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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 Vilnius 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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Vilnius is the capital of Lithuania and is also the largest city in the country, with a population of around 564,147. Vilnius was once referred to as the ‘Jerusalem of the north’ but the Jewish community was largely wiped out in WWII. The city does not hide its battle relics. Tourists will find museums dedicated to the Holocaust and preserved the KGB torture chamber. Other than its fascinating history, Vilnius also offers spectacular architecture, trendy bars, and hot-air balloons.
Vilnius is emerging as a medical tourism destination. Every year, medical tourism in Vilnius continues to expand and evolve. Medical treatments in Vilnius are gaining a powerful reputation among medical tourists. The vast majority of the medical tourists coming to Vilnius are from the Middle East, the United States, and Western Europe. Many tourists travel for Breast Augmentation or other cosmetic surgery. Kardiolita Hospital is one of the most popular medical facilities in the city. There are many reasons why local and international medical tourists come to Vilnius, including:
Vilnius is a driving force behind Lithuania’s tourism sector. The city has affordable attractions, accommodations, and restaurants, Historical landmarks, extraordinary architecture, green spaces, and an array of cafes making the city a special place to visit.
Summers in Vilnius is warm and dry, with occasional showers and chilly days. Summers are short, lasting for around two months from June to August. The average temperature in the summer is around 11 °C to 22 °C. Summers are usually the busiest time for the city’s tourism.
Although autumn is exceptionally beautiful and has many sunny days, the temperature will cool down rapidly during this season. It can get as low as -1°C in mid-November.
The winters are freezing when the average temperature plummets to -9°C. The temperature will remain below zero until March. Winters in the city can be an amazing time. However, it can be difficult in rural areas.
Spring usually arrives late in April and does not last very long. The temperature in Spring is cool and the green spaces are blossoming.
Vilnius International Airport is the largest airport in Lithuania that connects the country with European cities. It is the hub for air Baltic and Get Jet Airlines. The airport serves many major airlines, as well as budget airlines such as Ryanair and Wizz Air.
Tourists can take the airport taxis to the city center. The taxis can be found in front of the arrivals terminal. A ride to the city center should cost around 10 EUR to 18 EUR. The city bus is another option to travel to Vilnius city center. It is more affordable than taxis, with a single ticket costs around 1EUR.
Walking is the best mode of transportation for exploring the Old Town. A good portion of Vilnius’s attractions is located within walking distance. Buses and trolleybuses are also available, tickets cost 1 EUR which can be paid directly to the driver. Taxis are not very recommended because many taxi drivers are known to cheat foreigners. Uber is available.
European Union citizens, American, Canadian, Australian, and British can stay in Vilnius for up to 90 days. Citizens of other countries must apply and obtain a visa before entering Lithuania
The country is part of the Schengen Area, tourists who already hold a Schengen visa does 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.