereby consent to undergo the operation of bilateral vasectomy, the nature and purpose of which has been explained by Dr M B Watson.
I consent to the administration of a local anaesthetic.
I have been told that the intention of the operation is to render me permanently sterile and that there is a very small chance I may become fertile again, even after two negative sperm counts.
I understand that two negative sperm counts must be obtained at 12 and 16 weeks after the operation to confirm my sterility. Until this has been confirmed my partner and I must continue to use a method of contraception.
I have been warned that the operation has a low complication rate usually due to infection or bleeding into the scrotum. I have been told that men occasionally experience some scrotal pain following vasectomy but due to the technique used by my Doctor this is considered to be unlikely.
Date.................... Signed....................................................... (Patient)
Date.................... Signed..................................................... (Girlfriend/Wife)
I confirm that I have explained to the patient the nature and purpose of this operation.
Date.................... Signed....................................................... (Doctor)

Vasectomy day.

My freshly shaved balls are itching, my heart is aching and my hay fever is perverse.

I am sitting contemplating the vasectomy consent form before me.

I will sign, but I do need to consider it for a while, none the less.

The first half of this is terrifyingly appropriate.

Vasectomy shave 3

This goes on a bit, but it is probably worth watching me cut my own testicles twice.

Vasectomy shave 2

A second attempt - the scissors worked well, but I just lose my nerve part way through and need a break.

UPDATE: The final instalment of the shave

Vasectomy shave 1

Not much to say here - the beard trimmer simply did not work, so I have to find some scissors somewhere.

I am nervous as hell.

Sound quality is poor (well, very quiet) so you need headphones - although, to be honest, it is not worth watching really.

Update: I continue my shave.

Vasectomy instructions, an analysis.

Padded pants, requests for sex and raw fear.

Instructions for a vasectomy

BEFORE YOUR OPERATION

Please attend for your vasectomy on 16/10/2008 1115
Please note that you will need to come to the back door of the building through the car park as the main doors will be locked

1. Please shave the hair from the scrotum with a safety razor but it is not necessary to have a complete shave of the pubic area

2. Please wear tight underpants, which give support to the scrotum.

3. When you attend for the operation, please bring someone with you who are able to take you home. For legal reasons you must not drive yourself.

4. Please bring something interesting to read whilst the vasectomy is being carried out.

5. Be prepared to rest for 48 hours after the operation and if you have a very heavy job please arrange for some days off work if at all possible.

AFTER YOUR OPERATION

1. Please take it easy for at least 3 days avoiding heavy lifting and rushing about.

2. You may shower in the evening following your vasectomy but avoid bathing for 3 days.

3. Some pain and bruising is usual. Paracetamol should help but if you are worried in any way please contact us Tel: XXXXXXX. Urgent advice over the weekend: XXXXXXX

4. Please make love when you feel comfortable, for most men this is at least 7 days after vasectomy. It takes about 20 ejaculations to clear active sperm left in your system.

5. Remember to use other contraception until you have had two negative sperm counts and a letter stating that you are sterile.

The chances of failure of vasectomy are very small (less than 1 in 2000 vasectomies), but even after being confirmed sterile there is stiii a remote chance of the tubes healing together. We emphasis that pregnancy occurring after vasectomy is however a rare event and as a comparison vasectomy is 10 times more reliable than a sterilisation operation for your wife.

HOW TO COLLECT YOUR SPERM SPECIMENS
Two specimens of semen are required: the first at 12 weeks and the second at 16 weeks after the operation. The whole of the ejaculation needs to be collected in the plastic container provided and posted through the letter box beside the door of the pathology building at RD&E Wonford Hospital before 9am. Please do not take specimens on a Saturday or Sunday as the laboratory is closed.

After your second negative sperm count has been received we will write to you within 10 days and confirm that you are sterile. Please remember we cannot under any circumstances give results out over the telephone and we appreciate your cooperation in this matter.

Vasectomy shave.

Well, I have to shave my testicles prior to the operation and I thought it best if I had a dry run.

I won't spoil it by explaining it all here, I shall just let you see it for yourselves (SFW except perhaps for the manic hippy in it).



Right, well I think that covers everything.

Having shaved the area with my beard trimmer I shall move on to a cut throat razor and clear the area of any stubble, ready for the vasectomy on Thursday.

Also, I think it is noteworthy that I would never do this outside of a medical scenario where I absolutely need to be clean shaven in the testicle area - bald balls are just not my thing.

Update: The actual shave.

Vasectomy leaflet.

Well, I have a leaflet explaining my vasectomy to me.

I am having what is called a 'No Scalpel Vasectomy', which is a Chinese practise and which scared the crap out of Manleys.

No Scalpel Vasectomies at St Thomas Health Centre
Available: You can get an appointment now for a vasectomy within 3 months
Local: At St Thomas Health Centre. Run by a local general practitioner for Exeter patients
Convenient: Procedure out of normal working hours. Minimal disruption to your job

Advantages of No-Scalpel Vasectomy over conventional methods:

• Less discomfort
  
• One small opening in the skin instead of two incisions
  
• Faster procedure
  
• Faster recovery
  
• Less chance of bleeding and other complications
  
• Just as effective
  

How Can I Be Sure I Want a Vasectomy?

Be absolutely sure you don't want to father a child under any circumstances. Talk to your partner; it's essential to make the decision together. Consider other kinds of birth control as well. A vasectomy might not be right for you if you are very young, your current relationship is not stable, you are having the vasectomy just to please your partner, or if you are under a lot of stress.

Well, I am not very young, so that's one anyway!

What is different about a no-scalpel vasectomy?
No-scalpel vasectomy differs from a conventional vasectomy in a number of ways. Instead of two cuts the doctor makes one tiny opening with a special instrument. The "tubes" are then blocked using a cautery method. There is very little bleeding and no stitches are needed.

The no-scalpel vasectomy was invented by a Chinese surgeon and is used throughout China. It was introduced in the United States in 1988 where it is now the preferred method because of its low complication rate. Dr Watson, a St Thomas general practitioner, is fully trained and accredited to perform the no-scalpel vasectomy.

Is no-scalpel vasectomy safe?
Vasectomy in general is safe and simple. Vasectomy is an operation and all surgery has some risks such as bleeding, bruising, or infection. However, serious problems are very rare; less than 1 in 100 cases have even a minor problem.

Does no-scalpel vasectomy work?
Yes. It is estimated that after a vasectomy there is less than 1 in 2000 chance that a man's partner will become pregnant. This is ten times more reliable than if your wife had a sterilisation operation.

Do I need a referral?
Yes. Please consult your GP first. Provided there is no medical reason would make it unwise or unsafe to have a vasectomy your GP will refer you to our clinic.

How long will the no-scalpel vasectomy procedure take?
You come to see us for a consultation at which we explain the procedure and answer your questions. Your partner does not have to attend with you but it may be helpful if she does. You then book in for the procedure to be done on another day.

On average the procedure takes about 10 minutes but you will be at the surgery about 30 minutes in all. You should bring someone with you to drive you home afterwards.

"Bring Jim!" Bloody sexism that is!

Will it hurt?
Before the vasectomy if you feel especially nervous, we can give you a mild sedative to be taken an hour beforehand to relax you. When the local anaesthetic is injected into the skin of the scrotum, you will feel some discomfort but as soon as it takes effect, you should feel no pain. Afterwards you may be sore for a couple of days and you might want to take a mild painkiller. But the discomfort is usually much less with the no-scalpel technique because there is less injury. Also there are no stitches. You will be provided with complete instructions about what to do after surgery.

How soon can I go back to work?
You should not do heavy physical labour for at least 48 hours after your vasectomy. If your job doesn't involve this kind of work, you can go back to work sooner.

Will vasectomy change me sexually?
The only thing that will change is that you will not be able to make your partner pregnant. Your body will continue to produce the hormones that make you a man. You will have the same amount of semen. Vasectomy won't change your beard, your muscles, your sex drive, your erections or your climaxes. And you won't sing soprano! Some men say that without the worry of accidental pregnancy and the bother of other birth control methods, sex is more relaxed and enjoyable than before.

Will I be sterile right away?
No. After a vasectomy there are always some active sperm left in your system. It takes about 20 ejaculations to clear them. You and your partner should use some other form of birth control until two samples of your semen have been tested and confirmed free of sperm,

When can I start having sex again?
As soon as you are comfortable, but remember to use some other
kind of birth control until you have received the letter to say that you
are sterile.

Well, that is less comforting. I might need a sedative and I will no longer be able to sing soprano.

Does vasectomy cause any medical problems?
Medical experts, including special panels convened by the World Health Organisation, have concluded that vasectomy is a safe procedure. A number of studies have examined the long term health effects of vasectomy and the research evidence continues to be reassuring and suggests that vasectomized men are no more likely than other men to develop heart disease, cancer or other illnesses.

Will it protect me from getting or passing on STDs or AIDS?
No. It will only prevent you from making your partner pregnant. If you or your partner have a sexual disease, or have more than one sexual partner, the best way to protect yourself and your partner is to use a condom.

Can a no-scalpel vasectomy be reversed?
No more than any other vasectomy procedure. Remember that vasectomy, especially by the no-scalpel method is quick, convenient and causes very little discomfort but vasectomies should be considered permanent. Reversal operations are expensive and often unsuccessful. If you are thinking about reversal perhaps vasectomy is not right for you.

To book an appointment, please see your GP.

Well, I had thought about freezing something, although that was more for future practical jokes than anything else.

I find it very hard too understand that there are poeple out there dim enough to think that burning through their scrotum (oh GOD!) will stop them from contracting AIDS and I wonder if we should tell them. Perhaps they deserve to be caught out?