What is a Vasectomy?
Vasectomy is the common name for male sterilisation. It’s a popular method of family planning chosen by millions of men worldwide. It is regarded as safe and effective, and offers a permanent solution to contraceptive needs.
How Does it Work?
Vasectomy is a simple procedure where a surgeon seals the sperm-carrying tubes (called vas deferens) to prevent sperm entering the fluid which a man ejaculates. It takes about 15 minutes, and is one of the most effective methods of contraception that exists today.
What is the Result?
After a vasectomy the testicles will continue to produce sperm as normal, but the sperm cannot enter the tubes and is simply absorbed into the body. You will still form an ejaculate after a vasectomy, but it will not contain sperm nor will you experience any major side effects.
Dr Vishen Ramkisson
MBBS MRCGP (2008) DFFP MBA FFCI
A fast acting local anaesthetic is given before the procedure, which numbs the area. The doctor will be assisted by one of the practice nurses.
A small incision is then made in the scrotum to locate and heat seal the vas deferens (sperm carrying tubes). The incision is very small and no scalpel is needed except in very few cases. Dissolvable stitches are used to close the incision.
The small incision is then protected via a dressing and the procedure is complete. The operation is usually completed in around 20 minutes.
These are limited to patients who are registered with a Hertfordshire GP. Please see your local GP to arrange an appropriate referral.
For Private Patients
All procedures include the cost of 1 post operative semen test after 16 weeks.
All major credit cards are accepted.
FREQUENTLY ASKED QUESTIONS
Will I still be able to ejaculate?
Yes. You will still ejaculate. A vasectomy simply stops sperm entering your ejaculate and acts as a male contraceptive. Your ejaculate will appear just the same as normal.
Will I ever want to have sex again?
The vasectomy procedure has no effect on your sex drive. Your testicles will continue to produce testosterone, so you will still have the desire to lead an active sex life.
Will I have to ask for a long time off work?
Most men take a couple of days off to relax and rest up ‘the boys’, so go ahead – you deserve it! If your job involves physical strain then take a couple of weeks off and avoid heavy lifting or contact sports. We advise that you recline and catch up on a TV box set.
Does my wife or girlfriend need to give consent?
Not at all. Only you can decide whether it is the right decision for you.
Can I reverse my vasectomy if I change my mind?
The decision to opt for a vasectomy remains a highly personal one in which the potential risks and benefits must be considered, including the possibility that you may change your mind. Vasectomy reversal is possible but success is not guaranteed and depends largely on how long ago it was done so it is much better to consider it as a permanent procedure.
What should I do after the operation?
- Keep the scrotum dry for 48 hours.
- Paracetamol and/or codeine are the only painkillers you should take, if necessary.
- Do not use aspirin (disprin) or ibuprofen (nurofen) as these may aggravate bruising.
- Wear tight fitting underwear for 7 days.
- Exercise and sexual intercourse may be resumed as soon as you feel comfortable.
Will I have really painful stitches in my scrotum?
The incision is tiny, and only a few dissolvable stitches are placed, and will be protected by a simple dressing to keep on for 48 hours. Most men will experience a bruised or achy feeling around their balls for a few days therefore tight underwear for 7 days and an anti inflammatory pain killer will take the edge off.
When can I get back to having sex?
Within a week or so you should be comfortable enough to go back to sex. Just take it easy the first time – but, you’ll need to keep using contraception until we’ve tested your semen and you’ve received the ‘All Clear’ letter from us. And remember, your only protection against STI’s is to use a condom, regardless of whether you’ve had a vasectomy or not.
Do I have to have children to have a vasectomy?
No. We can carry out the procedure whether or not you have children. Just have a serious think about it as we advise you should think of a vasectomy it as a permanent contraceptive procedure.
How risky is it?
Vasectomy is a very common and safe procedure. It is always worth arming yourself with all the facts, but ultimately vasectomy is the safest permanent contraception method for men. It’s good to be aware of both what is absolutely normal and the possible complications so you can act quickly. Infection can occur after any kind of surgery, so keep the area clean and dry.
If you try and do too strenuous an activity too soon a small blood vessel can pop and could cause a blood collection in the operative area. These will usually calm down on their own, though.
What if I've had surgery on my testicles before?
Let us know if you’ve had a hernia or other testicular surgery. Scar tissue from those procedures could make things a little more complicated. Vasectomy is always subject to examination on the day and the ability to locate the tubes we need to seal up to stop the sperm getting through.
Do I need to undergo sperm tests?
- Sperm test at 16 weeks must be all clear for the operation to be considered successful.
- You will be given date to do your test. Do not do the test before the date given.
- By the time you do the first test you should have had at least 24 ejaculations.
- The specimen should be collected by masturbating directly into the labelled container and posted as instructed.
- Most men clear sperm from the semen by 16 weeks. However, the time taken does vary and do not worry if you are asked to do additional tests.
- You will be contacted after your specimen has been examined.
- You must use effective contraception until you receive the results of your test. The re-appearance of sperm in the semen has been reported, but most men remain sterile after sperm test at 16 weeks.
Are you interested in undergoing a vasectomy? Contact us below and book a consultation.
The Herts Vasectomy Clinic is conveniently located in St. Albans at The Maltings Surgery and providing services to patients from Hertfordshire, Bedfordshire, North London and Essex.
Call us on 01727 613 103
Email us at firstname.lastname@example.org
The Maltings Surgery, Art School Yard
The Maltings, Victoria St, St Albans, AL1 3YS
We also offer VIDEO CONSULTATIONS to clients for the initial consultation.
The Herts Vasectomy Clinic is the trading name of Protea Impilo Ltd