Module 1 – Introduction to non-scalpel vasectomy and anatomy
This session commences with outlining the non-scalpel vasectomy technique and determines the correct steps in the process of non-scalpel vasectomy procedures. The session continues with an overview of the history of vasectomy, comparing incisional vasectomy to non-scalpel vasectomy, infection rates and other possible complications. The anatomy of the male genital system, including embryology of the genitalia and the blood supply to the testis is shown. Anatomy and description of the vas deferens and seminal vesicles (site, function and anatomical importance) are outlined. A video is shown of the non-scalpel vasectomy procedure.
Module 2: Non-scalpel vasectomy (part 1)
This session focusses on the various reasons patients may have for considering a vasectomy. The session recognises the clinical set-up and safety rules to avoid complications in non-scalpel vasectomy procedures. The importance of written consent from the patient is emphasized as well as the different aspects to be considered during patient counselling (e.g. the reasons for vasectomy, possible complications as well as pros and cons of the alternative methods like the male pill). Pre-vasectomy evaluation including medical history of the patient, examination and precautions are listed. The session concludes with the clinical set-up of the surgical site (operating room), dose and temperature of the anaesthetic and surgical equipment.
Module 3: Non-scalpel vasectomy (part 2)
The third session continues with the procedure of a non-scalpel vasectomy, illustrated by clinical images of the surgical steps. Definitions and diagrams of vas occlusion techniques are shown. Discussion opportunities are provided for counselling and other considerations when considering a vasectomy. Case examples include: having a vasectomy at a young age, partner of patient having emotional difficulties, partner of patient enquiring whether the procedure can be reversed, patients not wanting their partners to know about having the procedure done, concerns about the procedure being painful, having a complete family or personal circumstances that would make it difficult of having (another) child(ren).
Module 4: Post-op complications and follow-up care
The final session commences with the management of post-vasectomy care (pain control) and possible complications. These include outlining the causes and symptoms of vasovagal reactions, injuries to testicular artery, haematoma, infections and congestive epididymitis are given, including prevention and treatment of these conditions. Other possible complications are addressed including lidocaine toxicity, bleeding, sperm granuloma and chronic testicular pain. The session also looks at causes, symptoms, treatment and prevention of vasectomy failure and patient concerns regarding vasectomy and risk of prostate cancer. No needle and mini needle vasectomy techniques are described. The session continues by describing the post vasectomy sample test process and the procedure to follow in case the test would be positive. Vasectomy reversal complexities is the last topic in this module.