FMGE 2021 — Surgery

Question 1: Which of the following statements is incorrect regarding vasectomy?

• A. The procedure is done under local anesthesia
• B. The vas deferens is the structure that is divided in the procedure
• C. A no-scalpel technique is being widely used now
• D. Sterility is achieved 3 weeks after the procedure (Correct Answer)

Explanation: ***Sterility is achieved 3 weeks after the procedure*** - Full sterility after vasectomy is not achieved instantly; it typically takes **at least 8-16 weeks** or approximately **20 ejaculations** to clear residual sperm. - Patients are advised to use other birth control methods until a **sperm count of zero** is confirmed by a semen analysis. *The procedure is done under local anesthesia* - Vasectomy is commonly performed using **local anesthesia**, often alongside mild sedation, making it an outpatient procedure. - This approach minimizes patient discomfort and avoids the risks associated with general anesthesia. *The vas deferens is the structure that is divided in the procedure* - The **vas deferens** is indeed the specific anatomical structure that is cut, tied, or sealed during a vasectomy. - This interruption prevents sperm from traveling from the epididymis to the urethra, thus preventing fertilization. *A no-scalpel technique is being widely used now* - The **no-scalpel vasectomy (NSV)** technique is a modern, less invasive approach that uses a puncturing instrument instead of a scalpel incision. - This method typically results in less pain, bleeding, and a quicker recovery compared to traditional incisional techniques.