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Vasectomy - Non Scalpel

 

Non-Scalpel Vasectomy

Download Non-Scalpel Vasectomy Information Leaflet

What is non-scalpel vasectomy?
How does it work?
Who can have a non-scalpel vasectomy?
How do I prepare for my appointment?
Can I bring anyone with me?
What happens when I get to the Daycare Unit?
What happens during the procedure?
How long will it take me to recover?
How long will I be at the Daycare Unit?
What happens afterwards?
Will I be in pain?
Is vasectomy effective immediately?
Will the operation reduce my sex drive?
How safe is a vasectomy?
Can I reverse my vasectomy?

Having a vasectomy is quick, safe, straightforward and, except in very rare cases, effective.

After you have decided that a non-scalpel vasectomy is the right choice for you, bpas will arrange an appointment at our Central London Daycare Unit.

What is non-scalpel vasectomy?
Vasectomy is intended as a permanent method of contraception for men. It is suitable for those who are sure they never want children or do not want more children.

Non-scalpel vasectomy uses a unique method of incision. Compared to more conventional methods, clients can benefit from a shorter operating time, less pain and swelling, and faster recovery.

How does it work?
During sexual intercourse sperm will travel from the testes through two tubes (vas deferens) and mix with semen before coming out of the penis. During a non-scalpel vasectomy, the tubes are sealed so that sperm cannot reach the semen.

Who can have a non-scalpel vasectomy?
It doesn’t matter if you are single, married, divorced, widowed, childless or with a family. Any man can have a vasectomy, regardless of his circumstances – the choice is up to you.

Research shows that more men regret vasectomy if they had the operation when they were under 30, had no children or were not in a relationship. You should not decide to have a vasectomy if you are not completely sure or if you are under any stress, for example if your partner has recently given birth, had a miscarriage or abortion or if you have any family or relationship crisis. If you are in a relationship, we strongly advise you to talk this through with your partner, however their consent is not required.

A bpas doctor or nurse will carry out a medical assessment at your consultation appointment.
They will need to know if you have any prosthetic implants such as metal plates or pins.
This method of vasectomy is not suitable if you have a cardiac pacemaker.

How do I prepare for my appointment?
On the day of your appointment please bathe or shower. Also, you should wear supportive/Y-front underpants. Boxer shorts are not suitable.
Bring any medicines you are taking now (or the prescription) so that we can keep a record of this in your notes.

Can I bring anyone with me?
Yes, but space is limited, so please try to bring only one friend or relative with you. Also, there are no facilities for children, so you need to make alternative arrangements for child care during the time you will be at the Daycare unit.

You should not drive yourself home after the operation.

What happens when I get to the Daycare Unit?
A health care professional will take you to the treatment room where you will be asked to undress. The surgeon will examine you and, if necessary, shave your scrotum.

What happens during the procedure?
The procedure itself will take around 20 minutes.

The stages of non-scalpel vasectomy operation

1. After cleaning the area with an antiseptic, the doctor will inject the skin of your scrotum with a local anaesthetic. The local anaesthetic will ensure the area is numb, but you may experience a tug or pulling sensation in the scrotum or groin during the procedure.

2. Using cautery and a fine instrument, the surgeon will make a small opening in the skin of the scrotum in order to locate the vas deferens (sperm carrying tubes). The doctor will identify the first vas.

3. A section of the vas is then sealed using cautery.

4. The doctor will identify the second vas through the same opening. A section of this vas is then sealed using cautery.

5. Finally, the wound is sealed using cautery. No stitches are required.

     

 1.                                         2.

 

3.                                        4.

5.

A health care professional will take you to a recovery room where you can relax with a tea or coffee.

How long will it take me to recover?
Recovery usually takes around half an hour.

You will receive an after-care pack including specimen pots for semen analyses and are then free to go home.

How long will I be at the Daycare Unit?
You can expect to be at the Daycare Unit for around two hours.

What happens afterwards?
As the anaesthetic wears off, most men do feel some discomfort, which may last for a few days. You will be advised how to cope with this (low dose painkillers usually work). Some slight swelling may occur in the day after the vasectomy. This is normal. But if you are worried, see your own doctor or a bpas doctor as soon as possible. Any discomfort should disappear after two weeks.

You can ring the Clinic if you have any concerns. You can also call the bpas Post Treatment Support Line on 0800 247 1122 in case you have any problems. This line is open 24 hours a day, 7 days a week.

We recommend that you:
Relax at home, taking a few days off work if necessary, especially if your job involves manual work
Avoid anything strenuous, including heavy lifting or driving long distances for up to a fortnight
Avoid sports (including going to the gym) for at east a fortnight
Continue to wear supportive underpants
Take care when showering or taking a bath for about a week.
Although some oozing is normal you may wish to buy cotton gauze from the chemist and put it in your underwear to protect the wound.

Occasionally, some men experience a painful swelling, with or without discharge, or develop an infection. If this happens, see your own GP or a bpas doctor as soon as possible.

Will I be in pain?
You may be in pain but in most cases this is mild and lasts for a couple of weeks.
Some men do experience ongoing chronic testicular pain following vasectomy.

Will the operation reduce my sex drive?
No. Some men say they are able to enjoy sex even more because they are free from artificial birth control and the fear of unwanted pregnancy.

How safe is a vasectomy?
With all clinical procedures there is a small risk of complications, however there is no substantial long-term health risk associated with vasectomy.

Any risk with prostate cancer is still unproven
There is no risk of testicular cancer or heart disease
The failure rate of vasectomy is 1 in 2000.
Pregnancy after vasectomy can occur even after several years
Complications happen in less than 2 in 100 cases.
There is a risk of infection and/or swelling following the procedure and a risk of blood clotting in the scrotum causing bruising, which can occasionally be severe.

Is vasectomy effective immediately?
No. At the time of your vasectomy there will be millions of sperm in your system that have to be flushed out. Before you can rely on the vasectomy as your method of contraception you will need to provide some samples which are analysed under the microscope.

Two consecutive sperm-free samples are required before we can confirm the procedure has been successful. For some clients this will involve producing a monthly sample over a period of some months. It is therefore important that contraception is used until we give you the all clear.

Collection of samples
The first sample should be sent no sooner than 12 weeks after the procedure. You will be informed of the date

The second sample should be sent no sooner than 4 weeks later

Abstain from ejaculation for 2 days (but not more than 7 days) before producing your sample

Mark the containers with your name, date of birth and index number (provided at the clinic)

Collect your sample by ejaculating into one of the containers provided

Complete the details on the return slip and place container and slip in the prepaid postal box supplied

Post immediately

How will I know that the vasectomy has been successful?
We will send you written confirmation only if both samples are sperm-free. If not, you will be asked to provide further samples at monthly intervals until no sperm are found. If you have infrequent sex, masturbation will help clear the sperm.

It can take 6-7 months before some men will have semen samples that are sperm-free.

Rarely, a small number of sperm that do not move will remain in the sample even after this time. No pregnancies have been reported with this finding. In this case, you may be given a "special clearance" letter that confirms that the procedure was successful.

Can I reverse my vasectomy?
All vasectomy operations are meant to be permanent. The chances of a successful operation to reverse a vasectomy vary a great deal. The most important thing to remember is that you are making a decision about the rest of your life. Bear in mind that your personal circumstances may change and do think very carefully about whether vasectomy is right for you.

Other contraceptive options include female sterilisation and short or long acting reversible contraception for women, all of which can be provided by bpas.

You should use another form of contraception until we write to you to confirm that your semen is sperm-free or you have been given a "special clearance" letter.