The Procedure

Vasectomy in Sydney performs only  ‘No needle, No scalpel, Open-ended’ vasectomy.  Step by step instructions for getting a vasectomy are discussed below.

What you need to do?

  1. Make sure you are a right candidate for vasectomy and you have discussed this with your wife/partner. But this is not a must and only you can decide whether to have a vasectomy or not. Please also see who needs a vasectomy
  2. Book an appointment through phone or register online for vasectomy on your preferred date.
  3. If you have any major medical condition, bring your medical records or summary with you.
  4. Arrive at the clinic at least 20 minutes before the appointment time.
  5. Try to relax and get the procedure done.
  6. Avoid any strenuous physical activity for 1-2 weeks after the procedure.
  7. Remember that you are not sterile for 3 months and use other method of contraception.
  8. Do a semen test after 15-20 ejaculations or after 3 months.

 

What doctor does?

  1. Confirms that you are the right candidate and you understand that it is a permanent family planning method.
  2. Checks that you do not have any serious medical conditions and contraindications to vasectomy including large hydroceles, hernias,  varicoceles, scarring of the scrotum, infections or not able to feel vas deferens.
  3. Explains the procedure step by step.
  4. Offers post vasectomy advice.

 

Steps in ‘No needle, No scalpel, Open ended’ vasectomy

  1. Doctor gives local anaesthetic. No needle injection but in small jets of anaesthetic beneath the skin and around vas deferens.
  2. A small puncture is made in the mid-line of the scrotum, no scalpel is used.
  3. Doctor takes vas out of scrotum, cuts the vas, ties it, may remove a small segment of vas, cauterises one end and pulls it back to normal position.
  4. A small cotton and tape will be applied over the puncture wound which you can throw after 6 hours.

Courtesy: Pollock Clinics

 

What next after vasectomy?

Once vasectomy is done you need to watch for any complication resulting from the procedure. No-scalpel vasectomy is a minimally invasive procedure and complications are rare or are very mild.

There may be mild bruising and tenderness in the scrotum after the operation. It is important to rest for a few days and avoid running, swimming or any other strenuous physical activity. Sex should also be avoided for a few days.

If in case, the testicles become swollen or painful, or the wound starts to weep, it could be an infection. You need to ring your doctor or book an appointment. You may need an antibiotic.

If you have an office work, you can return to work after a couple of days. But if your work is more physical, or involves lot of walking or driving, you may need to rest for 1-2 weeks. You will be given advice and if needed a medical certificate by the doctor.

It is very important to remember that vasectomy  is not effective immediately after the procedure. Even after cutting vas deferens, sperm can remain in the tube and can take few months for them to be ejaculated or reabsorbed by the body. During this time, there are chances that you can make a woman pregnant.

It usually takes about 15-20 ejaculations or 3 months after the procedure to flush out any remaining sperm from each vas deferens. You should use other methods of contraception like condom during this time. After 3 months or when you have had 15-20 ejaculations, you should give a sample of semen which will be tested in a laboratory to confirm whether you have sperm or not in your semen. This is the only way to confirm that you are sterile and cannot make a woman pregnant.

 

Is there any complication of vasectomy?

Vasectomy is a very low risk procedure but minor complications can occur. No-scalpel vasectomy has fewer complications as compared to scalpel vasectomy.

Gentle Procedures clinics in Sydney perform only ‘No needle, No scalpel, Open-ended’ vasectomy.  Local anaesthesia is given by jet injection rather than by needle injection. Jet injection is much superior to needle injection as seen in the graph below:

                                                   Courtesy: Gentle Procedures Clinic

 

Bleeding and infection

Bleeding into the scrotum, haematoma formation, and infections can occur, though not common. Bleeding and infections are much less common with no-scalpel vasectomy.

Vasectomy failure

Like any other contraception, vasectomy is not 100% effective and can fail. The failure rate for no-scalpel vasectomy is around 0.15% (1 in 600). It is still the most effective method of contraception when compared to tubal ligation (tube tying), IUD or oral contraceptive pills.

Sperm granuloma

Sometimes  a tender scrotal swelling, about the size of a pea may form after vasectomy. This is from leakage of sperm from the cut vas deferens. This will be absorbed by the body and disappears overtime.

Pain

Some men may experience pain in the scrotal area following vasectomy. This is called Post-vasectomy pain syndrome (PVPS) and can happen immediately following the procedure or take months to develop. The pain is from build-up of sperm and increased pressure in the vas deferens and epididymis. The pain may resolve with time. But if the pain is severe and persists, it may need medication and physical therapy. In extreme cases, it may even need surgical intervention, the commonest being vasectomy reversal.

If you experience any of the above complications or if you feeling something may not be right, please ring us or make appointment to discuss it.

Your can watch Dr Pollock performing vasectomy here:

Courtesy: Pollock Clinics