Frequently Asked Questions
Why choose vasectomy? Go back to top
People ask for vasectomy when they are sure that their family is complete of they do not want children. it is one of the most effective forms of contraception. However, it should always be considered permanent and so requires very careful thought beforehand. It should be recognised that personal circumstances can change, but that reversal operations are not very successful.
Who can have a vasectomy? Go back to top
Any man can have a vasectomy regardless of age, or whether they are married, single, divorced or widowed. If you have a permanent partner, their consent is not legally necessary but it is recommended that your decision is discussed with her and that she agrees with it.
How effective is vasectomy? Go back to top
Vasectomy is over 99.9% effective, but occasionally the operation fails if 1 or both tubes rejoin, or there may be a double tube on one side.
Am I suitable for Vasectomy? Go back to top
Anyone can have a vasectomy but some medical conditions may make the procedure more difficult. In particular, you must let your GP or surgeon know if you have had any operations in the genital area (including hernias), if you have any known abnormality of the urogenital system (eg; kidneys, bladder) or if you have had any metallic implants (eg. for a broken leg or Cardiac pacemaker).
Am I sterile immediately after the operation? Go back to top
No. There can be sperm in the ejaculated fluid for many months after the operation (rarely up to 18 months). You must continue to use contraception until post-operative sperm tests have been carried out and you have at least 1 satisfactory sperm test showing no move live (mobile) sperm. You will be given further information about this after the operation and before you go home.
Can I have referral under NHS? Go back to top
You will need to contact your GP for referral to the Garth No Scalpel Vasectomy service, you can contact The Garth Surgery on 01287 632206 if you would like more information before you proceed with the operation. If you would like a private appointment you can book directly through the Garth Surgery. Please telephone for current charges.
What should I do before the operation? Go back to top
You should shave your scrotum as shown in the diagram on the information leaflet. This should be done at least 1 day before the operation. Immediately before coming in for the operation, please wash the genital area thoroughly with soap and hot water. Eat a light meal before arriving at the surgery. Your wife / partner is welcome to attend with you for any part or all of the consultation / operation.
What will happen on the day of operation? Go back to top
You will be offered a premedication to help you relax during the procedure. You will be having a local anaesthetic. You should aim to be collected from the surgery by car, or you can order a taxi (at your expense) when it is time to leave. Please bring your own dressing gown to get changed.
The surgeon will spend a few minutes talking with you before the operation, to explain details again, and to answer any final questions you may have. Your partner is welcome to attend at this time and can stay with you during the operation if you wish.
No-Scalpel Vasectomy (NSV) Go back to top
How is the procedure done?
Sperm makes up approximately 5% of the fluid ejaculated at orgasm. The purpose of the operation is to stop the sperm being ejaculated by sealing the tubes (the vas deferens) which carry the sperm from the testicle to the fluid. The fluid originates in glands at the base of the penis and the quantity produced is unaffected by the operation.
You will be given a small injection of local anaesthetic into the skin of the scrotum. A tiny opening is made a a piece of the tube leading from each testicle is sealed and cut so that sperm can no longer get through.
The operation takes about 10 minutes, with perhaps 10 minutes before and after for preparation and finishing.
Afterwards Go back to top
Here is some important information relating to post operative care following your operation.
Following a local anaesthetic you can leave the surgery after a short rest. You should not drive home, but arrange for someone to collect you or use a taxi.
You are likely to experience some discomfort during the first few days and occasionally some swelling develops. It is sensible to plan to relax at home for a few days before undertaking work or exercise.
We also advise that you avoid strenuous exercise, heavy lifting or driving long distances for 1-2weeks. To minimise swelling and discomfort it is advisable to wear tight fitting underpants, swimming trunks or a jock strap (bring with you on day of your operation) you should continue to wear these day and night for about 1 week. 1-2 hours after the operation when the local anaesthetic wears off, you will normally have some discomfort or mild pain. It is ok for you to take your usual painkillers eg; Paracetamol, Ibuprofen, Co-codamol in the normal dosages (these are all available from the chemist without needing a prescription).
Place an ice pack on the scrotum for 10-15 minutes for the first day to reduce swelling an discomfort. Remember to place a tea towel (or similar) between the ice pack and skin. Some swelling and bruising of the scrotum and testicles is normal but if it is severe during the first few hours after the operation you should contact in the first instance the doctor who had performed your operation.
If you are unable to contact him please contact a doctor through your own surgery. Where the tubes have been cauterised and cut some scar tissue will form. This may be felt as a slightly lumpy, sometimes tender, area just above the testicle. This is quite normal, but if you do become concerned about any unusual lumps see your GP. There are no stitches to remove, there is only a small cut that will heal itself although may gape open a little after a few days. You need to seek medical advice if it is persistent, excessively smelly or inflamed.
After the procedure care should be taken with bathing for about 7 days.
Although the operation area may be slightly bloodstained, it is better not to wash for 24 hours.
It is then best not to soak in a bath, but have showers, letting the water run over the area. If you do not have a shower, then kneel in a bath and sponge water over the area. Do not use excessive soap or shampoos and no talc.
Sexual intercourse can be resumed when comfortable. However is essential to continue with contraception until there are no more live sperm in the ejaculation. This will be shown by test carried out 4 months after the operation.
Will I be able to get an appointment within 4 weeks? Go back to top
Yes. You will be able to get an appointment. Please contact the surgery for operation dates and waiting times.
Do you operate on Saturdays? Go back to top
We operate on weekdays and Saturdays depending on patient demand.