Vasectomy Perth

Most men will experience some discomfort or pain after the vasectomy. Sometimes there is also associated swelling or bruising on the skin at the site of incision. Usually they are self limiting within 1 to 2 weeks.

Rate of complications is low with no scalpel vasectomy procedure, but some of the complications include the following

• Wound Infection: This is very rare. Usually present as a tender red area in the scrotum region near the incision. This may or may not be accompanied by fever. This usually respond well to antibiotic treatment. Some patient with certain underlying medical conditions may require antibiotics to prevent infections after the procedure.
• Scrotal haematoma or large bruise: This is uncommon with no-scalpel technique. This if often related to activities or over exertion by the patients.  Most bruise are self limiting.
• Sperm granuloma: This is a scar tissue on the residual part of vas deferens. This requires no treatment.
• Post Vasectomy Pain Syndrome ( PVPS): This is a rare chronic pain conditions following vasectomy with unknown causes. The incidence is less than 1 %. The symptoms is characterised by persistent scrotal pain and sometimes lower abdominal and back pain.  Most cases PVPS is self limiting but in rare cases it can last for months or longer. There may be a need to be referred to a urologist for management.
• Congestive epididymitis: This condition occurs when sperm gets trapped and build up at the edges of the vas deferens causing discomfort, typically occurring between 2 to 12 weeks after the vasectomy. This is usually self limiting or can be treated with anti-inflammatory medications.

1. Everyone is different when it comes to pain. However, most can feel a stinging sensation with the local anaesthetic injection.
2. With the No Scalpel, No suture technique, the procedure is fast and straight forward. Most described the sensation of pulling and pinching during the procedure which causes minimal degree of discomfort or pain.
3. You can opt for additional inhaled anaesthetic of Penthrox which provides additional pain relief.
4. Most will feel some discomfort in the region for 2 to 3 days after the vasectomy.

1. The procedure starts by putting local anaesthetic in the area of skin of the scrotum and also the vas deferens.
2. A small keyhole incision for about 5mm is made into the scrotum using the no-scalpel method.
3. Through the keyhole wound, the left / right vas deferens is located and then divided and sealed using a hyfrecator.
4. The remaining part of the vas deferens will be sealed via fascial interposition with surrounding tissues.
5. The same technique is then performed on the right/left vas deferens using the same keyhole wound
6. Following the procedure, a small dressing is applied to the skin with no need for suture.

1. The procedure will not be immediately effective. It usually takes men about 20 ejaculation for sperm to be cleared
2. You will require you semen sample to be assessed to confirm sterility.

1. Vasectomy is recognised as the most effective means of contraception, being more than 99.85% effective.
2. NSV carries a very low failure rate, and far lower than condoms, contraception pills and intrauterine devices.
3. Majority of the failures are recognised in the first 3 months during the semen analysis.
4. In extremely rare occasion, the vas deferens may re-joined itself months or years down the track.

1. Vasectomy does not alter orgasm or climax. Ejaculate are made of  fluid produced by seminal vesicles.
2. Most men do no notice any difference in ejaculation.
3. There is also no impact on testosterone levels, libido or erectile function.

Yes, vasectomy is reversible. However the reversal surgery or reproductive therapy as part of IVF is expensive and not always successful.