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A no scalpel vasectomy is a dependable form of contraception for men who do not want to cause future pregnancy. Sperm are made in the testes and, following maturity, swim through long curly ducts called the epididymides and into a 30 cm tube called the vasa deferentia prior to entering the urethra, which is the channel in which men urinate and ejaculate from. A vasectomy aims to divide the Vasa deferentia closer to the testes to prevent sperm from entering the semen. About 95% of semen is made from supporting structures (the prostate, bulbourethral gland and seminal vesicles) which are located closer to the urethra. Thus you will still be able to ejaculate.
No-Scalpel Vasectomy
Dr Mahmoud offer Scalpel-Free Vasectomies. A vasectomy is a safe and permanent form of contraception for people who have completed their family or chosen not to have children.
We are pleased to offer this expert service at Apollo General Practice, as part of our caring and comprehensive approach to overall family health and well-being.
Benefits of Scalpel-Free Vasectomies
Some benefits of a vasectomy include:
- Reduced risk of pregnancy.
- No need for general anaesthesia.
- A fast recovery time (48 – 72 hours).
- Less invasive procedure than other treatments and therefore a reduced risk of bleeding & infection.
- Unlike condoms, a vasectomy is a one-off cost, making it a more cost-effective option over time.
- No change in pleasure experienced during sex, although there may be slight discomfort for a few days after the procedure.
FEES
ONLY $450 out of pocket cost.
The fees for a vasectomy on the day are $450 and a consultation fee (which is rebated by Medicare and usually deposited into your account the next working day).
So that makes an out of pocket expense of only $450
A $100 deposit is required on booking your vasectomy. This is fully refundable at any time as long as we are given at least 2 business days notice, prior to procedure for cancellation or rescheduling. The deposit of $100 is non refundable if you don’t show up for your appointment.
After Treatment
After your vasectomy, you may be uncomfortable for a few days. To reduce your pain, you may need mild pain medication to take care of any pain. Severe pain may suggest infection or other problems and you should contact the surgery. You may have mild pain like what you’d feel like several minutes after getting hit “down there.” A benign lump (granuloma) may form from sperm leaking from the cut end of the vas into the scrotal tissues. It may be painful or sensitive to touch or pressure, but it isn’t harmful. Most of the time, you don’t feel pain and this usually gets better with time.
I will give you instructions for care after a vasectomy. Most men go home right away after the procedure. You should avoid sex for 3-7 days or activities that take a lot of strength. Swelling and pain can be treated with an ice pack on the scrotum and wearing a supportive undergarment, such as a jockstrap. Most men fully heal in less than a week. Many men are able to return to their job as early as the next day if they do desk work.
Sex can often be resumed within a week after the vasectomy, but it’s important to know that a vasectomy doesn’t work right away. After the vasectomy, new sperm won’t be able to get into the semen, but there will still be lots of sperm “in the pipeline” that takes time to clear. You should follow up for semen analysis to check for sperm in your ejaculate. During this time, you should use other forms of birth control.
The time it takes for your ejaculate to be free of sperm can differ. I suggest waiting to check the semen for at least 3 months and/or 20 ejaculates. One in 100 men will still have sperm in their ejaculate at that time and may need to wait longer for the sperm to clear. You shouldn’t assume that your vasectomy is effective until a semen analysis proves it is.
Frequently Asked Questions
Can my partner tell if I have had a vasectomy?
Sperm adds very little to the semen volume, so you shouldn’t notice any change in your ejaculate after vasectomy. Your partner may sometimes be able to feel the vasectomy site. This is particularly true if you have developed a granuloma.
Will my sense of orgasm be changed by having a vasectomy?
Ejaculation and orgasm are not affected by vasectomy. The special case is the rare man who has developed post-vasectomy pain syndrome.
Can I develop erectile dysfunction after a vasectomy?
A vasectomy does not cause erectile dysfunction.
Can a vasectomy fail?
There is a small chance a vasectomy may fail. This occurs when sperm leaking from one end of the cut vas deferens find a channel to the other cut end. Once your urologist clears you with a sperm test showing no sperm or less than 100,000 sperm, with none moving, the risk of pregnancy is 1 in 2000.
Can something happen to my testicles?
In rare cases, the testicular artery may be hurt during vasectomy. Other problems, such as a mass of blood (hematoma) or infection, may also affect the testicles.
Can I have children after my vasectomy?
Yes, but if you haven’t stored frozen sperm you’ll need an additional procedure. The vas deferens can be surgically reconnected in a procedure called vasectomy reversal. If you don’t want to have vasectomy reversal, sperm can be taken from the testicle or the epididymis and used for in vitro fertilization. These procedures are costly and may not be covered by your health plan. Also, they don’t always work. If you think you may want to have children one day, you should look into non-permanent forms of birth control before deciding to have a vasectomy.