Question:

yeoldgn…@my-deja.com wrote: > I’ve been considering vasectomy since my 2nd son > was born nearly 2 years ago. One major roadblock: > I take coumadin for a heart condition, and will be > on coumadin for the rest of my life. > Given that there’s no studies I can find, and that > it’s not clear whether vasectomy is riskier to me > or if tubal ligation, can anyone offer concrete > guidance?

  The reason to consider a vasectomy in a monogamous relationship over a tubal (which is a better solution in my view).  Your case presents a very compelling circumstance where a tubal is LESS risky than a vasectomy.  This is a no-brainer.   And whereelse can you find a situation in which having your operating done on someone else is actually BETTER for you! – Keith

Response:

On Wed, 15 Dec 1999 14:38:11 GMT, yeoldgn…@my-deja.com wrote: >My wife has had reactions to most painkillers; she gave birth to our >boys (one with 20 hours of back labor, one who was breech) without >drugs, and she’s really worried about GA.  So I’ve been willing to >consider vasectomy even with the complication of being on rat poison >(Coumadin is crystalized sodium warfarin, which has been widely used as >rat poison)

I was given a prescription for pain killers post-operation.  I threw it out when I got rid the car a few months ago (ergo, I didn’t find a need to fill it). As long as your wife mentions that she has never been under a GA, and therefore, does not know if she’ll have a reaction to it, they will watch her reaction.  Have your wife talk to her gynecologist.   BTW, the nurse I had laughed when she was asking me the routine questions.  My answer to the last time I had been in a hospital cracked her up.  My answer was "The last time I was in a hospital, I was very happily swimming in a dark, warm place.  Then I felt some squeezing all around me, and BAM I was suddenly in a cold, bright, noisy place.  I’m not too happy with hospitals." Tara

Response:

Hello there and welcome to the group, – Hide quoted text — Show quoted text -yeoldgn…@my-deja.com wrote in message <835ki6$45…@nnrp1.deja.com>… >I’ve been considering vasectomy since my 2nd son >was born nearly 2 years ago. One major roadblock: >I take coumadin for a heart condition, and will be >on coumadin for the rest of my life. >When I first approached my primary care physician, >he told me to forget about vasectomy.  I recently >found out about the no-scalpel method, so I >contacted a local urologist who uses the >technique.  At first he seemed perfectly willing >to give it a shot, and thought that I was >physiologically "an easy case".  so I set up an >appointment for January. >Now he’s called me on the phone and told me he’s >gotten conflicting advice.  Either I can go for it >but be at real risk for scrotal hematoma, or I >shouldn’t even consider the option. >Given that there’s no studies I can find, and that >it’s not clear whether vasectomy is riskier to me >or if tubal ligation, can anyone offer concrete >guidance?

My personal feeling on the information you have given is that vasectomy is too risky. If the doctor has taken the time to research your condition and vasectomy and call you back with an update, and that update is that "It’s risky" I’d go with his advice. Has your partner considered a tubal ligation knowing that vasectomy poses specific risks in your case? Tubal ligation although done under a general anaesthetic is usually uncomplicated and the recovery time afterwards seems to be shorter than vasectomy anyway. If Tara and Val are still lurking maybe they can add  some insight here? — David ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Visit Our Vasectomy Information Page at:  http://www.angen.net/~vasec ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Response:

In article <pkvd5s8949i49nrupk1ht0bqavpvv1c…@4ax.com>,   Tara D <mande…@echo-on.net> wrote: > In a nutshell.  Done under a general anaesthetic as David mentioned > (standard GA associated risks…same as if you had your wisdom teeth > pulled while under a general).

Both of us had only local anaesthetic for wisdom teeth.  I had GA for my aortic valve replacement (which is why I’m on Coumadin), so I understand the risks.  Also, relative to aortic valve replacement, vasectomy seemed like No Big Deal.  Oh, well, nothing is simple. > Two incisions; one in the naval, one > at the pubic line.  Both incisions are roughly between 1/2 and 1/4 > inch.  The tubes can be cut and tied, or clamped, or ringed, or cut > and burned (very rare these days)….   The gas is > released.  The patient awakes.

Thanks for the description and for a woman’s perspective (something I did not expect to find here). Dave Sent via Deja.com http://www.deja.com/ Before you buy.

Response:

Welcome to the newsgroup! In article <835ki6$45…@nnrp1.deja.com>,   yeoldgn…@my-deja.com wrote: >Either I can go for it > but be at real risk for scrotal hematoma, or I > shouldn’t even consider the option.

I guess one question I would have if I were you is what would be the consequences for you, given the blood thining medication, of hematoma? How would they treat it, if it occurred? We have heard, here, of hematoma as a possible consequence of vasectomy, but I don’t think we know much about them.  As I understand it, they are caused by blood leaking into the scrotum, and they are easily treated by bringing the bleeding under control.  But clearly, if the bleeding could not be brought under control, the condition would be very painful, and probably dangerous (e.g. pressure on your testicles). If this is a possibility, then I would say, "No vasectomy!"  If, on the other hand, what you risk is just a longer recovery time, or a longer period of discomfort while recovering, then it is a closer call.  I think you need to ask your doctor more questions!  For example, what would they do if you had to undergo more serious surgery, involving lots more cutting and blood loss?  They must have ways of dealing with this.  (Of course, I guess it is possible vasectomy poses special risks because the bleeding would be into a fairly confined space, i.e. the scrotum, with very sensitive, easily damaged structures, i.e. testicles, epididymis, etc.). In the meantime, I hope someone else will be able to offer more info. on what hemotoma are and how they might be worsened in the case of someone on your medication.  Have you posted a query to WebMD or done an archive search at Dejanews under "hemotoma?" For what it is worth, I think tubals are a lot less complicated now than they used to be.  We have some regular posters who might be able to speak to this.  You and your partner might also want to ask about this at alt.support.contraception or alt.support.childfree.  Given your situation, tubal for your partner might very well be a better solution! Good luck.  Let us know what you find out.  (I might attempt some hematoma research myself.) — Check out the Vasectomy Support webpage: http://www.angen.net/~vasec Sent via Deja.com http://www.deja.com/ Before you buy.

Response:

I’ve been considering vasectomy since my 2nd son was born nearly 2 years ago. One major roadblock: I take coumadin for a heart condition, and will be on coumadin for the rest of my life. When I first approached my primary care physician, he told me to forget about vasectomy.  I recently found out about the no-scalpel method, so I contacted a local urologist who uses the technique.  At first he seemed perfectly willing to give it a shot, and thought that I was physiologically "an easy case".  so I set up an appointment for January. Now he’s called me on the phone and told me he’s gotten conflicting advice.  Either I can go for it but be at real risk for scrotal hematoma, or I shouldn’t even consider the option. Given that there’s no studies I can find, and that it’s not clear whether vasectomy is riskier to me or if tubal ligation, can anyone offer concrete guidance? Thanks. Sent via Deja.com http://www.deja.com/ Before you buy.

Response:

On Tue, 14 Dec 1999 20:02:01 -0000, "David Brown" <david.br…@tesco.net> wrote: >My personal feeling on the information you have given is that vasectomy is >too risky. If the doctor has taken the time to research your condition and >vasectomy and call you back with an update, and that update is that "It’s >risky" I’d go with his advice.

Ditto. >Has your partner considered a tubal ligation knowing that vasectomy poses >specific risks in your case? Tubal ligation although done under a general >anaesthetic is usually uncomplicated and the recovery time afterwards seems >to be shorter than vasectomy anyway. If Tara and Val are still lurking maybe >they can add  some insight here?

Like I’d leave you hanging to deal with female issues <grin>. In a nutshell.  Done under a general anaesthetic as David mentioned (standard GA associated risks…same as if you had your wisdom teeth pulled while under a general).  Two incisions; one in the naval, one at the pubic line.  Both incisions are roughly between 1/2 and 1/4 inch.  The tubes can be cut and tied, or clamped, or ringed, or cut and burned (very rare these days). The operation consists of a tube going each hole.  One tube is blocked while CO2 is pumped in to bloat the abdomen (note:  excess gas can cause shoulder pain for the following week as it dissipates….not something I had a personal problem with).  Then tools and such go into the abdomen through the tubes.  Things are cut or clamped.  The gas is released.  The patient awakes. Some advantages to a tubal; immediate sterilization; since the operation site is internal, there is lower chance of knocking it accidentally; normal sex resumes in 7-10 days (or rather, unprotected sex). Tara

Response:

In article <3857292D.4…@columbus.rr.com>, >   The reason to consider a vasectomy in a monogamous relationship over a > tubal (which is a better solution in my view).  Your case presents a > very compelling circumstance where a tubal is LESS risky than a > vasectomy.  This is a no-brainer.

My wife has had reactions to most painkillers; she gave birth to our boys (one with 20 hours of back labor, one who was breech) without drugs, and she’s really worried about GA.  So I’ve been willing to consider vasectomy even with the complication of being on rat poison (Coumadin is crystalized sodium warfarin, which has been widely used as rat poison) >   And where else can you find a situation in which having your operating > done on someone else is actually BETTER for you!

There’s the factor of not wanting my spouse to have to go through GA, but I’m inclined to agree with you here. Sent via Deja.com http://www.deja.com/ Before you buy.

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