Vasectomy is a relatively simple surgical procedure to block the small sperm-carrying tubes in the scrotum. This prevents the sperm from getting into the "come". After a vasectomy you will climax and ejaculate as before, but there will not be any sperm in the ejaculate. The procedure is not complete until the test at three months confirms no sperm in the ejaculate.

2.  Who can have a vasectomy?

If your family is complete or you are certain that you don’t want to have children, vasectomy may be the right choice for you. However it should be regarded as permanent. Young men can still have a vasectomy provided they are aware of the permanent nature of the procedure.

3.  How effective is vasectomy?

The failure rate of vasectomy is less than 1%. By far the majority of failures occur in the first three months. There is a slight chance of failure that can occur at any time.

4.  How do I prepare for the procedure?

Do not have Aspirin for 2 days prior to the procedure. You can use paracetamol (Panadol).
Do not drink alcohol on the day or the night before your procedure.
Shave the scrotum before the procedure.
Wear tight fitting underpants on the day of your vasectomy (i.e. not boxer shorts). Continue wearing the tight underpants for three days after the procedure.

5.  Can my partner be at the procedure?

Yes, it is up to you to invite you partner if you wish.

6.  Does it hurt?

There is a sting for 3-5 seconds with the local anaesthetic. There may be some discomfort after the procedure. This can be minimised with rest, tight underpants and ice (on for 30 min then off for 30 min, then repeat) for one to three days.

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7.  What are the risks?

The main risks are from bleeding and infection. Provided you seek assistance quickly, it is normally easily managed. Vasectomy is very safe and long term effects are extremely rare.

8.  If I have a problem, who do I see?

A letter is sent to your GP confirming you have had a vasectomy. You are encouraged to follow up with your regular GP, but if there is a problem you should follow up at our surgery.

9.  Does vasectomy increase the risk of cancer?

Large studies have shown no conclusive evidence linking vasectomy to cancer of the prostate or testicles. 

10.  Is vasectomy reversible?

Vasectomy should be considered a permanent method of contraception. Do not have a vasectomy unless you are absolutely certain you do not want to have any more children, or any children at all. Reversal of vasectomy is expensive and there is no guarantee of success.

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11.  Will a vasectomy affect my sex life?

For many couples vasectomy improves their sex life, as they no longer have to worry about pregnancies. A vasectomy should not make your sex life worse. You will still ejaculate, but the volume might be a little less. You can usually recommence sex five days after the vasectomy, if you have no pain. Remember to continue to use contraception until the test is clear at 3 months.

12.  Will I need to take time off work?

You will be given a sick certificate for 5 days, including the day of the vasectomy.

13.  How long will I be at the surgery?

Total time at the surgery is about one and a half hours. You need to come in one hour before your scheduled time for the sedative. (Remember you cannot drive after the sedative).

14.  When can I play sport again?

Most men can resume physical activity after one week, if they have recovered without problems. Heavy physical activity and sports are best avoided for a few weeks. If it hurts, STOP.

15.  How long does it take for the vasectomy to work?

It usually takes two to three months for ALL of the sperm to leave the tubes. Some men can have residual sperm for greater than six months after the vasectomy. You should continue your normal contraception during this time. The follow up test is done at three months, and contraception should only stop when the test confirms there are no residual sperm. If it is not clear initially, further samples may be required.

Phone (02) 49517677 for appointment.

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