Vasectomy

The vasectomy operation is a simple, safe and effective method of permanent surgical contraception for men.

Pre-Vasectomy Consultation

Prior to scheduling your procedure Dr Morton will meet with you to discuss a range of considerations that you need to be aware of prior to undertaking the procedure. For instance, the choice of local or general anaesthetic.

A vasectomy should be considered a permanent form of sterilisation. Although a vasectomy reversal is possible, this procedure is more complicated than a vasectomy.

A vasectomy causes no changes in sexual function, erections, orgasm, or libido. It also does not increase the risk of developing any additional medical conditions such as dementia or prostate cancer, but it does not prevent sexually transmitted infections.

The Vasectomy Procedure

A variety of techniques exist to perform a vasectomy, but regardless of the technique used, the principles of vasectomy remain the same.

After medication has been given to numb the scrotum, a small opening is made in the skin and the vas deferens is located. The vas deferens is then brought outside of the scrotum, cut, and occluded (blocked).

The occluded vas deferens is then placed back into the scrotum. A dissolvable stitch is sometimes used to close the skin. 

What to Expect At Your Procedure

For the procedure in the doctor’s surgery, you are given a local anaesthetic.  There is no need to fast (abstain or eliminate food) for this procedure; however, for the day surgery with sedation, the patient will be required to fast.

  • You will be provided with one tablet to make you more comfortable during the procedure. This will be taken one hour prior to the procedure.
  • Do not take any aspirin containing medication for seven days prior to your procedure. Likewise it is prudent to avoid fish oil supplements for seven days prior to the procedure. Patients should also not take any Nurofen or other anti-inflammatory medications seven days before and three days after the operation.
  • The whole scrotal area should be shaved before arriving at the surgery.
  • You will need to arrange someone to drive you home after the surgery.
  • Please print, study the consent form and bring it along with you on the day of the procedure.
  • The procedure takes about 30 to 40 minutes and can be done in the surgery.
  • There is an option of twilight sedation or local anaesthetic.

Post-Vasectomy

Most men return to work a few days after a vasectomy.
  • Rest for two to three days, particularly in the first 24 hours.
  • Place a sealed ice-pack over the operated area, outside your underpants for 10 minutes on, 10 minutes off for two to three hours. The ice pack helps reducing bruising, swelling and potential bleeding.
  • Avoid running, unnecessary walking and all sports activities for 10 days.
  • Dressing, if present, should be carefully removed on the second post-operative day. The dressing should only be replaced if the wound is oozing. Use a band-aid or clean dry gauze, obtainable from the chemist.
  • You may shower after 24 hours. Dry the area thoroughly after the showering and do not use powder on the scrotum.
  • Wear a firm jockey-type underpants for the support and to restrict scrotal movement.
  • No swimming until the wounds have healed, due to risk of wound infection.
  • Avoid strenuous activity, including heavy lifting for a week.
  • Sutures are dissolvable. Review in one week if any problems occur.

If you are unsure of anything post-operatively, please contact the surgery on (07) 5444 6777.

FAQ's

After you have healed from the vasectomy, your sex life shouldn’t change at all. You will still ejaculate almost the same amount of semen as you did before, and you will not notice a change in your sex drive. In fact, some men report having an even stronger sex drive because they no longer have to worry about pregnancy.

Bleeding and infection are the mainly problems that might occur after the operation. Please call Dr. Chris if you notice these signs: 
* Fever or swelling that will not go down or keeps getting worse.
* Trouble urinating.
* You can feel a marble-sized lump in your scrotum. 
* Bleeding from an incision that does not stop even after you have pinched the site between two gauze pads for 10 minutes.
 
Once sperm can’t get through the vas deferens, your testicles will begin making fewer sperm. Your body will absorb the sperm that are made. But your testicles will keep making testosterone, a male sex hormone, just as they did before the vasectomy.
 
Don’t have a vasectomy unless you are sure you don’t want to have children in the future. Dr. Chris will probably talk to you to make sure you understand this. Other reasons you may need to wait to have a vasectomy or may not be able to have one include having an infection on or around your genitals or having a bleeding disorder.
 
Avoid taking aspirin, ibuprofen (Advil, Nurofen) one week before and 3 days after the operation. All of these can thin your blood and cause bleeding. Try Panadol to relieve the pain.
 
No. As it takes 15 weeks to achieve a Zero sperm count. For that reason, keep using your usual form of birth control until you are advised otherwise.

What is a Vasectomy?

A vasectomy is a surgical sterilisation procedure for men to prevent future fertility.

For pregnancy to occur after intercourse, sperm from a man fertilises an egg from a woman.

In men, sperm is normally transported from the testicles into the ejaculate by the vas deferens, a thin, muscular tube.

During a vasectomy, the vas deferens is cut and blocked. This prevents sperm from mixing with the ejaculate fluid.

A vasectomy results in ejaculate that does not carry any sperm and therefore cannot fertilise an egg.

Because sperm only make up about 10% to 15% of ejaculate volume, after a vasectomy there are usually no perceptible changes to the ejaculate or seminal fluid.

In Australia, vasectomy is the fourth most commonly used birth control method after condoms, oral contraceptive pills used by women, and tubal ligation (a surgery performed for women to prevent pregnancy).

Compared with tubal ligation, a vasectomy is more effective, safer, and less expensive.

Remember:  Birth control methods must be continued until the sperm count is tested and confirmed negative at 15 weeks.

Following a vasectomy, it is still possible for sperm to be in the ejaculate fluid for weeks to months.

Because of this, it is necessary to prove the absence of sperm in the ejaculate prior to having intercourse without a backup form of birth control.

This is done by a post-vasectomy semen analysis. Until this has been proven, there is a chance of pregnancy.

Unprotected intercourse should not be attempted until the doctor has told you that you no longer have sperm in your ejaculate.

Post Vasectomy Semen Analysis Instructions

On leaving the Surgery you will be provided with a collection container to capture your semen specimen.  Please ensure you name is written on the container.

The sample should be collected at home, if possible, and preferably by masturbation. While other methods, such as a condom, may be used, they may affect the results (especially motility). If a condom is used it must have no lubricant or spermicide.

For best results the patient should refrain from ejaculation for at least 72 hours prior to collection. 

The sample should be brought to the laboratory within 1 hour of collection and should be protected from heat/cold during transportation. 

Recent studies have actually concluded that a vasectomy positively impacts on the sexual satisfaction of couples due to the loss of fear of pregnancy. The procedure should be seen as permanent.

Vasectomy Enquiry