i know, guyz only...also some of this you may know already...but here it is anyway:
The doctor will feel the scrotum to locate each vas deferens. The area is numbed with a local anesthetic. One or two tiny cuts are made in the scrotum. Each vas deferens is pulled out until it forms a loop, and then it is cut. Some men feel a light tugging sensation when this is done. A section may be cut out of the loop and removed. The two ends are tied or stitched closed or may be sealed with heat (cauterized). Scar tissue from the surgery helps block the tubes. The vas deferens is placed back inside the scrotum, and the skin cuts are closed with stitches that will dissolve and do not have to be removed. The procedure takes about 20 to 30 minutes.
The procedure may be done in the doctor's office by a family practitioner, a doctor who specializes in the urinary and male reproductive systems (urologist), or a general surgeon.
No-scalpel vasectomy is a new technique that uses a small clamp with pointed ends. The clamp is poked into the skin over the scrotum and then opened, instead of using a scalpel to cut the skin. The benefits of this procedure include less bleeding, a smaller hole in the skin, and fewer complications.
What to Expect After Surgery
The scrotum will be numb for 1 to 2 hours after a vasectomy. The man should apply cold packs to the area and lie on his back as much as possible for the rest of the day. Snug underwear will help ease discomfort and protect the area.
There may be some swelling and minor pain in the scrotum for several days after the surgery. Most men can return to work in 1 or 2 days, unless their work is strenuous. They should avoid heavy lifting for a week.
Sexual intercourse can resume as soon as the man is comfortable, usually in about a week. However, there usually are sperm in the tubes beyond the spot where the tubes were cut. The man needs to return to the doctor to have a sperm count to make sure that the procedure was successful. To prevent pregnancy, an alternative method of birth control must be used until the sperm count is zero, which usually takes several months. The sperm count test is usually done about 2 months after the procedure or after 10 to 20 ejaculations. The man is not sterile until the sperm count is zero, so the couple must use other forms of birth control until the count is confirmed.
A vasectomy does not interfere with a man's sex drive, ability to have erections, sensation of orgasm, or ability to ejaculate. Some men have occasional mild aching in the testicles during sexual arousal for a few months after the surgery.