Talk:Sterilization (surgical procedure)

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[edit] Blood-testes barrier what now???

Sentence from article: "When the vasectomy is complete, sperm can no longer exit the body through the penis and it seems that they penetrate the blood-testes barrier."

Should there be the word "instead" at the end of that sentence, I don't understand what this paragraph says. Does it mean sperm, which can no longer leave through the penis, instead make their way into the blood, whence, what, they just circulate the same as any other foreign matter INJECTED or absorbed into the blood-stream? Then what happens to the sperm? Does it eventually get filtered out and leave the body as urine anyway? (In which case "through the penis" should be further qualified.) Anyway "it seems that they penetrate the blood-testes barirer" is unintelligible to me. I'm just trying to understand what happens after a vasectomy.

Yes, anything that penetrates the blood-testes barrier would enter the bloodstream. Also, once in the bloodstream, they could not enter the urine. The kidneys filter out any large molecules and cells. The reason that sperm in the bloodstream is a problem is that the cells of the immune system circulate in the bloodstream. They do not normally encounter sperm, and therefore consider it foreign, and create antibodies that bind to the spermatozoa, negatively affecting their performance. --Slashme 05:27, 28 November 2005 (UTC)

[edit] Removal of paragraph contrasting with castration

To the person who removed the paragraph explaining the differences between vasectomy and castration: Please supply a good reason before removing content. --Slashme 12:01, 26 October 2005 (UTC)

[edit] Comment about popularity of tubal ligation vs vasectomy

Please supply statistics instead of just saying "But tubal ligation has long since been the preferred choice of sterilization over vasectomy." Preferred by whom and why? Not by doctors! The morbidity from tubal ligation is higher, it's harder to test whether it worked, and it can't be checked later on. --Slashme 12:01, 26 October 2005 (UTC)

[edit] Post Vasectomy Pain

This subject should be given its due, although "poorly documented" (reflecting on the researchers?) it should not be just a passing comment.

[edit] Vasectomy Failures

My dad had a vasectomy, about 6 years after he had a vasectomy I was born. I have read that there is a 99.99999% to the infinate chance that I would not have been born, should this statistic be added to the article?

Not without a documented (published) source. Joyous | Talk 21:25, 11 January 2006 (UTC)
And 99.999...% = 100%, so that you're here means that this isn't true. 220.9.84.66 10:48, 29 April 2006 (UTC)

Actually, late failure occurs. Not very often, though. The article already calls it "very rare" without giving stats. If you're interested, you can check the articles cited. If I remember correctly, the odds are between 1 in a thousand and 1 in a few hundred. Better than 99.9% against, but probably not much better than 99.99%! You're much more likely to get someone pregnant after a vasectomy than to win first prize in a large national lottery. Of course, the question remains whether the original poster has DNA evidence to support the father's claim of paternity. Another question is whether two successive negative semen analyses were received (post vasectomy patient compliance is typically very low, and it's not implausible that this was actually an early failure of a vasectomy that didn't immediately lead to pregnancy. Early failure rates are close to 1%). --Slashme 11:23, 29 April 2006 (UTC)

[edit] Hassles from Doctors?

As a man who's researching the possibility of having this procedure done, I keep hearing a lot of horror stories about doctors giving men hassles and red tape. Please correct me if this sounds completely crazy - because it does to me - but what I've heard is that some doctors demand some sort of acquiescence from the man's female partner, or a minimum age of the patient, because they are afraid of being sued when later in life children are wanted.

(I can't wrap my head around this, so I keep thinking it must be some sort of urban legend. Who else could possibly have any say in the matter other than the owner of the testicles to be deactivated? How could there possibly be any liability for the doctor (not counting malpractise, of course) for a wholly voluntary procedure? Surely this has to be a stupid joke someone played on me.)

So are the rumors true? If I try to get this procedure done am I going to run into some sort of nonsense by someone trying to second-guess me?

Most importantly, if it isn't just a rumor, would this material be considered notable enough for inclusion? Kasreyn 14:54, 7 June 2006 (UTC)

  • It is not an urban legend. My husband's urologist wouldn't perform the procedure because we weren't married at the time. The "reasoning" was that we might break up (married people never break up!), and his next woman might want kids. Go to any childfree forum and ask for stories. There probably aren't as many obtuse doctors as there were 10 or 15 years ago, but there are still some extremely conservative ones. Joyous! | Talk 15:22, 7 June 2006 (UTC)

[edit] Radiation, etc.

As a general article on sterilization, I was surprised to see no information on environmental and accidental disasters which may render an individual sterile. This article only focuses on intentional surgical procedures. MamaGeek (Talk/Contrib) 13:17, 13 June 2006 (UTC)

I added a line in the opening section, referring the reader to the article on infertility for non-surgical sterilization causes. MamaGeek (Talk/Contrib) 13:26, 13 June 2006 (UTC)

[edit] Proposed Infobox for individual birth control method articles

Let's all work on reaching a consensus for a new infobox to be placed on each individual birth control method's article. I've created one to start with on the Wikipedia Proposed Infoboxes page, so go check it out and get involved in the process. MamaGeek (Talk/Contrib) 12:32, 14 June 2006 (UTC)

[edit] Why not ductusectomy?

I don't get it... why wouldn't the new name of vasectomy be ductusectomy? If vasectomy comes from the word "vas deferens", which has been re-named to "ductus deferens", the new name following the same logic should be, I say it again, "ductusectomy".

This is from the section concerning vasectomy:

"Vasectomy in males. The vasa deferentia, the tubes which connect the testicles to the prostate, are cut and closed. This prevents sperm produced in the testicles to enter the ejaculated semen (which is mostly produced in the seminal vesicles and prostate). Although the term 'vasectomy' is established in the general community, the correct medical terminology is deferentectomy, since the structure known as the 'vas deferens' has been renamed the ductus deferens."

Cheers, Morten —The preceding unsigned comment was added by 130.238.7.41 (talk) 22:29, 30 January 2007 (UTC).