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Medical Forum / General / General / May 2005

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inguinal hernia repair & vasectomy

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kcrispin@gmail.com - 18 May 2005 20:24 GMT
I read somewhere that some surgeons slot the mesh for the sperm cord
during inguinal hernia repair surgery, which I'll be undergoing
shortly.

Would it be reasonble to inquire about having a vasectomy procedure at
the same time as the hernia surgery? Any reason to believe it's not
feasible?

Something about being under, appeals to me.

Thanks, KC
Howard McCollister - 18 May 2005 22:14 GMT
>I read somewhere that some surgeons slot the mesh for the sperm cord
> during inguinal hernia repair surgery, which I'll be undergoing
[quoted text clipped - 3 lines]
> the same time as the hernia surgery? Any reason to believe it's not
> feasible?

Sure, it's feasible - in fact it's a great way to go if you have a hernia
and want a vasectomy. The vas deferens can be sectioned on the hernia side
easily at the time of the operation. The other side will require the usual
small incision in the scrotum.

This assumes that your surgeon has no religious compunctions against
vasectomy and knows how to do one transscrotally (for the non-hernia side).
It also assumes that your insurance company is willing to pay for it and you
can be pre-certified for it by them, and that the surgeon considers the
reimbursement that they offer for it to be reasonable. When done as a
concomitant procedure, insurance companies will often deny the vasectomy fee
after-the-fact, or will only pay 25% or less of the actual fee. I personally
wouldn't do it for that.

HMc
Kurt Ullman - 18 May 2005 22:42 GMT
>Sure, it's feasible - in fact it's a great way to go if you have a hernia
>and want a vasectomy. The vas deferens can be sectioned on the hernia side
>easily at the time of the operation. The other side will require the usual
>small incision in the scrotum.

  I had vasectomy done whilst they were down there anyway biopsying
a (benign, thank God) lump on my testicle. I figured I had nothing
better to do while waiting for the frozen resection (g).

       Doing a vasectomy under general anesthetic has other
advantages. Not the least of which is that you don't have to watch
the knife grow from a little scapel into a full-sized broadsword as
it approaches your balls (BEG).

--
    Army Liason to the Office of Naval Contemplation
kcrispin@gmail.com - 19 May 2005 05:45 GMT
I'm with Kaiser-Permanente and I'm hoping they will look at it from my
perspective. I'm not sure how Kaiser compensates, but hernia surgery
alone is only $200.

KC
 
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