What is a Vasectomy?
Vasectomy is a sterilisation operation which provides an effective form of permanent male contraception. It is a safer and simpler procedure compared with female sterilisation.
What is No Scalpel Vastectomy?
This is a procedure, which does not need the use of a scalpel to make a small puncture in the scrotum. Under local anaesthetic, a small surgical ring forceps is placed on the outside of the scrotum to hold the vas deferens (the tube that carries the sperm) securely. The vas is lifted through the tiny puncture made in the skin. The tubes are divided and sealed then replaced back into the scrotum.
This is an advanced surgical procedure, not yet widely available (most hospitals tend to use the traditional scalpel technique involving scalpel and stitches).
The advantages of this procedure compared with the old scalpel method:
- No stitches
- Less damage to the tissues
- Shorter operating time
- Quicker recovery
- Reduced complications for example pain, bleeding, haematoma (clot in the scrotum)
- Reduced rish of infection
How does it work?
Sperms are produced in the testes and carried along the tube, called the vas deferens. It mixes with the seminal fluid near the prostate and is ejaculated through the penis during intercourse.
When a vasectomy operation is carried out, the vas is divided and sealed to stop the sperm reaching the seminal fluid and the penis. The ejaculation contains seminal fluid and appears the same in appearance and volume but contains no sperms.
A vasectomy will not affect the male hormone as the testosterone from the testes continues to be released into the blood stream directly. There is, therefore, no need to worry about a loss of 'masculinity'.
Is it painful?
Generally speaking the local anaesthetic technique used ensures that any discomfort is reduced to a minimum.
Is vasectomy a popular contraception?
An increasing number of men are choosing a vasectomy because it is a simple, straightforward procedure and an effective form of permanent contraception.
It is safer, more popular and less likely to fail than female sterilisation.
Do I need my spouse's/partner's consent?
It is good to discuss this with your spouse/partner, although the final decision is yours.
Are you sure you want a permanent form of contraception?
Have you considered an alternative form of contraception?
Is your family complete?
Are you in a stable relationship?
Would you consider having a family in the case of a new relationship? How would you feel if you had a vasectomy and your new partner wanted to have children?
How would you feel if, in an unfortunate event, something happened to your child?
You may not be suitable for vasectomy if:
- You are very young and have no children.
- Your current relationship is not stable.
- You are under stress or suffering from depression.
- You are doing it just to please your spouse//partner.
- You are thinking of having a vasectomy reversal in case you change your mind.
Through our counselling we will aim to make sure that vasectomy is the right method of contraception for you.
Can a vasectomy be reversed?
You should consider a vasectomy to be permanent. A reversal operation is not available on the NHS and there is no guarantee that it will be successful. If you are seriously considering a vasectomy, it is best to assume that it will be a permanent form of contraception.
Will it affect my sex life?
No. Sex drive is due to your sex hormones, and psychological factors. You will still produce your sex hormones normally.
By eliminating the fear of accidental pregnancy many couples find sex to be more relaxed and enjoyable.
Will I ejaculate normally?
Yes. 95% of what you ejaculate is seminal fluid. This will not be affected by having a vasectomy and you will be able to have normal ejaculations.