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GA for vasectomy


Kallie

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So DH has finally seen a doc about getting a vasectomy. He's recommended doing it under general anesthetic, something to do with his 'situation' being a bit smaller than normal so more bits would be bumped and with the local it might make it a bit more painful or something. It seems weird to me and I've said we should get a second opinion before going ahead. Was just wondering if anyone else has had something similar?

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VeritasVinumArte

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.

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The anaesthetic used for a vasectomy is generally twilight sedation where you get the same type of anaesthetic you'd have for a colonoscopy.

I think almost all do this now due to the fact that with local there is more likely to be anxiety/pain with a LA and problems keeping still.


The aftercare is virtually the same as with LA. Home as soon as awake and comfy and had a cuppa etc. :)

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DH had a GA. The specialist he went to also wouldn’t do them under local. His recovery was pretty ordinary and took about 2 wks before he was back to ‘normal’. He had a LOT of bruising, so I suspect his surgeon was a bit rough and in a bit of a rush as he was the last on the list for the day.

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DH had a local for his. If he had his time over again he'd take earphones and music so he wouldn't be able to hear the clamps being placed on various structures and tightened. Get him to ask if it's full GA or twilight sedation. Full GA needs a breathing tube down the neck, and in twilight you can still breathe for yourself but should be completely oblivious to anything that's happening. I've had twilight twice and I have NFI what happened during those times. I was awake, then the next moment I was waking up in a different room being told that it was all done.

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TheGreenSheep

DH had a local, he had recently had a major orthopedic surgery and physically shouldn’t have another GA as well as the specialist didn’t want to roll him on the table.

His preference in hindsight would be a GA, and I’ll be honest he would’ve had a positive experience if that was an option.

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Specialist I sent my husband to only does under GA. His reasoning was something like statistically vasectomy done under GA are more successful and doc can concentrate on getting job done rather than how patient is feeling at that moment.

Normally I’d say this is a lousy explanation for wanting to get more money when doing a procedure in the hospital setting ... but shortly before that, I had my routine endoscopy done by my regular doc but this time without any anesthetic/sedation and I won’t do it again as my doc was clearly rushing and didn’t want me to be uncomfortable (I was fine btw, it doesn’t hurt). Next time I’d rather have the sedation and have my doc do his job properly!

As for the vasectomy recovery, my husband was a bit sore for less than 24 hours. He had quite a bleed in the first few hours(nursing pads are perfect for this), was fine after. Bruising was 4 tiny blue dots.

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[mention]VeritasVinumArte[/mention] [mention]Paddlepop[/mention]

I thought he was exaggerating how bad the pain was until he showed me, my understanding was that it was a relatively easy recovery after taking it easy for a few days. His s.crotom was mostly black/purple and quite swollen. He was in double undies for extra support and needed the p.anadeine prescribed as well as lots of ice packs. When discussing with the specialist afterwards he was pretty blasé about and said yes it sometimes happens 😒.

Luckily it was the week before Christmas so he was able to really recover before heading back to work.

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Trampoline: Sounds like my DH. He spent the first few days to a week lying down a lot to help relieve the pressure on the area. Cold packs were his best friends. I guess some men just bruise badly and others don't.

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Yeah, if it's a twilight GA, I wouldn't hesitate. I had one for an endoscopy and woke up feeling really well rested, like I had had a good sleep, previous"proper" GAs have left me feeling terrible.

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Fruitmincepies

Yeah, if it's a twilight GA, I wouldn't hesitate. I had one for an endoscopy and woke up feeling really well rested, like I had had a good sleep, previous"proper" GAs have left me feeling terrible.

 

Hmmm, sounds like I need some twilight sedation in my life. I can’t remember the last time I felt well rested.

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VeritasVinumArte

Yeah, if it's a twilight GA, I wouldn't hesitate. I had one for an endoscopy and woke up feeling really well rested, like I had had a good sleep, previous"proper" GAs have left me feeling terrible.

 

Hmmm, sounds like I need some twilight sedation in my life. I can’t remember the last time I felt well rested.

 

I had my wisdom teeth out via going under at the hospital and I wanted to go back for the best well rested feeling in my life. DH a few years ago had GA surgery and once again felt the best rested in years.

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I have twighlight sedation when I have a colonoscopy. So much better than a GA. You feel a bit hungover afterwards but without the headaches, nausea, sore throat etc.


DP is looking into a vasectomy at the moment. The only options offered were twighlight sedation at a private clinic or the full GA in public hospital.

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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.

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I have twighlight sedation when I have a colonoscopy. So much better than a GA. You feel a bit hungover afterwards but without the headaches, nausea, sore throat etc.


DP is looking into a vasectomy at the moment. The only options offered were twighlight sedation at a private clinic or the full GA in public hospital.

 

I'm not sure a lot of people realise they've actually had twilight sedation, given how out of it you usually are.


I'm about to have a wisdom tooth out (I was vacillating on having it done in the chair, until he said he'd have to cut it out and that convinced me), and pretty sure that won't be a full anaesthetic.

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I had wisdom teeth under GA and DH did too, if he wanted a Vasectomy it would be his choice, same as it was my choice for an epidural for labour, I have no opinion on his health choices as it is a very personal thing.


I have had other operations and I ask his advice if I feel the need but it is my body

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I have twighlight sedation when I have a colonoscopy. So much better than a GA. You feel a bit hungover afterwards but without the headaches, nausea, sore throat etc.


DP is looking into a vasectomy at the moment. The only options offered were twighlight sedation at a private clinic or the full GA in public hospital.

 

I'm not sure a lot of people realise they've actually had twilight sedation, given how out of it you usually are.


I'm about to have a wisdom tooth out (I was vacillating on having it done in the chair, until he said he'd have to cut it out and that convinced me), and pretty sure that won't be a full anaesthetic.

 

Oh I was totally out of it. Lay down on the table, chatted with the anesthetist about the music in the operating room, felt like I was going to sleep, and next thing I know i'm sitting up in recovery! I really hate being gassed and I have to have a colonoscopy annually so I am all for it.


I had GA when I had my wisdom teeth out, but I had all four out at the same time. The operation took less than 30 min and I had a good recovery though (minimal bruising and swelling), so that was good.

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I have twighlight sedation when I have a colonoscopy. So much better than a GA. You feel a bit hungover afterwards but without the headaches, nausea, sore throat etc.


DP is looking into a vasectomy at the moment. The only options offered were twighlight sedation at a private clinic or the full GA in public hospital.

 

I'm not sure a lot of people realise they've actually had twilight sedation, given how out of it you usually are.


I'm about to have a wisdom tooth out (I was vacillating on having it done in the chair, until he said he'd have to cut it out and that convinced me), and pretty sure that won't be a full anaesthetic.

 

Oh I was totally out of it. Lay down on the table, chatted with the anesthetist about the music in the operating room, felt like I was going to sleep, and next thing I know i'm sitting up in recovery! I really hate being gassed and I have to have a colonoscopy annually so I am all for it.


I had GA when I had my wisdom teeth out, but I had all four out at the same time. The operation took less than 30 min and I had a good recovery though (minimal bruising and swelling), so that was good.

 


I'll get a chance to quiz the anaesthetist in a few weeks - if I get the same one I've had before with significant dental surgery, he's great to talk to (I have a messy medical history and I find anaesthetists in particular are interested in the detail) and I'll ask him what the professionals use for typical minor surgery.


I know mine was full anaesthetic for adrenal removal, but that took nearly four hours, and you'd probably have some after effects of that even if it was sedation (not that they'd do it for that). I've had too many colonoscopies to count, too, but hallelujah the adrenal removal solved the bowel issue.


My daughter had all four impacted wisdom teeth out two months ago and had significant swelling & bruising, but once she started coming good, she improved quickly. I've told her I'm adding an age loading on to my tooth removal and she has to provide the same level of soft, nutritious food for me as I did for her.


Sorry op, right off tangent here.

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DH had a GA. The specialist he went to also wouldn’t do them under local. His recovery was pretty ordinary and took about 2 wks before he was back to ‘normal’. He had a LOT of bruising, so I suspect his surgeon was a bit rough and in a bit of a rush as he was the last on the list for the day.

 

This reminds me of my early 20's when it seemed like everyone had their wisdom teeth out at the same time. I had 4 impacted wisdom teeth carved out of me with a local. Took hours and was a bit traumatic. Friends who had theirs under GA had knee bruises on their chests! So even though I had shit time I'm glad I was at least there and watching her the whole time. They're bloody rough when you're not looking.

That being said, teeth aren't genitals. I'd not cope with anything genital awake. I think a lot of women think "well I had a baby so he can suck it up" but that makes no sense. You wouldn't say well I had a baby so he can get his appendix out with a local.

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DP had a local, it took about 25 mins. GA seems a bit overkill?

 

It is not a GA in the sense of being paralysed and unconscious. The only time you'd get an ET tube for a vasectomy is if there were going to be possible complications.

It is merely being asleep and unaware.

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Yeah, if it's a twilight GA, I wouldn't hesitate. I had one for an endoscopy and woke up feeling really well rested, like I had had a good sleep, previous"proper" GAs have left me feeling terrible.

 

Hmmm, sounds like I need some twilight sedation in my life. I can’t remember the last time I felt well rested.

 

It didn't work so well for Michael Jackson :) This is how he got to sleep every single night and why his doctor was charged. It is Propofol which is what makes you go to sleep before you get the tube and medications of a GA.

It does make me feel as though I have slept for 12 hours, I can see why he liked it and became dependent on it to get to sleep.

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