There are many different ways of performing male sterilization as a permanent way of birth control, including open and closed vasectomy procedures and a no-scalpel vasectomy. These are all established methods. However, these methods do not alter the technique or the success rates that Nikesh Thiruchelvam achieves.
As the operation takes 2-3 hours, you will have a general anaesthetic. It is important that you do not eat or drink for 6 hours before surgery. Mr Thiruchelvam uses a microsurgical operating microscope.
The testis is brought out of the scrotum via an incision and the damaged ends of the vas are cut back to where the tissue has a good blood supply.
Microsurgical precision: The vasal ends are sometimes cannulated or probed with an incredibly fine probe to ensure the lumen or channel is patent. The vas ends are then sutured together using incredibly fine sutures — around one quarter of the thickness of a human hair — which are permanent or non-absorbable.
Using these incredibly fine stitches, Nikesh Thiruchelvam is able to reconnect the small vasal tubes.
Using typical reconstructive techniques that he employs regularly throughout the urinary tract as a reconstructive urologist, Mr Thiruchelvam ensures that these new joins heal without tension and with a good blood supply. Unlike some surgeons, both sides are operated on with two separate scrotal incisions. Mr Thiruchelvam undertakes all parts of the surgery himself.
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