All you need to know about vasectomies

A vasectomy is a minor surgical procedure aimed at providing permanent contraception for men by cutting and sealing the tubes that carry sperm, known as the vas deferens. It is regarded as the most effective method of male sterilisation, and in Australia, the procedure is typically performed in a sterile clinical environment, ensuring the highest standards of safety and hygiene. It is very common too - with over 25,000 men having a vasectomy each year. Roughly 1 in 4 men over 40 have had a vasectomy.

Procedure Details

A vasectomy is a relatively quick procedure, typically lasting about 20 to 30 minutes. It can be performed under local anaesthetic, which allows the patient to remain awake and aware during the procedure, or under general anaesthetic if the patient prefers to be asleep throughout the process. This flexibility helps accommodate individual comfort levels.

During the procedure, a urologist like Dr Deanne makes a small incision in the scrotum or may utilise a no-scalpel technique, which is a minimally invasive approach that reduces recovery time and discomfort. Once access to the vas deferens is achieved, Dr Deanne will  cut out a small section of the vas from both sides, then both ends are heated, the top end tied off and the lower end folded over to prevent re-joining. The total hospital time is usually just a few hours.

This highly effective form of male sterilisation is designed to provide a permanent solution for those who are certain they do not wish to father children in the future. Recovery is usually straightforward, with most patients able to return to their normal activities within a few days.

Risks and After Effects

As with any surgical procedure, there are risks involved. Common complications include infection, bleeding, and discomfort in the genital area. After a vasectomy, most men can expect some swelling and tenderness, but these symptoms typically resolve within a few days. It is advised to avoid heavy lifting, strenuous activity or exercise for 1 week. Other rare complications are persistent pain, early failure, late failure, infection in one or both testes, sperm granuloma. There is no impact on sexual function or satisfaction.

Additionally, it is essential to note that vasectomies are generally considered permanent, with reversal procedures being complex and not always successful. Therefore, men should carefully consider their decision and consult with a healthcare professional before proceeding.

Post-Surgery Sterility

It's important for patients to understand that they are not immediately sterile following a vasectomy. After the procedure, it typically takes 20 to 30 ejaculations for any remaining sperm to be cleared from the reproductive system. During this time, alternative contraception methods should be used to prevent unintended pregnancies.

To confirm successful sterility, patients are advised to schedule a follow-up appointment with Dr Deanne around 12 weeks post-surgery. After your surgery, you are provided with a specimen pot and a pathology slip so you can do a semen analysis 12 weeks after your surgery. This will then be checked by Dr Deanne soares to ensure you no longer have any sperm in your semen. This step is crucial, as it provides peace of mind that the vasectomy has been effective and confirms the patient's contraception status moving forward.