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Vasectomy

Bear in mind the following points before you make the appointment:

  • First consultations are with the Doctor for a check up and also arrange operation date

  • After the operation you will need to take things easy for a couple of days so you may need to arrange a day or two off work if you, have a physically demanding job you may need a longer period away from work. If you need advice please contact us

  • Avoid making appointment immediately prior to holiday or special events!

  • On operation day you should allow two hours for your appointment

  • We recommend that you bring someone along to act as driver for your return trip or, where possible, use public transport. You must also bring a pair of tight underpants to wear soon after the operation

  • If you have had any previous testicular surgery it may be advisable to come in for an examination and assessment prior to making an appointment for operation

  • If you are under 25 years of age we may ask you to attend for consultation on a separate occasion.

 Making Your Appointment

Once you have decided to go ahead please complete the booking form and arrange to see the Doctor. You are also expected to pay £60.00 deposit on the first consultation. We will then arrange an appointment to have the operation done at a convenient date. £190 will be payable on the day of your operation. an additional payment of £150 will be required in order to send off two samples of semen to be tested.

Payment can be made in cash or debit / credit card.

Your operation is/ is not funded by the NHS so we do/do not require payment before the operation.

Vasectomy Introduction

Vasectomy is the only permanent method of contraception for men. It is safe, simple and effective and is the world - wide recommended family planning method for men who want a permanent solution to their contraceptive needs.

What is a vasectomy?

Vasectomy is a surgical procedure, which seals the sperm-carrying tubes; preventing sperm getting into the fluid you ejaculate.

Who chooses vasectomy?

Anyone who feels that his family is complete or who is certain he will never want to have children. We will consider anyone, regardless of whether you are married, or whether you are already a dad. You will see a counsellor on the day of your vasectomy so that we can answer any of your questions and ensure that you are happy with your decision. Your partner is very welcome to attend.

If you are under 25 years old we will recommend that you have extra counselling before you make a final decision. Whatever your age, you should consider vasectomy to be a permanent step and you should not undergo the procedure if you have any doubts.

Nor is vasectomy the answer if you are experiencing sexual problems or difficulties in your relationship.

Here are several questions you should consider before making the decision to be sterilised. Discuss them with your partner, although her consent is not legally required.

  1. If one of your existing children were to die would you want another?

  2. Are you old enough to make such final decision about parenthood? Many people change their mind later in life.

  3. If there is a chance that your marriage or present relationship might break-up? Should you start a new relationship, you might regret that you cannot father children.

  4. Do you think your ability to father children affects the way you feel about yourself as a man? The operation will not affect your sexual feelings, but if you fear sterilisation will affect your feeling of masculinity, then you need to think very carefully before deciding upon a vasectomy.

  5. Have you and your partner tried alternative methods of contraception? If these have failed or are unsuitable then perhaps vasectomy is the answer.

Once you have resolved above issues and you want to go ahead with the operation you can book an appointment to see a doctor.

How effective is vasectomy?

Vasectomy is highly effective and has a lower failure rate than any other method of contraception. However, there is a very small chance of failure (around 1%), which can occur at any time.

Sometimes the sperm-carrying tubes rejoin naturally. If this happens immediately after the procedure we can usually detect sperm in routine tests and will offer to repeat the procedure at no extra cost. In very unusual circumstances the tubes reconnect some years later. It is unlikely but you must bear this in mind.

A very small number of men may experience some short-term discomfort following vasectomy. It seldom requires any specific attention, but do not hesitate to contact your doctor.

A small painless lump (less than the size of a pea) may develop at the operation site and persist for a while. This is caused by the body's natural healing reaction and, again, no specific treatment is usually needed.

Does vasectomy increase the risk of cancer?

There is no conclusive evidence linking vasectomy and cancer of the prostate or testicles. But we advise all men, whether or not they have had a vasectomy, to have regular health screening, including an examination of their testicles.

Is vasectomy reversible?

You should only decide to have a vasectomy as a permanent method of family planning. If you think you might change your mind then you and your partner should consider an alternative method of contraception and wait until you are 100% sure of your decision.

Will vasectomy affect my sex life?

Vasectomy has no effect on male sex organs as the male hormone continues to be secreted in to the blood stream. Many couples feel greater sexual freedom once the risk of unwanted pregnancy has been removed. Orgasm and ejaculation are not affected.

Sperm continues to be produced by the testicle but its passage to the penis is blocked, so it is re-absorbed by the body. The quantity of semen ejaculated remains the same, except that it contains no sperm. The operation does not change, who you are and how you feel about sex. It only prevents you from fathering children

You can have sex again as soon as you feel comfortable. We recommend that you wait a few days to give the incision time to heal. You will need to use another method of contraception until we write to tell you that your vasectomy has been effective.

When can I have an appointment?

There is normally an appointment available within two weeks. We ask you to give us two possible dates that are convenient for you and we will then book you in. Please feel free to telephone to discuss specific dates before making a booking.

Will I need to take time off work?

You will need to take things easy for a day or two and you may need to take a few days off work if you have a physically demanding job. Please telephone us for advice if you are concerned about your particular circumstances.

How long will I be at the clinic?

You will see a counsellor, have your vasectomy, and then be given a cup of tea. You will only be at the clinic for about one and half-hour. Your partner is welcome to attend and you can see the counsellor together if you wish. Afterwards, we recommend someone accompany you home. It is not advisable for you to drive yourself.

When can I play sport again?

Physically strenuous sports such as squash soccer or rugby should be avoided for at least four weeks. Please telephone us for advice at any time if you are unsure about certain activities.

How do I know if the vasectomy has worked?

We will ask you to supply specimens of your semen at 12 and 14 weeks after your vasectomy. Your samples are checked under a microscope to see if sperm are present. When there are no sperm in two consecutive samples we will send you an 'all clear' letter. You can then have sex without using another method of contraception.

It can take quite a number of ejaculations to clear the tubes of sperm, so we may need to ask you for more samples. We will keep you updated on what is happening, and why, at all stages.

If your partner requires contraception while you are waiting for semen tests we suggest her to have an Injection Method if there is no contraindication or if she is not using any other satisfactory method. The effect of one injection lasts for 12 weeks.

We can arrange this injection for your partner on the same day of your operation for a small fee. Inj. Depo Provera: one administration costs £20.00.

How is it done?

We perform vasectomies under local anaesthetic, using the 'cautery' method. One small incision, measuring less than 1cm are made in the scrotum. Through this the doctor can reach the sperm-carrying tubes (vas deferns) and seal them using a cautery so that sperm cannot enter the semen. No stitches are needed in your scrotum or to seal the wound. The procedure takes twenty minutes on average from start to finish.

Does it hurt?

A local anaesthetic (similar to the one dentists use) is given before starting the vasectomy, but each person is different and we cannot guarantee you will feel no discomfort. Afterwards there is sometimes a dull ache, which can be relieved by taking paracetamol.

What are the risks?

Vasectomy is very safe and long-term effects are extremely rare.

Do remember that any surgical operation carries a small risk of bleeding and infection. When you come for your vasectomy you will be given another leaflet outlining how to take care of yourself. This tells you about the problems watch out for and when to seek medical advice.

Let us know if you have had any previous testicular surgery or hernia repair as scar tissue can sometimes complicate the vasectomy.

Do also tell us of any medical condition you have such as chest of heart problems or hepatitis. We do not normally refuse to perform a vasectomy on health grounds, but it is safer for you if we are aware of your medical background.

Instructions - On The Day

  • Bring a pair of tight briefs or close fitting swimming trunks for support after the procedure. Y-fronts or jock straps are not suitable.

  • You can eat and drink normally, as you will be having a local anaesthetic.

  • There is no need to shave or trim the hair around the area.

  • We recommend you stay at the clinic for half an hour after the procedure. If you are returning by car, bring someone to drive you back - you may feel a little light-headed.

  • Remember, vasectomy is not considered effective until you have had confirmation that two semen samples are clear. We will give you all the information you need about sending these when you come to the clinic.

  • You must use other contraceptive methods until we write to say that you are 'all clear'.

Should you have any queries please do telephone our office.

What happens after the operation?

If you come by car or live for away, arrange for someone to accompany you home. You should avoid heavy lifting or straining for 48 hours. You may feel aching and pulling in the groin area and in some cases there will be bruising. A mild painkiller, such as aspirin or paracetamol, should ease the discomfort.

Our technique does not involve any stitches so you need not return to us for further check up. You may bathe after 48 hours. You may have sex as soon as you feel comfortable but remember to use contraception until you have confirmation from us that sperm count is negative. We will give you two plastic containers for semen analysis to post to the lab- the first specimen collected after 12 weeks, the second specimen 14 weeks later.

We will contact you after receiving the second specimen and advise you when you are sterile.

Our Clinics

  • Telephone for All Clinics:
    0845 6019982
  • Churchill Clinic
    94 Churchill Ave
    Chatham Kent
    ME5 0DL
  • Allington Clinic
    26 Tichborne Close
    Allington Maidstone
    ME16 0RY
  • Lockmeadow Clinic
    54-56 Tonbridge Road
    Maidstone
    ME16 8SE

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