2700+ as of June 2019. In 2017 I did 470 vasectomies or just over 80% of all the vasectomies done in Canberra in 2017. In 2018 I did 470+.
You will be at the surgery for approximately 40 minutes. The vasectomy itself normally takes between 15 and 20 minutes.
Most men will be able to drive home without difficulty. If you think that you will be particularly anxious about the vasectomy, then it is a good idea for you to not drive yourself home. A small number of men faint after having a vasectomy. This is more common in men who are quite anxious prior to the procedure.
We can give you some light sedation at the time of the procedure. That means that you will not be able to drive home by yourself.
It is a good idea to wait one week before resuming sex.
It is a good idea to have a week off vigorous physical exercise. If you hurt yourself post vasectomy, it will not cause vasectomy failure. However, it may increase the chance of further post operative bleeding and pain at the site of the vasectomy.
NO! You need to wait until you get the written clearance letter stating that your vasectomy has worked. This letter is posted to you after your three month follow up sperm test.
Yes, vasectomies can fail. It is very important that you perform a sperm test three months after the procedure to ensure that it has worked. There is a one in three hundred failure rate, or 0.33%.
If your three-month sperm test shows the vasectomy was successful, there can still be a failure at a later for unknown reasons. This is rare and is reported in the medical literature as around 1 in 5000 cases.
If failure occurs, it will be detected at the three-month post-operative sperm test. Another vasectomy should then be performed which will be done at no extra cost. This is usually successful.
No long term life threatening consequences of vasectomy have been detected. Men do not have more heart disease, testicular cancer, prostate cancer or any other health problems.
A small number of men develop post vasectomy pain syndrome. It is a poorly understood and poorly defined syndrome. The clinic has had 3 cases out of the last 2500 vasectomies where men have returned with pain that has not resolved by itself over a six to twelve month period. There are options for these men to have their pain treated.
There is no change to testosterone levels and no change in sex drive. Sperm only makes up 3% of ejaculate volume so there will still be an ejaculate as normal. There is no change in the sensation of orgasm or sexual function in any way.
This is partly dependent upon the patient as anxiety increases the perception of pain. At the end of the procedure, most patients state that it isn’t as painful as a trip to the dentist. Post-operative pain is easily controlled with application of an ice pack (or packet of frozen peas) plus paracetamol if needed. Most men will return to work on the Monday following their operation.
Bruising at the site of the incision is normal. About 1% of men develop a post-operative haematoma (blood clot). If that happens, you will experience is a lump with or without pain inside the scrotum, normally at the site of the vasectomy and normally only on one side. It will normally be reabsorbed by the body over a few weeks and is normally painless.
About 3% of men have returned for review in the first month after their vasectomy, usually for ongoing discomfort. This normally settles without you doing anything apart from taking pain relief if needed.
2 men in the last 2500 have had a course of IV antibiotics in hospital for a few days.
There is a 1 in 400 chance of having a large post-operative haematoma. Following your vasectomy, you will be provided with a mobile phone number to call if you have any immediate concerns over the weekend.
Call me! You will be given my mobile phone number. Alternatively you can always call YourGP@Crace or YourGP@Lyneham.