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Nuoširdžiai dėkoju gydytojui med. m. dr. Gintautui Radžiūnui ir jo komandai (gyd. R. Mačiulytei, p. Gražinai, seselei) už profesionalią ir jautriai atliktą kolonoskopiją. Jų darbą galiu įvertinti vieninteliu žodžiu - "HARMONINGA". Pagarbiai, Gerardas Žalėnas2020 09 03
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Vasectomy is a procedure in which a male’s vas deferens tube is sealed, cut or tied to prevent the passage of sperms to the urethra. This is a permanent contraceptive technique to avoid fertilization of egg through sexual intercourse. The reversal of this method is known as reverse vasectomy. In this procedure, the ligated vas deferens tube is re-connected. It is an expensive and complicated procedure with not a great success rate. After going through this, the fertility of a male is restored and he is able to get his partner pregnant. Reverse vasectomy can be performed at any time even after a gap of 10-15 years as the sperms are continuously been produced and are viable. The pregnancy rates after this can be as low as 30% to as high as 90% depending upon the procedure used. Only 6% of all the men gone through vasectomy go for a reversal technique.
The surgery is performed under local, general, or regional anesthesia under the supervision of an expert urologist. A cut is given on the scrotum which opens it making the ductus deferens visible. The duct is released from the surrounding tissues and the doctor proceeds with the surgery. There are two known methods for the reversal of vasectomy:
Only the urologist can decide which procedure should be chosen for you. However, a vasovasostomy is performed if the sperms are present in the vasal fluid. If not, vasoepididymostomy is performed. It causes the sperms to move from testes to epididymis and from epididymis to the vasal fluid.
Performed in the outpatient department, reverse vasectomy is not a lengthy procedure. The surgery requires only 2 to 4 hours after which the patient is discharged on the same day from the hospital after he returns to consciousness. Still, the patient is under the influence of anesthesia so he needs someone to be with him. As far as stitches are concerned, they dissolve themselves after a few days. You should plan to stay in Lithuania for at least 2 to 3 days after your surgery, this will allow for the initial recovery and follow-up check-ups, etc.
The recovery time after a reversal vasectomy varies from person to person. It usually takes 5 days to 2 weeks for the recovery. In the first few hours, the patient is woozy due to anesthesia. There is nausea, muscle pain, swelling, fatigue, and sore throat. After the effects of anesthesia fade away the day after surgery, pain is elevated. The recovery process is completed in 2 weeks.
The incision is stitched and covered with bandages. There is pain after surgery which varies from moderate to severe. Pain killers are prescribed to relieve the aching body. For soreness and swelling, ice packs are used. Keeping your legs above the head level might also be beneficial in reducing swelling. Ice packs are applied every half an hour for 10 minutes. Bed rest should be taken to avoid excessive movement of testes during activity. Ask the doctor when to remove the bandages. Besides all the things mentioned above, the following points should be kept in mind:
The success rate is variable and depends upon the individual case. Sperms come into the semen after 4 to 6 months of surgery. Your doctor regularly checks your sperm count till it returns to normal. In vasovasostomy, 6 to 12 months are required to restore the normal sperm count in the semen. While in the case of vasoepididymostomy, it might take longer. Once the sperms come back to the semen, chances to conceive can increase with the passage of time. the success rate also depends upon a number of other factors including any other illness or disease, age of female partner and the quality and quantity of sperms present in the semen.
A reverse vasectomy might not always be successful. There are various reasons for its failure such as any other testicular diseases. In case it fails, another surgery can be performed. If it does not work, following is the alternative for reverse vasectomy:
In vitro fertilization (IVF) of the ovum: Sperms are removed directly from the testes or epididymis using a syringe or through surgery. Success rates are higher if the female partner is younger. This procedure is way more expensive than the reversal of vasectomy. Also, there are no chances of another pregnancy. While reversal is cheaper, aids in natural birth and chances of future pregnancies are also there.
Fertilization through a donated sperm is another option. You can either get sperm from a suitable donor from a sperm bank or you can use your own frozen sperms that were stored before vasectomy. Sperms are removed through a syringe and frozen under suitable conditions.
Whilst the information presented here has been accurately sourced and verified by a medical professional for its accuracy, it is still advised to consult with your doctor before pursuing a medical treatment at one of the listed medical providers
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Lithuania is an Eastern European country and is the largest and most populous of the three Baltic States. The country has a population of 3 million people, capital and largest city is Vilnius. There are only 3 Hospitals in Lithuania that are JCI accredited and all 3 can be found at the capital.
Lithuania welcomes an ever-increasing number of medical tourists each year, many of which travel for Reverse Vasectomy procedures. The biggest attraction of Lithuania has to be the cost. Once you are there it is very affordable to eat, drink and get around and the prices from private clinics for medical treatment are extremely competitive. Come from within Europe on a low-cost airline and you will probably pay for your treatment and your holiday for less than your procedure would have cost at home.
Although Lithuania is one of the lesser known countries of Europe, the country is actually a beautiful destination. Lithuania is home to incredible castles, lakes, forests, and landscapes.
Lithuania is at its best in summer when the days are warm and the Baltic Sea is swimmable. The country is swarming with tourists during this season. Summer starts from June until August; the average temperature is around 20 °C during the day and 14 °C during the night.
Spring arrives late, usually starts in April and finishes in May. Spring makes the country look even more beautiful with blossoming flowers and cherry trees. The temperature is usually cool.
Autumn has many sunny days and adds more color to the country. Autumn starts in September and lasts for two months. The nights in autumn are chilly, and the temperature usually drops to 0.1 °C in late November.
Winter is especially cold with an average temperature of around -6.6 to -2.8 °C. Some winters can be even colder with the average temperature dropping as low as -20 °C.
Vilnius International Airport is the largest airport in Lithuania. It connects the country with European cities. The airport is the hub for air Baltic and Get Jet Airlines. Budget airlines such as Ryanair and Wizz Air also operate flights from this airport. Other international airports are Kaunas International Airport, Palanga International Airport, and Šiauliai International Airport. The airports in Lithuania do not serve domestic flights.
Vilnius airport taxis are available and can be found in front of the arrivals terminal. The taxis are comfortable and affordable. All taxis accept payment by cash or credit card, a journey to the city center should cost around 10 EUR to 18 EUR. The city bus is a more cost-effective option to travel to Vilnius. A single ticket costs 1 EUR and can be purchased on the bus.
Getting around in Lithuania by car is the best way if you wish to visit many destinations. Lithuanian roads are among the best in Eastern Europe. The country has four-lane highways connecting Vilnius, Kaunas, Klaipeda, Panevėžys, and Palanga.
Intercity buses dominate the system of Lithuanian public transportation. Buses link all major cities and smaller towns. Buses between big cities are very frequent and usually leave every 15 minutes. Bus tickets can be purchased in the bus station or directly from the bus driver. Trains in Lithuania are good value but rather slow. Riding a bicycle is a nice way to get around inside the cities. Most roads are kept in good condition. Bike hire is available across all major cities and several small villages.
Citizens of the European Union, the United States, Canada, Australia, and Britain are granted visa-free entry to Lithuania and may stay for up to 90 days. Other foreign nationals must apply and obtain a visa before entering Lithuania. It is advisable to contact the local embassy to check visa requirements for Lithuania.
Lithuania is part of the Schengen Area, those who already have a Schengen visa do not have to apply for a new visa to enter Lithuania. A passport valid for at least three months beyond the length of stay is required by all visitors.