VASECTOMY: EFFICACY, SATISFACTION AND IMPACTS ON QUALITY OF LIFE

Abstract

Vasectomy is a male contraceptive method widely recognized for its efficacy and safety, with a significant impact on family planning. This retrospective study evaluated its effects on the quality of sexual and social life of men treated by the Unified Health System (SUS) at Santa Casa de Cunha, analyzing medical records and postoperative follow-up. A total of 17 patients were selected, of whom 11 underwent the procedure, aged between 26 and 51 years (mean age of 38 years), mostly married or in a stable union, with 2 to 4 children. Demographic data, sexual habits, surgical results, and evaluations after one year revealed azoospermia in 90.9% of the cases, good recovery and resumption of sexual life in 90% of the patients in the first three months, although 36% reported dyspareunia. After one year, 90% of men and 80% of partners were satisfied or very satisfied, with 45% noticing improvement in their sex life, despite cases of orchialgia. Age, relational stability, and number of children influence the decision, while inconsistent use of contraceptives after surgery suggests risk behaviors. The procedure is effective and well accepted, but it requires clear guidance and rigorous monitoring to optimize results and manage complications, highlighting its relevance in public health.