Procedures and operations for men as part of a fertility treatment

Whether or not a man is fertile depends largely on his sperm production. This is controlled and regulated hormonally, but not all problems can be blamed on hormonal imbalance. Sometimes psychological factors are the reason, or else an obstruction somewhere along the sperm's journey both in the man's and woman's body.
See also the sperm quality for the requirements a sperm sample needs to meet for 'normal' fertility.

Male sterilisation or vasectomy


Procedure
Result
Consequence

Although sterilisation does not improve a man's fertility - in fact it is a permanent method of birth control - the procedure is also performed at the CRG.
The urology department also performs this procedure.
Sterilisation of women is usually performed at the gynaecology department.

Although sterilisation does not improve a man's fertility - in fact it is a permanent method of birth control - the procedure is also performed at the CRG.
The urology department also performs this procedure.
Sterilisation of women is usually performed at the gynaecology department.

Procedure   

Procedure anaesthetic

How does the UZ Brussel go about examinations or operations under anaesthetic?

For a vasectomy at the CRG you need to be in the Operating theatre: Child hospital UZ Brussel, Entrance F, route 976.
  • You can report here directly, obviously by appointment.
  • A local anaesthetic is administered around the spermatic cord, and
  • a small incision is made in the scrotum.
  • Through the incision, the vas deferens is severed and tied off.
    Hence the scientific term 'vasectomy'.
  • The same action is repeated for the second vas deferens.
  • Because this small procedure is usually performed under local anaesthetic, you may go home straight afterwards.
Some mild to moderate pain and swelling around your scrotum can be expected for two to three days after the operation. This may affect your ability to walk normally.

Result       

The result of the procedure is that the sperm which are produced in the testicles and mature in the epididymis are no longer transported to the penis. During sexual intercourse they are no longer introduced into the vagina. The ejaculate consists only of the fluids produced by the prostate and seminal vesicles.
Attention!
You are not infertile immediately following a vasectomy: for weeks, sperm will still remain in the seminal vesicles and vas deferens.
A sterilisation is followed by a sperm sample that needs to be delivered to the andrology laboratory: Child hospital UZ Brussel, Entrance F, route 975.
Only when the andrology lab confirms there are no more sperm in your ejaculate can you stop using any form of contraception.

Consequence    

Vasectomy is a very simple procedure but it is a big decision. You have to see it as a decision from which there is no going back.
Even though you can have a vasectomy reversal operation at the CRG, it is not always successful in restoring your fertility. This is because 50% of men who have had a vasectomy develop antibodies against their own sperm. This causes them to become immotile or stick to each other which reduces your fertility.