No Scalpel Vasectomy UK

Vasectomy Introduction

This is now generally accepted in the UK as a sensible and effective method of birth control. It is an especially suitable method when, in the opinion of the husband and wife/partner, their family is complete and other methods of contraception have proved unacceptable or inefficient.

Vasectomy is a minor operation usually performed under local anaesthetic and will not affect a man’s sexual power. Indeed, it may enhance a marriage by increasing the freedom of intercourse.

No scalpel, no stitches vasectomy is the latest advance we offer for our patients.

The No Scalpel Technique

The No-Scalpel technique is to perform vasectomy through one single puncture, made into the scrotum. Through this puncture the vas is grasped and brought out using a special instruments. A small segment of the vas is removed, and the testicular end dropped back into the scrotum (‘open end vasectomy’). The upper end is cauterised. The procedure is repeated for the second vas through the same puncture. The edges of the puncture are closed by applying a special clamp: no skin suture is required. This represents a significant improvement over conventional techniques in that it is more elegant and less traumatic.

Complications

Complications are rare but as with any surgical procedure, the primary complications of vasectomy are infection and bleeding (0.2%). These risks are significantly lower than the standard technique. Also important is that the vas deferens can grow back together. This is called re-canalization and occurs only rarely- less than 0.5% of the time. Transient swelling of the epididymis (Epididymitis) occur in less than 0.2% and usually subsides with anti inflammatory medication like Ibuprofen. Chronic testicular pain is also a rare condition (1-3%) and its exact pathology is unknown and in some cases requires reversal.

Anatomical Diagram

Important Information

It is important that each patient understands that vasectomy is approached as an irreversible procedure. While vasectomy can be reversed surgically at times, its successful reversal cannot be guaranteed.

After The Operation

Following your procedure it is important that you remain off your feet as much as possible for 24 to 48 hours. This is important to minimize the chance of post-surgical complications. After that most men are able to resume work unless it is physically very strenuous. Sexual activity, sport and heavy lifting are to be avoided for one week.

Sperm Tests

The operation does not immediately make you sterile since there are many sperms in the storage space between the cut tube and the end of the penis and time must be allowed for these to be flushed out at each intercourse. The policy of this centre is to have two sperm tests, one at 12 weeks and another at 16 weeks. In general the greater the number of ejaculations in the weeks following the operation, the shorter the time taken to clear the storage system. Most men clear the sperm from their semen within four months. In some cases, however, further test may be requested and exceptionally a second operation may become necessary.

See next page regarding our experience in No Scalpel vasectomy technique.

The benefits of having your surgery here are:

• No Scalpel-No Stitches Vasectomy, with open end technique.
• Lower risk of complications and minimum post vasectomy pain.
• Friendly and welcoming healthcare environment.
• Continuity of care.
• Quick access to treatment.
• No hospital appointments and visits.

For operative details & clinical experience click here.

For operative photos click here.

For further information and leaflets contact

dm@gpcentre.co.uk