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Vasectomy

 A vasectomy is a permanent form of sterilization. It is a faster cheaper safer and effective way of preventing unwanted pregnancy and it does not affect your sexual activity or performance.

Procedure

A vasectomy is performed with the aim of preventing the passage of sperm along the spermatic cord. This is done by picking up the vas, which is located mostly just under the scrotal skin, and cutting the tube. Ends can be left open with fascia opposition but in most cases the ends are tied with surgical stitches and the ends sealed with heat which studies show increases effectiveness. After the procedure the vas is then released into the scrotum. All men undergoing vasectomy will have local anesthetic into the scrotal skin and around the tubes. This stings initially for about 5 seconds before the area goes numb.

Pre-Operative Instructions

If you are allergic to any medication, please inform the doctor.

Avoid all aspirin and aspirin-containing products for five days before vasectomy. Also stop ibuprofen and other anti-inflammatory two days before vasectomy. Herbal remedies containing garlic or ginseng should be stopped for one week and ginkgo biloba for 36 hours. You may use paracetamol at any time.

As you are having a local anesthetic, you can maintain your normal diet on the day of your procedure.

PREPARING FOR YOUR VASECTOMY

To prepare for your vasectomy please following these instructions:

Please read our consent form and bring this with you to the procedure. Don’t worry if you forget it, we will have more available on the day.

The day before, shave or trim away the hair from the front of the scrotum, just below the base of the penis.

Cease any blood thinning medication at least 7 days prior you procedures. You may discuss this with GP or specialist.

The operation takes about 30 -45 minutes and is carried out at the doctor’s surgery. You can drive yourself to your appointment and home again. Unless you need to drive over 30 minutes.

If a medical certificate is required, please let staff know before your procedure so one can be arranged.

Firm fitting underwear should be worn for the procedure and a week or two afterwards. (You might prefer to wear your bike shorts or “Speedo’s”.)

Post-Operative Instructions

Post vasectomy pain varies unpredictably from usually having little pain to none but rarely can be significant pain and swelling. Pain can start from 1 hour after the operation when the local anaesthetic wears off at the site of the operation. This can be reduced by simple pain-relieving medication such as Panadol or Panadeine (no more than 2 every 4 hours). If significant pain and swelling occurs, try to rest your feet up. Icing the area will reduce inflammation and swelling and is a great vasectomy recovery tip to know. You may not experience much swelling, but everyone is different, and there is no way to be sure ahead of time. Ice the area for 20 minutes, then off for 20 minutes over the first 48 hours. Never apply ice directly to your skin! Wear a jockstrap or restricting underwear during the first two weeks support your scrotum.

It is wise to rest and avoid strenuous exercise for one week. This can prevent bruising and bleeding from occurring.

At the completion of the operation a protective spray will be applied to the operation site, which dries and acts as a protective layer to the suture site. This allows you to take a shower as normal 24 hours after the surgery. It is important to keep the area dry, so pat dry with a clean towel after showering, or use blow dry. This dressing will peel away in 2-3 days’ time like sun burnt skin.

 Do not uses talc powder until the suture site is completely healed, to prevent the risk of infection.

All your sutures (both internally and externally) will dissolve naturally over a few weeks. You do not need to come back to the clinic to have them out. As explained at your original consultation, there are instances when the sutures may dissolve early, there may be weeping, and the wound may appear open. This does not mean the area has been infected. The wound will close in a matter of a few days with minimal scar.

It is normal to feel a bit of pain in the lower stomach like you have been hit in the scrotum by a ball, this will subside over the next few days if not please make an appointment to come back and see the doctor.

You will need to have a sperm count done 3 months after your operation to check that your sperm count is zero. You will be given a container labeled with your name and date of birth, which is for your specimen.  Please use this container only. Please bring the specimen with signed supplied form, time of collection and date or to take to pathology collection center close to you. The cost of the test is bulk billed by our pathology service provider(Dorevitch). Your results will be available 36 hours later. Please phone us on three days later for the result. This will either confirm that you are ‘all clear’ or the need further testing.

Sterility takes approximately 8-12 Weeks after a vasectomy to occur. At 12 Weeks most are all clear, only rarely are repeated monthly tests needed. Your operation cannot be considered successful until you have confirmed with us that you are all clear.

Complications

Vasectomy is a low risk procedure, but complications are possible, and they are as follows.

Bleeding – This is usually from the small blood vessels that have been cut during the operation, although they are cauterized, they can at times continue to slowly bleed forming a hematoma. This will present itself as a lump with a little discomfort. This will resolve itself in a few days.

Infection – This can occur if the suture site is not kept clean and dry while healing. After the initial discomfort of the procedure has passed, if you have secondary pain, this could be the start of an infection, so please make an appointment with the doctor.

Sperm Granuloma – This occurs sometimes when sperm leak from the cut end of the Vas Deferens, which may cause a slightly painful small lump. This usually resolves over time. With the use of cautery to the ends of the Vas Deferens the chance of this occurring is lowered.

After Vasectomy Pain – Most men who undergo a Vasectomy have no difficulties. About 1:10,000 cases may develop a long-standing testicular pain, and this is most likely due to back pressure build up.

FAQ’s

1.   How is vasectomy done?

There are few techniques for performing vasectomy, but all of them block or cut the two tubes, called the vas deferens, that carry sperm cells from the testicles .I prefer close ended vasectomy but you can request open ended technique. Local anesthetic is infiltrated just under the skin around the vas deferens (not in the testicles as some people wrongly assume.)

2.   How effective is vasectomy?

Vasectomy is probably the most effective method of contraception.  The failure rate is less than 1%.  Although failure rate is low, it is usually picked up when a 3-month sperm count [or 30 ejaculations] is performed.  A post-vasectomy sperm count is essential.

3.   Is a vasectomy painful?

Everyone experiences pain in a different way.  There is a very mild discomfort with the local anesthetic injection causes a short sharp pain which starts to work straight away and the area then feels numb.  You may experience a slight tugging sensation during the procedure. The effects of the anesthesia will last for several hours and this will allow you time to go home, lie down and apply an ice pack. Simple analgesics will be all that you require later for pain relief.  There will be a small amount of swelling and bruising that may last for 3-7 days. Occasional extensive bruising may occur.

4.   Does vasectomy work straight away?

No – Some sperm will remain downstream in the vas deferens above the operation site for weeks and sometimes months after the operation.  These sperm gradually clear after ejaculation. Alternative methods of contraception must be used for a few months until you are informed that your semen is free of sperm.  Thus, more than 1 sperm count may be required.  It is important to remember that even though you have been given clearance there is a very small chance of late failure.

5.   Does vasectomy affect my sex life, orgasm, or masculinity?

Vasectomy has no effect on a man’s sex drive, testosterone, orgasms, or how much semen he ejaculates.  Many men, who have undergone the procedure, and their partners, find that sex becomes more spontaneous and enjoyable because they no longer have the inconvenience or concerns about contraceptives.

6.   When can I resume sexual activity?

Sex can be resumed whenever you feel comfortable, but it is recommended that you wait a few days.

7.   Do I need to take time off work?

We recommend that you take it easy for two days following your vasectomy. You should avoid heavy lifting and strenuous exercise for one week.  Most men who have the procedure on a Thursday or Friday will be back to work on Monday.  If your work is very physical, then a few extra days off may be recommended.

8.   When can I resume normal activities?

Avoid vigorous exercise and heavy lifting for the first week or two.  Over exertion may lead to increased swelling and pain. Strenuous and physically demanding sports should be avoided for a longer period.

9.   Can the operation is reversed?

Yes. However, the success of a vasectomy reversal cannot be guaranteed and the cost of such an operation is high. Unless you are 100% certain of having a vasectomy, we advise against it.

You can store your sperm in the sperm bank they keep your sperm for ten years this is also costly.

241 Heaths Road Werribee VIC-3030

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(03) 9748 9777

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info@heathsroadmedicalcentre.com.au