WEBVTT - Vasectomies: Stop Being A Wimp 0:00:01.440 --> 0:00:04.240 Welcome to Stuff You Should Know, a production of I 0:00:04.360 --> 0:00:13.399 Heart Radio. Hey, and welcome to the podcast. I'm Josh, 0:00:13.440 --> 0:00:15.640 and there's Chuck and Jerry's here with us too, and 0:00:15.720 --> 0:00:19.480 that makes this Stuff you Should Know. With the snip 0:00:19.480 --> 0:00:26.079 snip addition, snip snip a dish very nice. We're talking 0:00:26.320 --> 0:00:30.240 about getting the snip a k A. A vasectomy a 0:00:30.400 --> 0:00:32.559 k a. A vast otomy if you really want to 0:00:32.560 --> 0:00:36.519 be smart about the whole thing. Um and Chuck, our 0:00:36.560 --> 0:00:38.400 buddy Dave Russ helps us with this. And I have 0:00:38.520 --> 0:00:41.879 to say, Dave is a really big proponent of vasectomies, 0:00:42.120 --> 0:00:45.200 and I get why, but he really is all about vasectomies. 0:00:45.320 --> 0:00:50.520 I suspect he would get a couple if he could. Yeah, 0:00:50.560 --> 0:00:52.839 it's funny now that I know about them. It is 0:00:52.880 --> 0:00:59.160 a remarkably basic thing that's being done. And sometimes that's 0:00:59.160 --> 0:01:03.480 sort of the beautiful simplicity of certain medical procedures is 0:01:03.960 --> 0:01:07.920 it's like, just cut that thing there and you're all good. 0:01:08.040 --> 0:01:13.759 There's a problem that's not cut. So it is remarkably easy. 0:01:13.880 --> 0:01:18.440 The recovery time is really fast. It's relatively cheap, even 0:01:18.440 --> 0:01:20.920 if you don't have insurance covering it, which most most 0:01:20.920 --> 0:01:23.200 people don't in the United States, and yet in the 0:01:23.280 --> 0:01:26.720 US and a lot of other countries. Um. The the 0:01:26.840 --> 0:01:31.319 it's really disproportionate the number of men in reproductive age 0:01:31.600 --> 0:01:35.360 who have a vasectomy um compared to the number of 0:01:35.400 --> 0:01:39.000 women who have undergone tubal ligation getting your tubes tied, 0:01:39.480 --> 0:01:42.760 and both are basically equally effective, but getting your tubes 0:01:42.800 --> 0:01:47.800 tied is way more involved. It requires general anesthesia, the 0:01:47.920 --> 0:01:51.800 recovery time is much longer, and it seems to basically 0:01:51.800 --> 0:01:55.520 come down to men just being scared of some guy 0:01:55.680 --> 0:02:00.520 monkeying around their junk with a scalpel um and worrying 0:02:00.520 --> 0:02:02.960 about what the after effects will be. But it turns 0:02:02.960 --> 0:02:07.760 out totally unnecessarily and unfairly. Yeah, I mean, we'll get 0:02:07.800 --> 0:02:10.600 to some of the myths, um and I would say 0:02:10.639 --> 0:02:14.200 it's it's equal parts being scared of those myths and 0:02:14.720 --> 0:02:18.640 quite simply the patriarchy, I mean kind of full stop 0:02:19.280 --> 0:02:21.960 men saying like, uh, you need to take care of 0:02:22.000 --> 0:02:25.560 that on your end. Uh, and and then we can 0:02:25.600 --> 0:02:29.760 start having unprotected sex and the And that's why a 0:02:29.760 --> 0:02:32.880 lot of people frame it as it's a real gift 0:02:33.040 --> 0:02:36.600 that a man can give to his wife or his 0:02:37.120 --> 0:02:40.240 spouse or his sexual partner, you know, the person who's 0:02:40.280 --> 0:02:44.040 monogamously having sex with, Because we should point out vasectomy 0:02:44.080 --> 0:02:48.880 is going to handle pregnancy basically every time. Um, it's 0:02:48.919 --> 0:02:50.760 not going to help with S T I S. So 0:02:50.880 --> 0:02:54.840 if you're running around exposing yourself, the monkey pox of 0:02:54.919 --> 0:02:56.799 vasectomy is not going to help with any of that. 0:02:57.040 --> 0:03:00.240 It's going to just help with the pregnancy partner. Yeah, 0:03:00.400 --> 0:03:03.720 and I hope that counts as a blanket statement. So 0:03:03.760 --> 0:03:06.280 when we say things like and now you can have, 0:03:06.680 --> 0:03:10.040 you know, all the sex you want without using a condom, 0:03:10.080 --> 0:03:12.840 without fear of getting pregnant, we don't. We don't mean 0:03:12.919 --> 0:03:17.640 like a step right up. What we mean is is 0:03:17.760 --> 0:03:21.960 you know with your monogamous partner you can now live, 0:03:22.240 --> 0:03:25.320 and you know with your monogamous partner you can get 0:03:25.360 --> 0:03:28.320 tested and you can know that that part is safe 0:03:28.320 --> 0:03:31.400 as well. But we are definitely not saying just that 0:03:31.400 --> 0:03:36.360 means you can go around and and spread your seed, 0:03:36.920 --> 0:03:42.960 your your biological material. It was even worse somehow. Oh 0:03:43.040 --> 0:03:45.400 it's terrible, Dave us as well. We'll get to the 0:03:45.440 --> 0:03:47.760 material part. But it's such a gross way to describe 0:03:47.760 --> 0:03:50.120 any thing that comes out of your body. But you 0:03:50.160 --> 0:03:54.120 mentioned the patriarchy. Here's a patriarchal um stat for you. 0:03:54.720 --> 0:03:58.720 Thirty of American women age thirty five to forty four 0:03:59.640 --> 0:04:04.600 have their tubes tied thirty nine percent. Do you want 0:04:04.640 --> 0:04:07.640 to know how many men aged thirty five to forty 0:04:07.640 --> 0:04:11.840 four in America have had a vasectomy. I've got to 0:04:11.840 --> 0:04:16.320 be at least twenty five right percent? Percent? That's it. 0:04:16.880 --> 0:04:20.400 So that means that, um, what more than about three 0:04:20.440 --> 0:04:23.760 times right on the nose, three times more women have 0:04:23.880 --> 0:04:27.760 their tubes side than men undergo vasectomy. And hopefully, like 0:04:28.120 --> 0:04:31.440 as people are hearing about this stuff, um, it becomes 0:04:31.520 --> 0:04:34.360 less scary and maybe more men will be prone to 0:04:34.400 --> 0:04:37.800 do it, because if you're looking to stop having kids 0:04:38.279 --> 0:04:41.560 or never have a kid, this this is a really 0:04:41.600 --> 0:04:44.799 good way to go. It's safe, it's effective, and again 0:04:44.800 --> 0:04:49.120 it's relatively cheap, and the recovery time is like nothing. Yeah, 0:04:49.240 --> 0:04:52.120 some of those myths that we mentioned that are not true. 0:04:52.240 --> 0:04:55.120 Or is that the operation is painful, which is not true. 0:04:56.040 --> 0:05:00.120 That it affects sex, that it affects your erection, it 0:05:00.160 --> 0:05:03.920 affects your orgasm and ejaculation, it affects your sex drive 0:05:03.960 --> 0:05:08.040 and testosterone. It means you're not a real man, Like, 0:05:08.440 --> 0:05:11.480 none of those things are true. And if any of 0:05:11.480 --> 0:05:15.039 those dudes were speaking to you, if any of those 0:05:15.080 --> 0:05:18.800 are reasons why you don't want to get a vasectomy, 0:05:18.880 --> 0:05:21.680 then you have no reason to just like that is 0:05:21.720 --> 0:05:24.760 a fact. Yeah, and we'll go into those in more detail. 0:05:24.839 --> 0:05:28.240 But yes, all of those are totally incorrect. Probably everything 0:05:28.360 --> 0:05:32.320 you think or worry about vasectomes is incorrect. That's that's 0:05:32.320 --> 0:05:37.320 a pretty good bet, actually, Yeah. Or if your reason is, well, 0:05:37.360 --> 0:05:39.120 I don't know, I may want to have kids one day, 0:05:39.279 --> 0:05:42.200 that is a very good reason because as you'll see, 0:05:42.200 --> 0:05:47.200 there is a reversal surgery, but it they definitely haven't 0:05:47.200 --> 0:05:51.800 perfected it. It is expensive, it's more invasive. Um, this 0:05:51.839 --> 0:05:56.120 is something you really need to consider very very strongly 0:05:56.720 --> 0:05:59.520 as a long term life decision. Yeah. Like if you 0:05:59.640 --> 0:06:02.080 were like, oh, it's one more kid, and you're like, 0:06:02.160 --> 0:06:05.240 I regret having this third kid, maybe it is time 0:06:05.240 --> 0:06:08.200 to talk about getting a vasectomy. Or if you're like, 0:06:08.400 --> 0:06:12.520 I think this world is grossly overpopulated, we're treating it terribly. 0:06:13.200 --> 0:06:16.000 I don't want to introduce yet another human into it 0:06:16.040 --> 0:06:18.880 and screwed up even more. Um, that might be a 0:06:18.920 --> 0:06:21.360 good reason. I have a sectomy too, and apparently that's 0:06:21.400 --> 0:06:25.839 an increasing um the reason for gen z and millennials 0:06:25.880 --> 0:06:30.600 getting vasectomies these days. Yeah, Or if you have already 0:06:30.760 --> 0:06:33.200 bore a couple of children and you look at your 0:06:33.200 --> 0:06:36.400 partner and say, hey, dude, I don't want any more kids, 0:06:36.440 --> 0:06:38.800 how about you get a vasectomy, and they give you 0:06:39.279 --> 0:06:41.800 a reason that equates to I want to keep my 0:06:41.920 --> 0:06:46.720 life options open. That's a different conversation. Yeah, then you're 0:06:46.760 --> 0:06:49.440 with the wrong person, right, you know, But no, on 0:06:49.560 --> 0:06:52.080 down the road, I might meet someone else. Right now, 0:06:52.839 --> 0:06:54.960 I guess I should say, Chuck, we've we've been talking 0:06:55.000 --> 0:06:58.520 almost exclusively about like men and women, you know, like 0:06:58.560 --> 0:07:02.640 biological sex um as far as vasectomies go. And I 0:07:02.640 --> 0:07:05.360 actually looked. I was like, is this part of transitioning 0:07:05.480 --> 0:07:08.880 in the trans community? And I saw that probably isn't. 0:07:09.160 --> 0:07:13.240 I mean, you can imagine like going from transitioning from 0:07:13.480 --> 0:07:17.760 male to female. Um, you might want to get a vasectomy. 0:07:17.760 --> 0:07:22.360 But I saw specifically that the hormone therapy renders that 0:07:22.440 --> 0:07:24.560 like no and void, there's no point in getting one 0:07:24.640 --> 0:07:27.840 from what I saw, right, So that's why we're using 0:07:27.840 --> 0:07:29.560 the terms that we're using in the words we're using 0:07:31.360 --> 0:07:34.320 so um. One of the things about a vasectomy One 0:07:34.320 --> 0:07:36.800 of the reasons why it is so great is because 0:07:36.880 --> 0:07:42.440 it is basically a hundred percent effective at preventing pregnancy. 0:07:42.720 --> 0:07:47.800 And like I said, tubal ligation is is just as effective, um, 0:07:47.840 --> 0:07:50.440 but as far as other stuff that men can do 0:07:50.600 --> 0:07:54.640 to prevent to act as birth control, I mean, like 0:07:54.720 --> 0:07:57.720 vasectomy is far in a way superior to all of them. 0:07:57.760 --> 0:08:00.960 Like you've got coitus interrupt us a k a. The 0:08:01.000 --> 0:08:06.800 pullout method. Yeah, that's only seventy eight percent effective. I 0:08:06.840 --> 0:08:09.680 am too. You can just ask the pullout king if 0:08:09.720 --> 0:08:12.560 that works or not. Hey, get in here, pullout king, 0:08:13.240 --> 0:08:17.840 and then uh, condoms are eight five percent effective. That 0:08:17.880 --> 0:08:20.560 seems high to me too, but I guess actually no, 0:08:20.720 --> 0:08:24.640 and on second thought, it's probably pretty accurate. But even still, 0:08:25.040 --> 0:08:27.680 that's a fifteen percent chance every time you have sex 0:08:28.040 --> 0:08:33.120 that you're going to accidentally impregnate your partner. That's what's 0:08:33.120 --> 0:08:36.720 so great about vasectomy. You have no worries whatsoever because 0:08:36.720 --> 0:08:38.560 there's a whole bunch of steps that we'll talk about 0:08:38.559 --> 0:08:41.360 that say Okay, you're good to go go forth and 0:08:41.440 --> 0:08:44.240 have sex with your partner, that one partner that you're 0:08:44.280 --> 0:08:47.280 monogamous with and is monogamous with you as much as 0:08:47.320 --> 0:08:49.680 you like without a condom for the rest of your life. 0:08:49.920 --> 0:08:52.200 Anytime you want, just go ahead and do it. Do 0:08:52.240 --> 0:08:55.520 it in a changing room at Target, do it in 0:08:55.559 --> 0:08:59.439 your card at the police station when you get arrested 0:08:59.480 --> 0:09:02.320 for doing then changing room and Target, none of these 0:09:02.360 --> 0:09:05.560 places you should do that. But you could because you 0:09:05.640 --> 0:09:07.760 don't have a condom on you and it doesn't matter 0:09:07.800 --> 0:09:12.800 in that sense. Uh. You mentioned it being relatively cheap. 0:09:12.840 --> 0:09:15.040 Did you say the actual number, which is about a 0:09:15.080 --> 0:09:19.360 thousand bucks? Yes? I did not. Okay, okay, yes you 0:09:19.440 --> 0:09:24.080 did not. That kind of episode, Chuck. A thousand dollars 0:09:24.160 --> 0:09:27.400 is certainly nothing to sneeze at. But um tubal ligation 0:09:27.480 --> 0:09:31.040 is about six times that much. Um. Condoms aren't cheap. 0:09:31.080 --> 0:09:33.840 So if you're if you're choosing to have a lot 0:09:33.880 --> 0:09:35.320 of sex and were a lot of condoms and you're 0:09:35.320 --> 0:09:37.920 going to run up a bill there. Uh. And it 0:09:37.960 --> 0:09:41.320 doesn't take super long. It's a twenty minute outpatient surgery, 0:09:42.160 --> 0:09:46.000 very very low risk of complications. Uh. It does not 0:09:46.160 --> 0:09:51.160 require general anesthesia like tubal ligation does. It's just local anesthesia, 0:09:51.440 --> 0:09:54.679 which that right there is like there's your like how 0:09:54.760 --> 0:09:56.160 much do you love me kind of thing? Are you 0:09:56.200 --> 0:09:59.920 going to let me risk dying under general anesthesia comp 0:10:00.000 --> 0:10:02.960 here to your local anesthesia. That's the that's what makes 0:10:02.960 --> 0:10:05.280 that kind of conversation hard when you're like, should you 0:10:05.280 --> 0:10:07.400 get your tubes tied or should I get a vasectomy? 0:10:07.440 --> 0:10:12.000 You know absolutely, uh in recovery time, it's just a 0:10:12.000 --> 0:10:15.400 couple of days later. Um for vasectomy is you're kind 0:10:15.400 --> 0:10:17.840 of doing pretty well, and it takes a few weeks 0:10:17.960 --> 0:10:21.040 or up to a few weeks for recovery for tubal ligation. Yeah, 0:10:21.040 --> 0:10:23.440 because tubal ligation is so much more invasive. You know, 0:10:23.440 --> 0:10:27.959 it's it's a much greater surgical procedure. Um. And then 0:10:28.000 --> 0:10:30.960 one other thing that is really important is like, like 0:10:31.000 --> 0:10:34.160 I said, it's considered a gift from the guy to 0:10:34.600 --> 0:10:37.800 his wife because you're saying like, hey, you don't have 0:10:37.800 --> 0:10:39.559 to worry about this stuff anymore. You don't have to 0:10:39.559 --> 0:10:41.200 take the pill anymore, you don't have to get an 0:10:41.200 --> 0:10:45.000 I U D, you don't have to get injections. Um, 0:10:45.200 --> 0:10:47.480 you don't have to get your tubes tied. Like I'll 0:10:47.520 --> 0:10:50.680 handle this for both of us, and I'll take one 0:10:50.720 --> 0:10:52.959 for the team. And that that really is like a 0:10:53.000 --> 0:10:56.600 genuine gift that you can give your partner. That I mean, 0:10:56.640 --> 0:10:59.160 like they I imagine they will value you for it 0:10:59.200 --> 0:11:01.200 at the very least to put it in a really 0:11:01.240 --> 0:11:08.200 sta away Sure, no pun intended, No, sadly, no, I'm 0:11:08.240 --> 0:11:11.520 not that sharp today. Well, let's take a break. I'm 0:11:11.520 --> 0:11:14.240 gonna sharpen you up, and we're gonna come back and 0:11:14.280 --> 0:11:37.120 talk about the procedure right after this. All right, so 0:11:37.160 --> 0:11:41.480 we're back. We're talking vasectomes. Keep saying it like it's 0:11:41.480 --> 0:11:46.480 got an F in their vasectomese vasectomies, And the point 0:11:46.520 --> 0:11:51.440 of a vasectomy is to keep your sperm away from 0:11:51.440 --> 0:11:54.800 your semen. Uh. And this is where Dave uses a 0:11:54.840 --> 0:11:57.959 word that just cracks me up. It's that material. Uh. 0:11:58.000 --> 0:12:02.640 He says that semen is all of the material that 0:12:02.720 --> 0:12:06.600 comes out of the penis during ejaculation. For some reason, 0:12:07.160 --> 0:12:09.079 I don't know. It just sounds like you're pulling a 0:12:09.120 --> 0:12:12.319 silk scarf out of a sleep or something. That's that's great, 0:12:12.679 --> 0:12:14.840 but when you add biological in front of it, it 0:12:14.840 --> 0:12:17.760 gets even worse because you're like, for some reason, you 0:12:17.840 --> 0:12:21.240 just imagine it everywhere for as I do at least, 0:12:22.480 --> 0:12:25.400 but sperm and semen are two different things, right, Yes, 0:12:25.520 --> 0:12:30.400 sperm is just one tiny component component of semen and um. 0:12:30.520 --> 0:12:33.360 You could make a really good case that semen exists 0:12:33.559 --> 0:12:35.959 if you're into intelligent design and that kind of thing, 0:12:36.240 --> 0:12:40.360 as a vehicle for sperm. But what humans have cleverly 0:12:40.400 --> 0:12:43.240 figured out is you can keep the semen, you can 0:12:43.280 --> 0:12:45.640 get rid of the sperm, and you can do this 0:12:46.000 --> 0:12:49.319 you can spread the biological material all over the place 0:12:49.440 --> 0:12:53.600 without any worry of getting pregnant because all you're doing 0:12:53.760 --> 0:12:56.920 is removing the sperm from entering the semen, and the 0:12:56.960 --> 0:12:59.920 semen comes out like normal. It's just sperm free after 0:13:00.120 --> 0:13:05.040 of a vasectomy, that's right. Uh. It's called a vasectomy, 0:13:05.080 --> 0:13:08.320 by the way, because of the vase the A S 0:13:08.360 --> 0:13:12.679 deference a k a. The sperm duct um that is 0:13:12.720 --> 0:13:16.520 basically the target of this operation. It is a tube 0:13:16.520 --> 0:13:19.560 in the scrotum in the pelvis. It's called the vast deference. 0:13:19.600 --> 0:13:23.079 There are two of them because you have two testes 0:13:24.120 --> 0:13:28.520 and so a vase difference. If you well, we'll talk 0:13:28.559 --> 0:13:30.440 about what you actually do, but it's called a vast 0:13:30.480 --> 0:13:33.320 ectomy because of that, right, And you can remember that 0:13:33.360 --> 0:13:36.559 by saying a vasectomy makes a vast deference in your 0:13:36.559 --> 0:13:41.160 sex life. Very nice those off the cuff. I do 0:13:41.240 --> 0:13:44.360 not have that written down at least so um with 0:13:44.520 --> 0:13:47.800 so with the with the vasectomy, the vast deference is 0:13:47.880 --> 0:13:52.120 just cutting. That's it. The vest difference from each testicle. 0:13:52.600 --> 0:13:54.560 That's that's all there is to it. I mean there's 0:13:54.600 --> 0:13:56.640 a little more to it, but it's really that basic. 0:13:56.920 --> 0:14:00.760 You want to talk about the procedure. Yeah, like I said, 0:14:00.800 --> 0:14:03.800 you've got these two vast deference each one, uh is 0:14:03.800 --> 0:14:07.240 about twelve to eight eighteen inches. But size isn't important 0:14:07.240 --> 0:14:10.880 here from what I've been told. Uh. And they run 0:14:11.000 --> 0:14:13.240 from the base of your test e s up around 0:14:13.240 --> 0:14:16.560 to the back of the bladder where your seminal vesicles are. 0:14:17.200 --> 0:14:20.920 And like you said, their their job is to take 0:14:20.920 --> 0:14:23.520 your sperm mix it in with the rest of your 0:14:24.720 --> 0:14:29.280 semanic material. Which I don't think we said what it was. 0:14:29.360 --> 0:14:34.160 It's fluids from the seminal vessel, fluids from the prostate, uh, 0:14:34.200 --> 0:14:37.800 and from what's called the bulb I had it earlier, 0:14:38.120 --> 0:14:44.160 the bulba erethoral grands. No, I'm afraid not go ahead 0:14:44.360 --> 0:14:48.840 hit me. I think it's bulbo your rethroll. Yes, it 0:14:49.000 --> 0:14:51.960 absolutely is so bad to me, is one of the 0:14:51.960 --> 0:14:55.840 worst words I've ever seen. It looks like what it describes. 0:14:56.160 --> 0:15:00.120 In my imagination, that word looks like it can't you 0:15:00.160 --> 0:15:02.760 can't you just see it. But you put all this 0:15:02.800 --> 0:15:05.720 stuff together, and you've got the biological material that comes 0:15:05.720 --> 0:15:08.680 out of the penis during ejaculation, Like Dave says, right, 0:15:09.160 --> 0:15:12.760 So the vast difference its role is to move sperm 0:15:12.800 --> 0:15:16.640 from the testies too. I think the prostate um to 0:15:16.800 --> 0:15:21.680 deliver this to your um, to your semen. And again, 0:15:21.760 --> 0:15:24.360 when you have a vasectomy, all you're doing is cutting 0:15:24.360 --> 0:15:28.760 the vast difference, so you're removing sperm from the equation um. 0:15:28.960 --> 0:15:32.400 And now I think it's probably time to talk about 0:15:32.440 --> 0:15:34.400 the surgery step by step, right, And I think when 0:15:34.400 --> 0:15:36.840 we do this, most people who don't know about this 0:15:36.880 --> 0:15:39.600 are going to be amazed because it is wham bam, 0:15:39.640 --> 0:15:43.520 thank you, ma'am kind of surgery. Considering what you're doing 0:15:43.800 --> 0:15:45.960 and the effect that it has, the outcome it has, 0:15:46.320 --> 0:15:50.720 it's incredibly simple and fast. Yeah, maybe we should cue 0:15:50.800 --> 0:15:54.600 up Yakety Sacks. That's the perfect Did you ever see 0:15:54.680 --> 0:15:58.000 Dolly Parton at um? Oh? I can't remember what the 0:15:58.000 --> 0:16:01.480 glaston Bury I think festival I did she said, I 0:16:01.480 --> 0:16:05.720 can play yakety sacks backwards and she turns around and 0:16:05.800 --> 0:16:10.480 plays it. Oh my god. Still after all this time, 0:16:11.000 --> 0:16:15.920 she is National Treasure, International, Treasure Global. So what they're 0:16:15.920 --> 0:16:19.280 gonna do is they're gonna numb the area that they're 0:16:19.360 --> 0:16:22.680 going to be working on with local anesthetic on either 0:16:22.720 --> 0:16:25.400 side of the scrowtum. That may be the most harrowing 0:16:25.480 --> 0:16:28.920 part for for people listening to this. H They're gonna 0:16:28.960 --> 0:16:31.480 make two small incisions at the top of the scuretum 0:16:31.520 --> 0:16:35.840 so they have access to uh each vast deference, and 0:16:35.880 --> 0:16:38.600 they're going to I love that, he says. Gently. They're 0:16:38.600 --> 0:16:41.960 going to do gently withdraw part of it through the incision. 0:16:42.440 --> 0:16:45.480 They're gonna snip it, and they're gonna seal it up. 0:16:45.920 --> 0:16:49.920 Sometimes the stitches, sometimes they cauterize it. Uh. Sometimes it's 0:16:49.920 --> 0:16:53.000 a combination of things. But they're basically just gonna seal 0:16:53.080 --> 0:16:56.560 up that tube and they're gonna close those tiny incisions 0:16:56.640 --> 0:16:59.160 up with stitches or maybe glue even that is it. 0:17:00.000 --> 0:17:03.920 Whatever they have lying around exactly a little sawdust and spit. 0:17:04.960 --> 0:17:07.360 But that's it, man, that is it. And again, yes, 0:17:07.560 --> 0:17:11.240 the guy is cutting into your scrowedum, into your junk um, 0:17:11.400 --> 0:17:14.040 I should say, I mean guy in a gender neutral way. 0:17:14.600 --> 0:17:17.360 You know, who knows who your erologist is. But they 0:17:17.520 --> 0:17:20.280 like they they are cutting into it. They know what 0:17:20.320 --> 0:17:22.679 they're doing. It's really just cutting through a little bit 0:17:22.680 --> 0:17:26.879 of skin that again has been anesthetized locally. And I 0:17:26.920 --> 0:17:29.119 mean that's it. Like this, it's almost like cutting a 0:17:29.200 --> 0:17:32.000 rope and then taking a lighter and burning each end 0:17:32.680 --> 0:17:36.080 so that it doesn't fray any longer. That's pretty much 0:17:36.080 --> 0:17:40.280 analogous to a vasectomy, except the rope is in your 0:17:40.640 --> 0:17:43.760 your scrowed them and they don't use it like a 0:17:43.800 --> 0:17:47.439 big lighter. They probably use something else to cauterize it. Yeah, 0:17:47.520 --> 0:17:50.360 and then your riding your horse the next day. Actually, 0:17:50.440 --> 0:17:52.040 you probably don't want to be doing that next day. 0:17:52.080 --> 0:17:54.080 You want to wait a week to ride your horse. 0:17:54.160 --> 0:17:57.720 But the point taken, you know. Uh. They're also what's 0:17:57.720 --> 0:18:01.520 called no scalpel vasectomes, which are not completely no scalpel, 0:18:02.200 --> 0:18:05.600 but there are no incisions made in a technical sense. 0:18:06.040 --> 0:18:09.280 They use a this sounds even norse. Actually they use 0:18:09.400 --> 0:18:12.520 a punch tool to punch a small hole in the 0:18:12.600 --> 0:18:16.080 skin of the scrotum, and then they withdraw the section 0:18:16.080 --> 0:18:19.240 of the vast difference that way. Um, you still have 0:18:19.280 --> 0:18:22.840 to use a scalpel to cut the cut the tube, 0:18:23.440 --> 0:18:25.399 but apparently you heal up a little bit faster with 0:18:25.400 --> 0:18:28.320 this method. Yeah, because there's no actual incision. It's just 0:18:28.400 --> 0:18:31.760 a puncture wound basically. So yeah, I mean it's smaller 0:18:31.880 --> 0:18:35.840 surface area to to recover, I guess. Yeah. And if 0:18:35.880 --> 0:18:40.840 you're thinking, Josh Chuck or doctor, doctor, well what about 0:18:40.880 --> 0:18:43.560 all that sperm? I got so much sperm? Where is 0:18:43.600 --> 0:18:46.040 it gonna go? And it is gonna build up? And 0:18:46.080 --> 0:18:49.159 that you know that's a problem. Uh, that is not 0:18:49.280 --> 0:18:52.360 what happens. Your body absorbs the sperm. You don't get 0:18:52.400 --> 0:18:54.960 some big, like massive sperm build up. Let me tell 0:18:55.000 --> 0:18:58.560 you about your sperm and where it matures over seventy days. 0:18:58.720 --> 0:19:03.280 And then also it's in the epididymus. And your epididymus 0:19:03.440 --> 0:19:07.280 is eighteen feet long, and it's coiled up in your testies. 0:19:07.720 --> 0:19:12.160 Each testicle has an epididymus that's eighteen ft long if 0:19:12.160 --> 0:19:14.560 you stretched it out, and this is where the sperm 0:19:14.640 --> 0:19:17.679 kind of gathers and grows and and gets ready for action. 0:19:18.400 --> 0:19:21.800 And apparently after your vasectomy and the sperm has nowhere 0:19:21.840 --> 0:19:25.840 to go. It stays in the epididymus, which naturally absorbs 0:19:25.880 --> 0:19:28.520 it back into the bloodstream because if you, you know, 0:19:28.720 --> 0:19:31.399 don't see any action for a while, your sperm can 0:19:31.400 --> 0:19:33.600 get kind of old and your body wants new, fresh 0:19:33.640 --> 0:19:37.160 good sperm to be used, so the old stuff gets 0:19:37.160 --> 0:19:41.359 absorbed anyway happening, Yes exactly. This isn't like some new 0:19:41.400 --> 0:19:44.040 thing that your body has to do. It's just that's 0:19:44.040 --> 0:19:46.800 all it does now is absorbs sperm. It doesn't ejaculate 0:19:46.840 --> 0:19:51.840 it anymore. Right, Um, you mentioned the term bestotomy earlier. 0:19:51.920 --> 0:19:55.160 Technically that's probably what it should be called. Uh ectomy 0:19:55.280 --> 0:19:58.440 is is usually when you are removing something, and you're 0:19:58.440 --> 0:20:02.080 really not removing anything in this So if you want 0:20:02.080 --> 0:20:04.639 to get super technical, you could call it a bestotomy 0:20:04.760 --> 0:20:07.080 and your doctor might just say yeah, yeah, yeah, I 0:20:07.080 --> 0:20:09.159 got you, or they might be like, oh, I'm going 0:20:09.240 --> 0:20:12.560 to give you a nice valium too, because you impressed 0:20:12.600 --> 0:20:16.040 them so much. There's one other thing about the sperm. 0:20:16.200 --> 0:20:19.640 There's a kind of vasectomy called an open end vasectomy, 0:20:19.680 --> 0:20:23.959 where they just caught or eze them the tube leading 0:20:24.000 --> 0:20:27.280 to your prostate and the tube that's coming right out 0:20:27.280 --> 0:20:30.560 of your testicle is left open. So that the sperm 0:20:30.600 --> 0:20:33.080 actually just does flow out into your scrotum and it 0:20:33.080 --> 0:20:36.240 gets absorbed in there as well. And is it like 0:20:36.280 --> 0:20:39.360 one of those uh spaghetti sprinklers that kids run through 0:20:39.400 --> 0:20:42.560 when you turn it on. No, it's like one of 0:20:42.600 --> 0:20:45.879 those um those like air blow guys that like tire 0:20:46.000 --> 0:20:49.120 stores used to bring in the customers. I think it's 0:20:49.119 --> 0:20:54.639 more like that or either one, because they're both the life. Um, this, 0:20:54.840 --> 0:20:57.080 like we mentioned, takes about twenty minutes, doesn't even have 0:20:57.119 --> 0:20:58.679 to take that long. Sometimes they can get you in 0:20:58.680 --> 0:21:01.679 another and as little as ten minutes you might get 0:21:01.720 --> 0:21:05.119 a little bit of pain meds. But um, and you 0:21:05.160 --> 0:21:07.440 know this is from from Dave sort of telling his 0:21:07.560 --> 0:21:10.480 firsthand that after the first day or so, it's really 0:21:10.480 --> 0:21:13.240 not that big of a deal. But you're gonna be 0:21:13.320 --> 0:21:18.680 resting for twenty four hours you meet chilling out in bed. Basically, Um, 0:21:18.760 --> 0:21:21.919 you want to wear this is pretty funny. Um, you 0:21:21.960 --> 0:21:25.439 want to wear tidy whitey's very tight underwear or a 0:21:25.520 --> 0:21:30.040 jock strap for forty eight hours? Right, Probably the tidy 0:21:30.080 --> 0:21:34.160 whities is preferable. I don't know, jock strap is pretty good. Look, 0:21:34.240 --> 0:21:36.240 you just don't want to think swinging around because you 0:21:36.280 --> 0:21:39.520 have two incisions on your scrotum that have been stitched up, 0:21:39.560 --> 0:21:41.920 and you don't want to, you know, loosen the stitches, 0:21:41.960 --> 0:21:44.639 I think is the point. Yeah, what else you gonna do? 0:21:45.040 --> 0:21:48.440 Cold pack? No, no, no doubt, like actual frozen bag 0:21:48.480 --> 0:21:53.240 of frozen peas could work, um, because it could become inflamed. 0:21:53.280 --> 0:21:56.040 Your body has been insulted and it's going to react 0:21:56.080 --> 0:21:59.600 with inflammation. That helps with it. Um. Again, you're gonna 0:21:59.640 --> 0:22:01.639 have pain, and you probably won't need them after the 0:22:01.680 --> 0:22:03.920 first day. You might need like advil or tail and 0:22:04.000 --> 0:22:08.240 all or whatever. Your regular analgesic is. Um. But like 0:22:08.440 --> 0:22:13.800 we're saying earlier, you can't ride a horse for a week, right, Yeah, 0:22:13.920 --> 0:22:16.120 in a couple of days, you can do desk work 0:22:16.160 --> 0:22:19.160 and stuff like that and you're off your feet, but um, 0:22:19.320 --> 0:22:23.160 no sports and and uh no sexual activity for a week. 0:22:23.240 --> 0:22:26.920 So here's the sort of trick is you're gonna still 0:22:26.960 --> 0:22:32.040 have sperm in your system after a vasectomy. Uh. So 0:22:32.160 --> 0:22:35.560 there's a chance if you had unprotected sex with your 0:22:35.600 --> 0:22:40.280 partner right away, uh, that you could get them pregnant. Uh. 0:22:40.320 --> 0:22:42.959 You need to clear the system. So it takes up 0:22:42.960 --> 0:22:46.840 the fifteen to twenty ejaculations to clear the system out. 0:22:46.960 --> 0:22:49.679 So if you want to go back to having sex 0:22:49.720 --> 0:22:54.040 that you know, like literally one week after you have 0:22:54.119 --> 0:22:57.600 had this operation without getting pregnant with your partner, you're 0:22:57.680 --> 0:22:59.679 you know, do the math, You're you're welcome back to 0:22:59.720 --> 0:23:05.200 seven grade. Basically, yes, So like for a good three months, 0:23:05.520 --> 0:23:08.719 they're basically like, you need to really be careful and 0:23:08.760 --> 0:23:11.439 they're going to get you in there um afterward as 0:23:11.520 --> 0:23:15.080 part of this post operative care about you know, anywhere 0:23:15.080 --> 0:23:17.240 from like a month and a half to three months 0:23:17.320 --> 0:23:19.879 later to say, okay, give us a sperm sample and 0:23:19.920 --> 0:23:22.080 we're gonna see if you have any any guys swimming 0:23:22.080 --> 0:23:26.440 around in there, and uh, if you pass, they will 0:23:26.480 --> 0:23:31.080 say you've got no sperm, go forth and have fun um. 0:23:31.160 --> 0:23:33.720 And if you don't pass, they'll say, okay, well we 0:23:33.760 --> 0:23:36.320 need to to you know, keep safe a little longer 0:23:36.359 --> 0:23:38.119 and then come back and give us another sample. And 0:23:38.280 --> 0:23:40.440 they'll keep doing that until there's just no sperm found, 0:23:40.600 --> 0:23:45.920 like zero no sperm, so zero percent sperm, I guess 0:23:46.000 --> 0:23:48.760 is what I'm trying to say. Yeah, am I reading 0:23:48.800 --> 0:23:52.480