Vasectomy

Vasectomy Brisbane

 

At Top Health Doctors group, we have an Australian trained and experienced general surgeon offering vasectomy service.

You are in safe and experienced hands.

A vasectomy is a form of birth control (contraception) for a man. It prevents him fathering children. It works by preventing sperm from being released during ejaculation. During the procedure, the tubing (vas deferens) that carries sperm from the testicles to the penis are cut and sealed off.

 

A vasectomy doesn’t change a man’s sexual desire or his ability to reach orgasm. It won’t stop the production of sperm.

 

A vasectomy can sometimes be reversed, but it is generally permanent.

 

A vasectomy is a highly effective form of contraception. The chances of pregnancy after the procedure is around 1 in 1,000.

 

Please ring (07) 3255 1208 (West End Branch) to find out more.

Step one – assessment:

If you are looking to have a vasectomy, you will need to have an initial assessment at our clinic with our consultant surgeon. During this visit the vasectomy procedure is explained and an examination is performed to make sure that you are able to have the procedure safely performed under local anaesthetic. We will take you through any questions you may have to make sure the procedure is right for you.

 

Our consultant surgeon can also admit you to a private hospital (if you are privately insured) for this to be done under sedation through a drip (intravenous sedation) or under a general anaesthetic, if you wish to do so.

Step two – procedure:

The vasectomy procedure takes 20 to 40 minutes. The procedure requires small puncture in the skin of scrotum. The vas deferens (the tubes that carry sperm from the testes to the penis) are cut and the ends sealed off. After the procedure, you will still be able to ejaculate but the sperm that are produced will be reabsorbed by the body.

We ask you to arrange to have someone drive you home after the procedure as a precaution.

Step three – recovery:

After the procedure, it is normal for there to be a small amount of bruising and mild discomfort which supportive underwear and over-the-counter pain killers will help with. You can also use an ice pack to reduce swelling.

 

You can return to work, or light duties if you have a physically demanding job, within a few days. After five days, you can resume sexual activity. Your vasectomy will not impact your sexual performance or ability to ejaculate.

 

However, it is important to note that your vasectomy will not be immediately effective. It will take a few months after the vasectomy for the sperm to clear out of the ducts. You will need to use a different method of contraception until you get the all clear.

 

After a fortnight you can resume exercise. After a month you can resume heavy weights, contact sports and cycling.

Step four – follow up sperm count:

After three months, you will need to have a sperm count done to confirm that the vasectomy has been successful. This test is looking to see that there are no longer any live sperm in the semen.

 

You should not stop using contraception until we have confirmed with you that your sperm count is zero.

You should still use a condom in situations if you are at risk of sexually transmitted infections (STIs).

Frequently asked questions

 

Is it going to hurt?

Many men don’t even feel the local anaesthetic needle. Once the anaesthetic takes effect, you won’t feel the procedure which only lasts about 20-40 minutes.

If you feel more comfortable having it done under sedation with a drip or under a full general anaesthetic, we can organise you to be admitted to a private hospital if you are privately insured. Some bruising and pain or aching is normal for up to one to two weeks after vasectomy. Rest, elevation and simple pain killers will help.

 

Can a vasectomy be reversed?

A vasectomy is generally permanent. You need to be certain that you do not want any more, or any, children.

Vasectomy reversal involves re-joining the cut ends of the vas deferens, usually by microsurgery. This operation is much more complex than vasectomy, needs to be done under general anaesthetic and can take several hours. Success is not guaranteed and it can be very expensive.

Retrieving sperm directly from the testes for use with assisted reproductive techniques, such as IVF, may be an option for men who have had a vasectomy and then decide they would like to father children.

 

How effective is vasectomy?

 It’s the most effective birth control method for men (99.85%). However, vasectomy isn’t immediately effective. Existing sperm need to clear out of your system before it’s safe to have unprotected sex. This can take up to three months.

 

What are the benefits of vasectomy?

A vasectomy is an effective and permanent way to prevent pregnancy. It’s best for men who are certain they don’t want children. A vasectomy doesn’t have any lasting effects on sexual activity or performance.

Vasectomies are easier and less expensive than female sterilization. Couples who’ve decided against having future children should discuss their options with a doctor.

Will it affect my sexual function/ability to ejaculate?

Vasectomy will not affect your libido (sex drive), sexual function or ability to ejaculate in any way. The only thing that changes is that your semen will no longer have any sperm in it.

Will it affect my testosterone levels?

A vasectomy does not remove your testes, which is where testosterone is produced, so your testosterone levels will remain unchanged. It simply redirects sperm by cutting the vas deferens so that it can’t mix with semen.

 

Will my semen/ejaculate look different afterwards?

The amount and colour of semen you produce should look the same as it did before vasectomy. Sperm only makes up about 2% of the volume of an ejaculation.

 

Please ring (07) 3255 1208 (West End Branch) to find out more.