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GA for vasectomy


Kallie

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Just wanted to make it clear my OP was not about thinking he should have a local because suck it up buttercup, I was surprised since I expected the local was the norm and wanted to make sure. I don't mind the tangent but didn't want anyone taking that from my posts.

 

I didn't take that from your posts, but from some of the others.


ETA: I remember people being shocked that I had my wisdom teeth out awake. People expect one thing to be the norm and then anything else seems wacky. Dental stuff just isn't as emotionally charged as genital stuff though.

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Dh had his under local 4yrs ago and said it was an awful experience for him. He was black and blue all over the area and some of the upper thigh part near the undies grooves. He wasn’t allowed to leave unless he was picked up. He was really uncomfortable for 2 weeks after and now still gets an ache in that area.

Everyone’s bits and bobs are different and experiences are different. I don’t judge anyone for the choices they make for their bodies.

 

This so true. For a vasectomy, if the vas deferens is shorter, thicker or located deeper than normal GA is indicated as the operation is more complex. DP's anatomy is textbook so he has the option of twighlight or GA. The urologist we saw said they personally don't do the procedure under local any more due to too many issues. Twighlight sedation is also preferred as if there are any complications, it is quicker to administer additional anaesthetic or other medication as IV access is already in situ.


[mention]Kallie[/mention] you are usually required to have someone accompany (I don't think they care if it's in a private vehicle or Taxi/Uber), you home and stay with you for the first 24 hours after twighlight sedation.

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Just wanted to make it clear my OP was not about thinking he should have a local because suck it up buttercup, I was surprised since I expected the local was the norm and wanted to make sure. I don't mind the tangent but didn't want anyone taking that from my posts.

Your post really did not suggest that at all, it was some that were posted subsequently which I responded to. Sorry if it felt like my responses were directed at you.

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Lizzybirdsworth

[mention]Kallie[/mention] i didn’t get that from you either. It’s ok to question a medical practice if it’s not something you are familiar with :). It’s ok to seek a second opinion if you are not comfortable with the information being given :).

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My dad walked out of a public hospital when he talked to the surgeon on the day of the surgery and she said she would only do his hernia repair under GA ( previously the anesthetist had said he didn't have to). He was almost passing out with hunger and there was 3 more people ahead of him.

He ended up going private with twilight sedation and was in and out in 2 hours.

The public doctor was adamant that her way was the only way, and as it turns out, it wasn't.

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DH had a GA. His specialist will do GA surgery only. Admittedly they snipped, scorched and sewed the line so no possible chance of “spontaneous” recovery. His specialist does a pretty much non reversible Vasectomy.

That sounds like my DH’s experience. I think he had twilight sedation and not a full GA though.


DH has a low-ish pain threshold and gets squeamish so twilight made more sense for his overall well being. DH felt fine the following day and then probably over exerted himself on day 2 and 3 because he wouldn’t stay still and rest. He probably walked several kms over those two days helping his sister gggrrrrrrr Was sore again for a few days after that.

 

You've said "we" should get a second opinion? Why?

There are women who don't even notice their pap smear; it's a hot dog down a hallway and they chat to the doctor the whole time. I clamp shut like a bear trap. I bruise and hyperventilate. People's genitals are all different.

If he wants a second opinion, or has some medical reason to avoid a GA, that's different. If it's just you with the issue then I don't see how it has anything to do with you.

Everyone is an individual and we have our strengths and weaknesses. For some people, medical appointments can be intimidating and questioning an authority figure is inconceivable. Sometimes, someone other than the patient has to be the one to ask questions so that the patient is truly informed and actually able to provide informed consent. Commonly, that person is a partner.

 

There is no driving home regardless of whether it is local or sedation. Patients can taxi or Uber it home though.

The hospital wouldn’t release DH without a competent adult to accompany him. Doesn’t matter the mode of transport, it was about the care and supervision.

 

Do the women going "my DH was fine so it's nbd" get annoyed when they hear other women going "my labour was beautiful, didn't need any pain relief" or "breastfeeding was a breeze! I had enough for an army and bubs just knew what to do"?


Everyone's body is different!

No, I don’t get annoyed when hearing about other people’s easier experiences because I know we are all individuals and they are just relating their own personal experience.

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DH was under twilight and thats how the surgeon prefers it, it was quick and simple and barely pain after day 1 but extreme bruising - he used to joke saying he was getting an upgrade lol

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