EP237: No pain but all gains in getting a vasectomy | PUTTING DR G ON THE SPOT - video Dailymotion

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Consultant urologist Dr George Lee Eng Geap, or a.k.a Dr G, gives advice to a reader who wants to stop having children after his fourth child came about.  Read more at https://shorturl.at/9Xe8U  WATCH MORE: https://thestartv.com/c/news SUBSCRIBE: https://cutt.ly/TheStar LIKE: https://fb.com/TheStarOnline

Transcript

00:00Hello there, welcome to the whole month of September and we're going to discuss

00:05the whole thing about male sterilization

00:14Many people worry about sterilization because they have

00:17misconception about sterilization. Sterilization is not castration

00:22therefore do not worry about the testicle being removed. First of all the

00:28differences between male and female sterilization is quite vast. For example

00:33men actually can undergo such procedure under local anesthesia and women have to

00:40undergo it under general anesthesia. For men it actually is a small incision

00:46around the actual scotum itself, for women is actually multiple incision in

00:52order to get hold of the fallopian tube and more importantly for men it is not

00:57it is reversible but for women it is not reversible. So the first week we're

01:03going to deal with exactly what anesthesia do we use. So first of all

01:09when somebody undergo vasectomy 99% of the time we do it under local

01:17anesthesia. Under this circumstance the person is completely awake and the

01:22surgeon will actually identify the vas and inject local anesthesia so that

01:27there is no sensation felt at all. Under such circumstance there will be a small

01:33six millimeter incision made and also the vas will be externalized and

01:39segmentally excised and both sides of the vas will be cut and subsequently the

01:45stitches will be applied on the scotum itself. Obviously there are two scotum

01:51two testicle so therefore on the right hand side there will be small wound and

01:55the left hand side will be small wound. Some people worry about the local

02:00anesthesia might actually wear off quite quickly, don't worry the vast majority of

02:06people this will take between six to eight hours therefore individuals who

02:11undergo vasectomy are always advised to take some painkillers such as

02:15non-steroidal anti-inflammatory way before the actual local anesthetics

02:20wears off and for the first day the vast majority people feels nothing at

02:25all. For the second day the actual antibiotics is probably required but the

02:30painkillers is only necessary in less than 10% of men who undergo vasectomy.

02:35So for men who truly truly are quite scared of pain there's other options of

02:42general anesthesia however if you consider that your wife undergo the

02:47whole childbirth for you a small cut for the local anesthesia induced

02:53vasectomy probably is quite worthwhile and probably you need to do it without

02:58the whole problems of general anesthesia. For the following week we're going to

03:03discuss exactly what will happen to your semen after the vasectomy. If you are

03:09interested stay tuned for next week's Putting Dr. G on the Spot.

03:17you

EP237: No pain but all gains in getting a vasectomy | PUTTING DR G ON THE SPOT

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