EP240: Choosing between male and female sterilisation | PUTTING DR G ON THE SPOT - video Dailymotion

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Consultant urologist Dr George Lee Eng Geap, or a.k.a Dr G, helps a reader to understand male and female sterilisation procedures for him to decide whether he should go for it or his wife should go under the knife.  Read more at https://shorturl.at/vOwsh  WATCH MORE: https://thestartv.com/c/news SUBSCRIBE: https://cutt.ly/TheStar LIKE: https://fb.com/TheStarOnline

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00:00Let's talk about when to decide on sterilization, whether men should do it or women should do

00:06it.

00:07In fact, there's a lot of fundamental difference between tubal ligations and also vasectomy

00:13that is done.

00:16Fundamentally, there are three major differences.

00:24Number one is that the vasectomy is a simpler operation that can be done with local anesthesia.

00:32So when that is done, the men will experience a little bit of local anesthetic injection

00:37for the numbing of the skin and the vasectomy itself can be done with a man completely awake.

00:44On the other hand, tubal ligation is an operation that tends to be requiring either a laparoscopic

00:51surgery or an open surgery to tie the two tubes.

00:56Imagine the actual operation itself has to go through the abdominal wall, then there's

01:02always that risk of injuring other organs.

01:06Apart from that, you also have the risk associated with general anesthesia because tubal ligation

01:12can never be done under local anesthesia.

01:16So number two fundamental difference is actually the reversibility.

01:22When a woman undergoes tubal ligation, the tube itself is almost impossible to be joined

01:27back together because that itself requires a complex procedure and the blood supply may

01:33prohibit the reconnections of the tube.

01:36Therefore, it is generally perceived as permanently impossible for reconnection.

01:42However, on the other hand, there is a possibility of joining back the actual vas itself.

01:51That is called vasovasostomy or the reversal of vasectomy.

01:55Of course, if you leave it long enough, then the joining back together may not be so successful.

02:02However, failing that, there's always that option of finding one sperm in order to create

02:08a test tube baby for you.

02:10And number three, it's cost.

02:13The cost for tubal ligation is significantly higher because the woman has to be admitted

02:19to hospital, has to undergo a general anesthesia, theater operating charges, anesthesia charges,

02:27and they all add up.

02:28However, if the guy choose to do it, most of the time we can do it in the clinic.

02:33There's no need for a daycare, there's no need for operating theater, and when it's

02:38done in local anesthetic room, you walk in and you walk out in no time and your cost

02:42will be significantly lower.

02:44For the following week, we want to talk about reversibility of vasectomy.

02:49Then stay tuned for next week's Putting Dr. G on the Spot.

EP240: Choosing between male and female sterilisation | PUTTING DR G ON THE SPOT

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