The most serious part of a vasectomy
is making the decision whether to
proceed with the operation or not.
This should be done with great care
and consideration in consultation
with your family doctor. If
you are doubtful about your decision,
then it is better to postpone.
it works: Sperm are made in a man's testes.
The tubes that carry sperm from
testes to penis are divided. One end only, the “abdominal end” is lightly cauterised while the other end, the “testicular end” is tucked back into the fascial covering of the vas and is kept there by using a tiny titanium clip. In this way the two ends of the divided vas end up in separate anatomical compartments and this makes the spontaneous rejoining of the vas after surgery extremely unlikely though it still can happen. Otherwise the testicular end of the cut vas remains open to reduce the incidence of long-term post-vasectomy discomfort.
A man still produces
semen, but, after 16 weeks or so,
there will be no sperm in it.
His sexual partner cannot get pregnant.
Vasectomies are not castration. The
man is able to have sex just as
he did before. He looks and
feels the very same.
* While the tiny titanium clips stay in the body forever they do not interfere with for example airport security equipment or subsequent MRI scans.
Effectiveness: A vasectomy is one of the most effective
methods of contraception. It is
more effective than the pill, IUDs
or injectbles. However, it
is very important to have a sperm count at 18 weeks postop. This ensures that your
system has cleared and that there
has been no rejoining up of the
vas. About one in five hundred
rejoin but this usually happens
before 16 weeks and should show
up in the sperm count tests.
very safe procedure.
couple should never worry about
long term side effects according
to a very large Danish study.
not interrupt sex
during and shortly after the procedure.
chance of lumps, blood clots or
infection soon after the procedure.
These can be treated by the family
effective right away. Another
family planning method must be
used for eighteen weeks after
the procedure and until all sperm
have been expelled.
to reverse. Should be looked
on as a permanent method.
(1) If you can, arrange it so as you do not
have to do any work or walking about
immediately after the operation.
The following day you should be
able to work normally although obviously
use common sense and, if anything
is hurting you, then you should
not continue to do it.
(2) Have a shower and clip any long hairs on the scrotum immediately
prior to coming for the operation.
(3) Wear new or good firm stretch
underpants coming for the operation.
If you wish, bring a friend to drive
you home thought this is not, of
(4) For those who are particularly
nervous, your doctor might like
to prescribe a short-acting sedative
or sleeping pill one hour pre-op.
In this case, of course, someone
to drive you home is essential.
(5) PLEASE DO NOT WEAR BOXER SHORTS.
procedure takes about 6 minutes
to complete. There should
be little or no pain but rather
mild discomfort during the operation,
a sense of mild squeezing or pulling.
Local anaesthetic only is used and
this is gently infused through the scrotum and around the vas itself using an ultra-fine 26 gauge needle. For those particularly sensitive
to pain, having the procedure under
general anaesthetic at Clane General
Hospital can be arranged through
Two tiny incisions are made, one in each side through which the vas is identified,
divided and cauterised. No
part of the vas is actually removed.
The incisions heal up by
themselves, there are no stiches
either inside or outside.
Download this consent form, sign it and bring it with you on the day of your appointment
- Click here for the CONSENT FORM -