Vasectomy

Vasectomy is a surgical procedure aimed at making a man sterile (unable to father children) by dividing the tubes (vas deferens) that carry the sperm from the testes.

This is a permanent form of contraception. It is more reliable and safer than tubal ligation (a permanent form of birth control for women). Surgery can be performed to reverse vasectomy but the results are not guaranteed.

  1. Bladder
  2. Pelvis Bone
  3. Vas Deferens
  4. Testis
  5. Seminal Vesicles
vasectomy

A/Prof Peter Royce and Mr Dennis King perform the vasectomy procedure at Linacre Hospital Hampton and Epworth Eastern Hospital Box Hill, Melbourne Australia.

How Is It Performed ?

It may be performed either under general anaesthesia or with local anaesthetic.

The skin is split in the scrotum and the vas deferens is delivered to the skin surface. The vas deferens is divided and the ends cauterized and then a layer of tissue is placed between the two ends. Stitches are then used to close the skin split.

How Will I Be Following The Surgery ?

After your vasectomy you will notice swelling and mild bruising of the scrotum, with a variable degree of discomfort or pain.

This is to be expected and will naturally resolve over the next 7-10 days.

You may require pain killers such as Panadol or Panadeine, which may be purchased without a prescription.

You will receive a prescription for antibiotics, please start the course the same day as the vasectomy.

What Is The Expected Recovery ?

  • Avoid strenuous activity/sport for the first week.

Generally 1-3 days off work after vasectomy is sufficient, but this will vary with individual circumstances. Rest at home with your legs on a sofa as this will reduce scrotal swelling and discomfort.

Should you require a medical certificate, please let your surgeon know before you leave hospital, or telephone Urology Associates.

You may resume sexual activity when comfortable, but please remember you are not considered infertile until you have achieved a zero sperm count.

How Do I Look After The Wound ?

In order to promote a smooth post operative recovery please keep the scrotal area clean, dry and well supported.

You should shower normally, but do not soak in the bath, dab the scrotum dry with a clean towel, and insert a non adherent dressing such as Melolin inside supportive/elastic underwear.

It is beneficial to wear the dressing and briefs at night as well for the first few days.

The small plastic (Tegaderm) sticker dressing can be completely removed the day after your vasectomy.

The skin sutures are soluble and will simply fall out after 10-14 days, by which time the skin will be firmly healed. If the sutures don't fall out they will need removal by either your GP or myself.

As the swelling subsides you may feel a small lump at the vasectomy site - this is where the ends of the vas tube have been tied off, and is not a cause for concern.

Wound infection is uncommon after vasectomy, especially if local hygiene and antibiotics are carefully attended.

However, should you notice redness, swelling and/or wound drainage of yellow fluid, please contact either myself or your local doctor.

Post Vasectomy Sperm Count

You are advised to provide a semen sample for sperm count test after you have recorded at least 15 ejaculations from the time of your vasectomy. A pathology request form and specimen container should be taken with you when you leave Day Surgery.