Vasectomy

Vasectomy may be an appropriate method for you if any of the following are true:

• You and your partner have all the children you ever want to have.
• You and your partner don't want to have children and you can't or don't want to use temporary methods of family planning.
• You want a permanent, one time method of contraception.
• You (or your partner) have a medical condition that limits the use of other family planning methods.
• You want to enjoy sex without fear of pregnancy.

Vasectomy can be reversed with microsurgery. This is very expensive and fertility only returns less than 50% of the time.  I will take a history about your relationship and family to help counsel you about your options prior to vasectomy. Very young men will be carefully counselled about the procedure and other options for contraception.

Vasectomy is a simple operation which involves interrupting the two small tubes that carry sperm from the testicles during ejaculation. This is achieved through two small holes (about 3-4 mm) either side of the scrotum, during which a section of the vas is removed.  Two small dissolving stiches are then used to close the little holes. The tubes are sent to pathology to confirm that the vas have actually been removed. Two small dressings are placed on the small wounds and the area is kept dry for 24 hours. 

Can we stop contraception?

A Condom must be used until I have given you the "all clear".  I will request sperm analysis tests at 10 weeks and then 12 weeks post vasectomy. This is very important as some sperm may still remain in the tubes left behind and it will still be possible to get your partner pregnant until all of them are ejaculated. Once you have been given the "all clear" only then will you and your partner be able to have unprotected intercourse.

Most ejaculate is actually produced by the prostate gland and seminal vesicles and the actual contribution of sperm to the volume of the ejaculate is very low. Therefore, men do not notice any difference in their ejaculate.

Vasectomy does not affect the function of the testicles or the penis and the testicles will still produce the male hormone testosterone. Sexual function is entirely unchanged by vasectomy.

The main risk with vasectomy is bleeding. It is usual to have some very minor ooze from your wounds for the first day. Heavy bleeding can occur rarely and may necessitate admission to hospital for pain relief. Infection is unusual but can occur with any operation. It is normal to have tender and occasionally swollen testicles for a week or so after surgery. In the absence of fevers or other problems this is normal and will pass with rest and pain relief.

Recovery time is variable for each person. Most men will find they can return to normal activities after a few days. Generally, if the procedure is done towards the end of the week, men can return to normal after the weekend. Vigorous physically activity or sports should be ceased for at least a week.

Dr Meyer will write to both you and your GP confirming your follow up arrangements after your Vasectomy.  The cost of the post-operative appointment is included in your initial surgical fee.  If you have any questions concerning your care after your surgery please contact Dr Meyer's rooms on 07 38834431 or 0488 378016.