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Consultant urologist Dr George Lee Eng Geap, or a.k.a Dr G, gives advice to a reader who wants to stop having children after his fourth child came about.

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Transcript
00:00Hello there, welcome to the whole month of September and we're going to discuss
00:05the whole thing about male sterilization
00:14Many people worry about sterilization because they have
00:17misconception about sterilization. Sterilization is not castration
00:22therefore do not worry about the testicle being removed. First of all the
00:28differences between male and female sterilization is quite vast. For example
00:33men actually can undergo such procedure under local anesthesia and women have to
00:40undergo it under general anesthesia. For men it actually is a small incision
00:46around the actual scotum itself, for women is actually multiple incision in
00:52order to get hold of the fallopian tube and more importantly for men it is not
00:57it is reversible but for women it is not reversible. So the first week we're
01:03going to deal with exactly what anesthesia do we use. So first of all
01:09when somebody undergo vasectomy 99% of the time we do it under local
01:17anesthesia. Under this circumstance the person is completely awake and the
01:22surgeon will actually identify the vas and inject local anesthesia so that
01:27there is no sensation felt at all. Under such circumstance there will be a small
01:33six millimeter incision made and also the vas will be externalized and
01:39segmentally excised and both sides of the vas will be cut and subsequently the
01:45stitches will be applied on the scotum itself. Obviously there are two scotum
01:51two testicle so therefore on the right hand side there will be small wound and
01:55the left hand side will be small wound. Some people worry about the local
02:00anesthesia might actually wear off quite quickly, don't worry the vast majority of
02:06people this will take between six to eight hours therefore individuals who
02:11undergo vasectomy are always advised to take some painkillers such as
02:15non-steroidal anti-inflammatory way before the actual local anesthetics
02:20wears off and for the first day the vast majority people feels nothing at
02:25all. For the second day the actual antibiotics is probably required but the
02:30painkillers is only necessary in less than 10% of men who undergo vasectomy.
02:35So for men who truly truly are quite scared of pain there's other options of
02:42general anesthesia however if you consider that your wife undergo the
02:47whole childbirth for you a small cut for the local anesthesia induced
02:53vasectomy probably is quite worthwhile and probably you need to do it without
02:58the whole problems of general anesthesia. For the following week we're going to
03:03discuss exactly what will happen to your semen after the vasectomy. If you are
03:09interested stay tuned for next week's Putting Dr. G on the Spot.
03:17you

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