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Smoke
Mar 11, 2005

I am NOT a red Bumblebee for god's sake!

I'm getting one done in a week or so, had an appointment on Friday to prepare and discuss. I'm in Eastern Europe and apparently the place I found is one of a very few or maybe even the only one in the country doing it as there's alao a bit of a taboo surrounding it. Doctor said he'd done a few hundred at this point, went over the procedure (no local but full anesthesia with a few hours of recovering in the hospital before I get to go home again). He's also providing a sick leave from work for the week of recovery. Insurance doesn't cover it but it's worth it for me.

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Thesaurus
Oct 3, 2004


Full anesthesia sounds pretty intense for this kind of procedure.

I imagine you could fly to s nearby country where it's more widely practiced?

Smoke
Mar 11, 2005

I am NOT a red Bumblebee for god's sake!

Well, I was informed the procedure would take only 20 minutes and over here it's apparently relatively common to go for a full one even for more minor surgeries. Going elsewhere would incur travel expenses as well and most likely cost the same, if not more.

I can also opt for the local instead if I want to however.

Dicty Bojangles
Apr 14, 2001

Yeah full anesthesia I would be checking to make sure no organs were removed, that seems a bit overboard.

ilkhan
Oct 7, 2004

Life before death.
Strength before weakness.
Journey before destination.
Unless you got something pretty goofy going on there's no reason for a full anesthesia for a vasectomy. You really are in and out in 20 minutes, just get the local.

Slimy Hog
Apr 22, 2008

I dunno. I think the doctors may know a bit more about the common practices in this dude's country than a bunch of random people on a dead comedy forum.

Tarnasjon
Aug 7, 2024
I was provided the option for general anesthesia after the doctor found out I have fainted during blood draws in the past. Full is not unheard of, though the middleground of having nitrous oxide plus local anesthesia is far more common and what I went for. Zero problems!

Phyzzle
Jan 26, 2008
The surgeon I went to, in the US, won't give me a vasectomy without general anesthesia. He says it is needed for hydrocele surgery, which he says will be needed to reach the vas deferens.

I'm not sure if I want to go through all that, since it sounds like a longer recovery time. What's more, insurance companies do cover vasectomies, which is surprising, since it's an elective procedure. But they draw the line at covering any extra thing, like hydrocele surgery, needed to make an elective procedure possible.

I can't find any online resource saying that vasectomies are blocked by a hydrocele. But I can't find any online resource saying that a vasectomy while leaving a hydrocele is fine, either. Wanting a vasectomy but not caring about a pre-existing hydrocele seems to be something of an obscure situation. I don't know if I should spend the time and money on a second opinion or if this is just the obvious thing that any urologist would say.

Anne Whateley
Feb 11, 2007
:unsmith: i like nice words
Vasectomies (and the equivalent for women) are considered preventative — preventing babies — so most insurance companies have them covered at 100%.

Another Bill
Sep 27, 2018

I stumbled ass-backwards into a comfortable, easy life for reasons beyond my comprehension and now I think I'm better than you for it.
General anesthesia is ridiculous overkill for a vasectomy. It takes 5 mins, just a little pinch. I have had teeth drilled that were more painful.

Tree Bucket
Apr 1, 2016

R.I.P.idura leucophrys

Phyzzle posted:

The surgeon I went to, in the US, won't give me a vasectomy without general anesthesia. He says it is needed for hydrocele surgery, which he says will be needed to reach the vas deferens.

I'm not sure if I want to go through all that, since it sounds like a longer recovery time. What's more, insurance companies do cover vasectomies, which is surprising, since it's an elective procedure. But they draw the line at covering any extra thing, like hydrocele surgery, needed to make an elective procedure possible.

I can't find any online resource saying that vasectomies are blocked by a hydrocele. But I can't find any online resource saying that a vasectomy while leaving a hydrocele is fine, either. Wanting a vasectomy but not caring about a pre-existing hydrocele seems to be something of an obscure situation. I don't know if I should spend the time and money on a second opinion or if this is just the obvious thing that any urologist would say.

My operation included a hydrocele removal. The gist of it seems to be that hydroceles have a chance of going away by themselves and a chance of getting much worse and even a (very small) chance of returning after removal- and it's impossible to say which way it will go.
I can't comment on the cost of things (feeling very grateful for the the Australian healthcare system right now). Similarly, yes, the recovery was more like two weeks than two days but I suspect most of that is due to, let's be honest here, my severe medical phobia.
Still: a year on, I'm very happy with the decision and my current number of children!

Spagghentleman
Jan 1, 2013
General anesthesia sounds absurd, are they planning on cutting the nutsack from end to end and turning it inside out like one of those weird invertible stuffed animals?

Good soup!
Nov 1, 2010

They knocked me out for my procedure (vagal syncope, not uncommon apparently) but I also wasn't in Eastern Europe lol

Vinny the Shark
Oct 11, 2005
I've finally got my appointment to get this done in a few weeks. It's getting done with local anesthesia. I'm having it done on a Thursday morning and I took off Thursday-Monday from work. Will 5 days be enough to recover? I have a job that usually doesn't require heavy lifting, but sometimes it can.

McGann
May 18, 2003

Get up you son of a bitch! 'Cause Mickey loves you!

Vinny the Shark posted:

I've finally got my appointment to get this done in a few weeks. It's getting done with local anesthesia. I'm having it done on a Thursday morning and I took off Thursday-Monday from work. Will 5 days be enough to recover? I have a job that usually doesn't require heavy lifting, but sometimes it can.

Definitely take more than 5 days before you do any heavy lifting, will work be somewhat accommodating(light lifting) for an additional week? If so should be cake.

Smoke
Mar 11, 2005

I am NOT a red Bumblebee for god's sake!

Got a call this morning informing me it's happening at 9:30 monday, followed by a week of just chillin'.

Lead By Example
Jul 17, 2009

I buy and resell Pokemon cards for a living. If you're ever looking to sell your childhood, please reach out!
Fallen Rib
when I got my vasectomy I only did local anastesia and the doctor tilted a mirror so I could see him cook (i asked)

poo poo was cash, 10/10 0 kids

Bismack Billabongo
Oct 9, 2012

I got this done yesterday. The no scalpel version where he clipped out about half an inch of Vas per side. Maybe less than that, idk. An amount. My dang OL beanbag was swole up like an orange yesterday but very little pain today, just vaguely achey. Should be headed back to work Monday at this rate. Played smash bros with junior for a while, that was fun.

I have a bunch of stuff I need to pick in the garden but I can’t step over the fence and will have to have my fiancé or kiddo do it for me which I’m not looking forward to lol. Supposed to be going river floating next Saturday so we’ll see if it’s actually healed up by then. No stitches

Bismack Billabongo
Oct 9, 2012

And my terrible insurance covered basically nothing so it cost fifteen hundred dollars. But if it means my fiancé doesn’t have to be on bc any more it should be worth it

Spagghentleman
Jan 1, 2013
About a month in. No pain at all when at rest. When I do a lot of manual labor I still notice a bit of tenderness, but only when pressure is applied.
My three year old loves to jump into my lap and that's really the only thing that's been noticeably bothering me.

Dicty Bojangles
Apr 14, 2001

Spagghentleman posted:

About a month in. No pain at all when at rest. When I do a lot of manual labor I still notice a bit of tenderness, but only when pressure is applied.
My three year old loves to jump into my lap and that's really the only thing that's been noticeably bothering me.

My son did the same a few months after my surgery and it hurt so bad I went to the nurse to check, worried he somehow blew open the surgery. No damage, confirmed a 3yo knee to the balls hurts like hell whether or not you’ve had a vasectomy.

Serjeant Buzfuz
Dec 4, 2009

Dicty Bojangles posted:

My son did the same a few months after my surgery and it hurt so bad I went to the nurse to check, worried he somehow blew open the surgery. No damage, confirmed a 3yo knee to the balls hurts like hell whether or not you’ve had a vasectomy.

Yeah this checks out, all three of my kids are determined to reenter my balls using kinetic methods.

Smoke
Mar 11, 2005

I am NOT a red Bumblebee for god's sake!

Well, it's done here. Now resting with an icepack for another hour before I get to go back home.

DasNeonLicht
Dec 25, 2005

"...and the light is on and burning brightly for the masses."
Fallen Rib
had mine yesterday; have to disagree about general anesthesia. it seemed standard, but the doctor might have ticked the "knock this dope out" box after I fainted during the consult months ago (my pain tolerance is good, but I am pretty squeamish)

we'll see what the claims damage comes back as (I've already met my deductible, so whatever it is won't be too bad) but A+ drugs (lidocaine and propofol; anesthesiologist was Russian, which I found reassuring) and not remembering the procedure itself was well worth it to me. I even dreamt music (downtempo chill). I was relieved when it was over. everyone was incredibly kind and a nurse even made me coffee while I was waiting for my ride home. shoutout to Virginia Hospital Center and Dr. Mordkin (which is etymologically so close to "death of family," that also felt right)

no-scapel procedure; I've been icing and taking ibuprofen, no swelling. the early morning was tough after a night without ice and as the painkillers began to wear off — powerful kicked in the 'nads feeling complete with queasy lightheadedness — but I felt better after another dose and couple more of hours of sleep. not looking forward to Tuesday's transit commute (easy office job), but otherwise plan on continuing to do gently caress-all for another week

38, never want children, and want to make sure I'm never responsible for an accidental pregnancy. if anything I regret not doing it sooner. an unemployment / insurance scare (:911:) earlier this year made me set things in motion

lots of affirming experiences in this thread — thanks, op

dexter6
Sep 22, 2003

DasNeonLicht posted:

A+ drugs
Virginia Hospital Center
Dr. Mordkin
38, never want children, and want to make sure I'm never responsible for an accidental pregnancy
Are you me? What up vasectomy buddy!!

Before I went to Dr. Mordkin, the first doc I saw said he did it outpatient with no general anesthesia and I had a real bad feeling from him. His office was a poo poo show, everyone was rude and he was cocky. He left me on the table naked and waiting for the surgery for way too long, so I actually got dressed and got off the table and left because he was such a prick. I met him in the hallway and he said “Oh, I was just about to come in, but I get it, it’s not for everyone!” I couldn’t imagine if I had a complication what the service was going to be like and didn’t want to change it.

Dr. Mordkin at VHC, on the other hand, had much better bed-side manner, was organized and thoughtful during the consult. He said he does all his vasectomys with general saying outcomes were better and healing time was faster. Overall great experience with him!

Vinny the Shark
Oct 11, 2005
Got mine done 3 days ago.

The whole procedure took about 45 minutes. I was fully awake the entire time. Aside from the initial shot of local anesthesia there was no pain. I could feel him working on me but it was not painful at all. The doctor and his assistant worked on me. My doctor was great- he was joking around and being friendly and jovial the whole time. He told me that I had the ideal scrotum and that if he were teaching the operation mine would be a perfect example. When he began cauterizing I could see the smoke rising from my crotch. A bit unsettling, but then the doctor broke the tension by saying "nothing like the smell of burning testicles in the morning." I had to laugh. He finished up and I was on my way. My friend that drove me called me numbnuts when I emerged into the waiting room. Couldn't argue with that.

I spent the next 2 days sitting around reading books and playing video games with bags of frozen peas and vegetables on my balls. This is my first day not using cold. The pain has been very mild. It feels like a dull ache. My balls themselves aren't really in pain- it's the area slightly above them that feels a bit tender. I can feel it a bit when I get up from sitting and going up and down the stairs of my condo but it's not really painful- just mildly annoying. I take an ibuprofen before going to bed but even if I didn't I think I could sleep ok. The worst part about this hasn't been the pain- it's been just sitting around all day. Can't wait to start exercising again in probably 2 weeks or so.

Just turned 40 last year, 0 kids and never wanted any. I honestly wish I had done this 10 years ago.

Techno Remix
Feb 13, 2012

I get to tell my vasectomy story, not to discourage anyone from ever getting one but I was someone who had more complications than most and want people to be informed in case it happens to anyone else.

My actual procedure went fine, no issues. But afterwards, for whatever reason, it didn’t either heal properly or didn’t clot the way it was supposed to and I ended up with a 13cm hematoma in my sack/abdomen on the left side. Extreme pain that night (an 8 when I was just laying there, a complete 10 if I had to stand or move). I passed out trying to get to the bathroom and my wife had to catch me because she was following behind me at the time.

It eventually stopped hurting but the whole area was swollen to the size of a softball and was various awesome shades of black, purple, and yellow. I ended up with the gnarliest bruise that ran along the inside of my hip, down my thigh, and stopped right above the knee. When the swelling finally went away it still looked like I was left with a third ball.

Long story short, I had to go to an actual hospital for a second procedure in which they drained/removed the hematoma and checked the vasectomy a second time (it was still good), and after a few weeks tests confirmed everything was the way it was supposed to be. The only lasting damage I seem to have is a patch of skin on my scrotum (about a quarter inch square) where I no longer have any sensation. The whole ordeal lasted about six months (including my wedding reception).

I imagine it’s still infinitely less painful and expensive than having a kid. Those complications do happen (rarely) so make sure you’re listening to your body if something isn’t right.

Tsietisin
Jul 2, 2004

Time passes quickly on the weekend.

I am currently on my way to my appointment. Certainly will be taking the advice of everyone in this thread.

I'm doing this on the NHS so thankfully is free, was about a 5 month wait all in all which I think is perfectly fine for this kind of procedure.

The main thing I'm looking forward to is having the excuse of having a medically mandated Wank.

Screw the bathroom. I'm going to do it loud and proud on the sofa in the living room. Doctors orders.

Poldarn
Feb 18, 2011

Tsietisin posted:

The main thing I'm looking forward to is having the excuse of having a medically mandated Wank.

So my province :canada: hates healthcare and has been slowly defunding it. There is only one testing centre for post-vasectomy sperm in my city, which is luckily a few minutes drive from my house.

BUT because of some recent changes to the private/public partnership of the contract company that does the testing, the address on the requisition I got after the procedure was out of date, and the online directions to the facility were contradictory depending on which website you went to (health authority/old company/new company/rebranded new company). I ended up calling the place just to be sure, and doing a drive by the day before because the only thing weirder than carrying a hot cup of cum in your pocket, is carrying a hot cup of cum in your pocket for no reason.

Another Bill
Sep 27, 2018

I stumbled ass-backwards into a comfortable, easy life for reasons beyond my comprehension and now I think I'm better than you for it.
I thought I was going to get tested post surgery but COVID happened and the urologist told me not to worry about it. I never gave it anymore thought until right now lol

Tsietisin
Jul 2, 2004

Time passes quickly on the weekend.

Poldarn posted:

So my province :canada: hates healthcare and has been slowly defunding it. There is only one testing centre for post-vasectomy sperm in my city, which is luckily a few minutes drive from my house.

BUT because of some recent changes to the private/public partnership of the contract company that does the testing, the address on the requisition I got after the procedure was out of date, and the online directions to the facility were contradictory depending on which website you went to (health authority/old company/new company/rebranded new company). I ended up calling the place just to be sure, and doing a drive by the day before because the only thing weirder than carrying a hot cup of cum in your pocket, is carrying a hot cup of cum in your pocket for no reason.

One of the things that initially surprised me is that I am to send my sample pot back to the clinic in the mail. Then I realised that they are not checking to see how viable the sperm may be, but that there are any at all.

Tsietisin
Jul 2, 2004

Time passes quickly on the weekend.

Okay, a question for those that had this done.
My operation was a month ago, everything feels normal, no pain or discomfort.

One of the after care notes said that there may be blood present for a short while when you ejaculate. I haven't had that occur... Until today. A tiny amount but enough to cause obvious discoloration.

Is it odd for you to get blood a month after?

bad dragon breath
May 16, 2009
Not odd at all. Happened to me, only lasted one round.

il serpente cosmico
May 15, 2003

Best five bucks I've ever spend.
I got mine done about 8 weeks ago. The procedure itself was pretty unpleasant. I belong to an HMO so I did not choose my urologist, and I did not meet with him beforehand. I requested an anti-anxiety medication for the procedure, and I was prescribed .5mg of Alprazolam.

I was told to show up an hour ahead of time so I could sign the surgical consent prior to taking the Alprazolam, which I did. I sat in the lobby for 20 minutes before they called me back and had me sign the consent. At that point I told the nurse I needed to take the meds, and she was like, "oh, you were supposed to take this an hour ahead of time." I reminded her that I couldn't take it until signing the consent, and she agreed. Long story short, the doctor came in to do the procedure earlier than expected, and it had only been about 20 minutes after taking the medication, so unfortunately it didn't have time to kick in.

The doctor did my right side first. I don't know if he didn't use enough anesthetic or what, but when he got ahold of my vas deferens on that side, I felt one of the most severe pains of my life. It radiated up into my mid-abdomen, and it caused me to pass out. When I came to, I had no idea where I was and the doctor had to remind me what was going on. He told me to hit the button to call the nurse (she had given me call button on a lanyard in case I needed her). I hit it multiple times, but she did not come in, so apparently it didn't work. I guess he wanted her to come in and stand by me while he got a new pair of gloves (I'm guessing he must have tried to shake me awake?).

The rest of the procedure went OK, but on the left side I could feel the initial incision, so apparently he did not use enough numbing on that side, either. Overall, it was probably the least pleasant medical experience of my life, and I've also been through a 4-hour dental implant surgery under light sedation. I wish I could have been under general anesthesia for this one.

The recovery afterwards was OK, but slower than I was expecting. I had pain and discomfort for weeks, and even at 8 weeks the testicles themselves are still more sensitive to touch and more prone to pain with light pressure. Overall, I am feeling back to normal about 99% percent of the time, and I'm able to bike and lift weights without any issues.

I don't want to discourage anyone from having the procedure if you are thinking about it, but I do think the medical establishment tends to make the whole thing sound like it's no more of a big deal than a blood draw, and that really wasn't my experience.

il serpente cosmico fucked around with this message at 22:38 on Oct 27, 2024

mom and dad fight a lot
Sep 21, 2006

If you count them all, this sentence has exactly seventy-two characters.
Holy loving poo poo

Really sorry that happened to you. I hope your significant other appreciates your pain and suffering!

Farmer Crack-Ass
Jan 2, 2001

this is me posting irl
Yeah, that's awful, I'm sorry. My urologist definitely did not equate it with a blood draw, but then I also got to have a consultation with him some weeks prior to the surgery itself.

You ought to file some complaints about your experience with your HMO and anyone else who might be involved. It might not do anything for you but if enough people complain about poo poo like a broken procedure that doesn't actually allow for the anti-anxiety medication to be taken, or a urologist that's failing to give adequate anesthesia, it could lead to something getting changed for future patients.

Serjeant Buzfuz
Dec 4, 2009

Wowser that sucks sorry man.

During mine I felt what was going on and immediately said stop and apply more anesthetic before continuing and he did and I felt nothing after that.

il serpente cosmico
May 15, 2003

Best five bucks I've ever spend.
Thanks for the kind words - the comparison to a blood draw was a bit of hyperbole on my part, but I do see a lot of "it's no big deal, you won't feel a thing, and you'll be back to normal in a couple days" when I see vasectomies discussed. My partner was definitely very caring afterwards, which was helpful. Getting the procedure was my choice - she really did not push me one way or another. She does have fibroids and we aren't going to have kids, so it seemed like the best way forward.

I haven't sent in my follow-up survey because to be honest I haven't really wanted to think about how unpleasant it was. But I am feeling a bit better now, and it probably would be a good idea to say something to maybe prevent this from happening again.

Oddly enough, the doctor did not mention me passing out in my chart. It seems like that would be worth noting, but idk.

Farmer Crack-Ass
Jan 2, 2001

this is me posting irl

il serpente cosmico posted:

Oddly enough, the doctor did not mention me passing out in my chart. It seems like that would be worth noting, but idk.

You should definitely note this in any feedback you give.

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Cretin90
Apr 10, 2006
Are “vasectomy clinics” fine or should I be going to an actual urologist? I’m looking at this one in Portland.

https://drsnip.com

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