Vasectomy before implant

The final frontier. Deciding when, if and how.
frwmw1
Posts: 436
Joined: Thu Oct 01, 2020 7:38 am

Vasectomy before implant

Postby frwmw1 » Tue Jan 26, 2021 5:37 am

I have a venous leak, and one day will require an implant.

If I want to have a vasectomy, should I have it performed well before requiring an implant?

I sometimes read of men getting a vasectomy while getting an implant. Is this advised, are there advantages to this?

Are there any complications a vasectomy can cause to implant surgery?

Thanks.
45yo, venous leak. Pills increased tinnitus (very rare). Using bimix+atropine, 0.2 of:
Atropine Sulfate: 52MCG/ML, Phentolamine MES: 0.9MG/ML, Papaverine HCL: 26MG/ML

bbf912
Posts: 20
Joined: Wed Jan 13, 2021 8:40 am

Re: Vasectomy before implant

Postby bbf912 » Tue Jan 26, 2021 8:33 am

I don't have an implant, but I have had a vasectomy. The vasectomy surgery is no big deal. I had no pain or anything afterwards. Unless a doctor says otherwise I don't see why you couldn't do both at the same time. It may be cheaper and it's definitely easier than two separate surgeries.
45 y.o. ED and Low T since about 28. Cialis for ~15 years, Viagra since 11/2020, starting Tri-Mix on 1/28/2021.

WalterG3
Posts: 9
Joined: Tue Nov 24, 2020 4:21 pm

Re: Vasectomy before implant

Postby WalterG3 » Tue Jan 26, 2021 9:19 am

I recently had an implant installed, and had my vasectomy as part of the surgery. (I also had a scrotoplasty done as well.) No problems with either procedure, and no impact in the recovery time. If you’re going to have both done, you might as well get them done at the same time, IMO.
56 y.o. Worsening ED due to VL. Failed on PDE5s after 15 years of use. Used Trimix, but didn’t like risk of scar tissue. Implanted on 12/28/2020 by Dr. Lawrence Levine at Rush University in Chicago. Willing to share before and after pictures.

ViaSwiss
Posts: 624
Joined: Fri May 24, 2019 9:09 am

Re: Vasectomy before implant

Postby ViaSwiss » Tue Jan 26, 2021 10:57 am

I've had one uro tell me he prefers to do the vasect prior to implant, in order to not increase chances of infection.

I had my current uro tell me its no problem to do it during implant. However, I am also having a small cyst removed (spermatocele) so I am opting to do that and vascect together prior to possible implant. This uro also told me once you get the vasect with an implant there is no reversal.

However, Dr Clavell has said he can do reversals with an implant no problem. I won't need a reversal, already have 2 children (+ 2 step-children).
Age 37. Venous Leakage & Post Finasteride Syndrome (PFS) since age 18.
Original Implant | June 25, 2021 | 20cm Titan w 1.5cm & 1cm RTEs
Revision | November 16, 2021 | 26cm | Dr. Hakky

frwmw1
Posts: 436
Joined: Thu Oct 01, 2020 7:38 am

Re: Vasectomy before implant

Postby frwmw1 » Wed Jan 27, 2021 12:12 am

I think I'd prefer getting a Vasectomy before surgery though, because I want to delay surgery if I can.
45yo, venous leak. Pills increased tinnitus (very rare). Using bimix+atropine, 0.2 of:
Atropine Sulfate: 52MCG/ML, Phentolamine MES: 0.9MG/ML, Papaverine HCL: 26MG/ML

Lost Sheep
Posts: 6162
Joined: Mon Jul 04, 2016 11:16 pm

Re: Vasectomy before implant

Postby Lost Sheep » Wed Jan 27, 2021 2:46 pm

I asked my surgeon about having a vasectomy at the same time as the implant and he said, "I don't see why not." He continued, once he did the implant, if there were no reasons not to, he would proceed with the vasectomy. Some posters on FrankTalk advised against combining the surgeries because if some minor thing went wrong, it would be difficult to tell what was the cause and what should be the fix (e.g. the vas deferens sometimes gets inflamed after being cut and cauterized).

I desired this because I imagined that there might be a slim chance I might some day find myself unencumbered and in the company of a willing woman young enough to still be fertile. As slim as that possibility was! :roll: :lol:
Lost Sheep
AMS LGX 18+3 Nov 6, 2017
Prostate Cancer 2023
READ OLD THREADS-ask better questions -better understand answers
Be part of your medical team
Document pre-op size-photos and written records
Pre-op VED therapy helps. Post-op is another matter

newbie443
Posts: 1931
Joined: Fri Dec 01, 2017 9:41 pm
Location: Sedgwick county, Kansas USA

Re: Vasectomy before implant

Postby newbie443 » Thu Jan 28, 2021 4:00 am

I don't see a problem having it done at the same time but I am not a doctor. I had mine done 40 years ago. I also had a Hydrocele and surgery to remove the sack around my left testicle. Neither of these made a difference with the implant surgery. So if you want to have it done ahead of time from what I was told it will not make any difference in the implant surgery. Really up to you. My vasectomy was done by my family doctor in his office in a regular exam room. Either way you would need to use birth control until you can ejaculate into a cup and have it tested negative for sperm. At least that is what I had to do back then.
Injections failed. Implanted 3-21-18 AMS 700 LGX 21 + 1 RTE 100 cc reservoir 6.5" L 5" G Dr. Kramer.

Proximal Perforation Sling Repair 4/13/21 Dr. Broghammer

66 years young.

Will show and tell and talk with others.


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