What is Vasectomy?
Vasectomy is a dependable method of birth control for men who think they will never want any or any more children.
Vasectomy developed as a means of contraception in the early 20th century and been very popular (500,000 procedures per year) since the 1950’s.
During the procedure migration of sperm is blocked from testis to seminal vesicle by separating a tube, which is called Vas.
Most of the fluid ejaculated (approximately 98% of the semen) is actually produced by the prostate gland, the seminal vesicles. This means that when you ejaculate after a vasectomy the semen is gradually depleted of sperm so that eventually it will be free of sperm although the volume of the ejaculate is not noticeably changed
It’s a simple 20 min office procedure under local anesthesia, which requires a high degree of surgical skills and training. After a short recovery at the doctor’s office the patient is sent home to rest. Because the procedure is minimally invasive, many vasectomy patients find that they can resume their typical sexual behavior within a week, and do so with little or no discomfort.
There are several methods but the most advance method is no scalpel vasectomy with fascial transposition.
Wellcare Medical Centre is one the most popular place for Vasectomy in Brisbane. If you are looking for a professional Vasectomy doctor in South Brisbane our clinic will be on top of the list.
Our experienced Doctor and convenient location in main road and ample car park make it an ideal place for Vasectomy in Logan and Brisbane south.
Our Vasectomy doctor has advance skills in skin surgery and performing procedures on a daily basis.
WHAT THE VASECTOMY PROCEDURE LOOK LIKE?
Following steps are involved in No Scalpel Vasectomy:
After cleaning the skin of scrotum small amount of local anesthetic will be applied in midline in upper part of your scrotum and vas (tube).
Using a small pointy hemostat and small hole is created to access the vas. This method has advantage of creating just one small hole than 2 incisions in traditional method.
The pointy hemostat is then used to spread all layers (the vas sheath) down to the vas tube itself and to then deliver a small loop of the vas through the opening as the ring clamp is released. The use of the pointy hemostat to spread, rather than cut the skin, has been shown to reduce the risk of bleeding .The ring clamp is used to hold the vas, while the pointy hemostat spreads adherent tissue and blood vessels away from the vas under direct vision, so that the vas can then be divided with a fine surgical scissors and the upper end cauterized with a hand-held cautery unit so that it will seal closed. No sutures are required and the wound is usually sealed by the next day.
Should you have a significant needle phobia – please speak to the doctor and we can consider other alternative method.
SPECIAL MESSAGE FOR YOUNG MEN WITH FEWER THAN TWO CHILDREN
If you are less than 30 years old and you have had fewer than 2 children, please consider the following points before having a vasectomy:
If you ate a man in your 20’s and have few children you may need to be careful about your decision.
Vasectomy should be considered a permanent and non-reversible procedure.You may regret it in the future if your reversal is unsuccessful.
Your partner may change their mind based on their stage of their life and your current relationship may end up divorce and your new partner may wish to have a children.
The philosophy of you and your partner with respect to abortion should be considered. If you are both not philosophically opposed to abortion, you have some back-up should other forms of contraception fail, and having a vasectomy now may not seem as critical to avoid an unintended pregnancy. But keep in mind that if she gets pregnant, the choice is hers.
It may affect your future relationship as it make not make sense for her a man ever have permanently tie their tubes. But with sperm storage things may change.
We encourage you discuss your decision with your parents with such a permanent procedure. Having a vasectomy is still your decision, but at least you granted them the respect of letting them render an opinion
Instruction before procedure
- It is recommended patients shave the entire scrotum and pubic region and underside of penis prior to their vasectomy. This reduces the risk of infection and makes the procedure easier to conduct.
- Use no powder or deodorant in the genital area on the day of your procedure.
- It is recommended to wear a scrotal support and have them on for 2-3 days as this reduce the risk of post-operative discomfort and bleeding.
- Eat before your procedure, a normal breakfast or lunch. Nervous men who do not eat beforehand are more likely to become lightheaded during or after their vasectomies.
- It is recommended to arrange someone to drive you home following your procedure. Those who had sedative before procedure are unfit for driving and for others its safer to no deal with an unexpected car accident or emergency.
- Patients should plan to recline at home for 24 hours their procedure.
- If you are taking Aspirin or any blood thinner or kind of Anti-inflammatory drugs such as Ibuprofen (Nurofen), Diclofenac (Voltaren) or other similar drugs you need notify the doctor before your procedure. Certain herbal, natural extract and vitamins can also have blood thinning and we prefer you stop them before your procedure. Example of those are olive leaf extract, Fish oil, Vitamin E, ginkgo.
Instruction after procedure
- Spend a quiet evening at home, reclining in bed or on the sofa. Minimize activity. Some men have no pain at all after vasectomy. Many have mild discomfort that does not require pain pills. Sometimes the discomfort is in the groins or abdomen.
- Avoid aspirin or any anti-inflammatory drugs such as Ibuprofen or Diclofenac for 3 days after the vasectomy and only take Panadol or Panamax or paracetamol . For Pain beyond 3 days, especially if accompanied by some swelling of the vasectomy sites ibuprofen and naproxen are good choices. Some men will have more discomfort or tenderness 3-5 days after the vasectomy than they do for the first few days after their vasectomies. That is part of natural healing process usually no reason for concern.
- No need for ice packs, unless you really enjoy having ice on your scrotum.
- You may remove the scrotal support and take a daily shower starting the morning after the procedure. Replace the scrotal support and wear it whenever you are up and around for the next 2 days.
- No sports, yard work, swimming, or heavy lifting for at least 3 days and after that you must wear your scrotal support during those activities. On the day after the procedure, you may walk and drive as much as you like. If have a sedentary job you can resume the next day.
- When pain is gone and tenderness is minimal, you may return to the gym or to running, but on the first day back, do ½ of your usual workout: half the weight, half the reps, half the speed, half the distance, etc. If pain does not return, you may do your regular workout the next day.
- When you no longer have any pain or tenderness, you may ejaculate. Its recommended to wait for 7 days before you ejaculate.
- Since no incision is made, a no follow-up visit is required. You will be given a mobile phone number if you have undue discomfort or any concerns, you should call him anytime after your vasectomy.
- It is normal to have some discoloration of the skin (black and blue) around the puncture site a day or two after the vasectomy. Some men will develop considerable discoloration of the scrotum about 4 days after the vasectomy. Blood from the deep vasectomy site comes to the surface as a purplish-blue mark, gets darker and spreads out like an oil slick, then gradually dissipates.
- Some men (about one in 20) will develop swelling and discomfort on one side, sometimes on both sides, starting anytime from 3 days to 3 months following vasectomy. This usually represents an exaggerated form of the normal inflammatory response necessary for sperm resorption and recycling. It is effectively managed with a 5-7 day course of ibuprofen.
- We will give you a pathology referral to have your semen tested twelve weeks after your vasectomy, to be sure that it no longer contains sperm and that it is thereby safe to stop other forms of contraception.
What is the cost of vasectomy?
The cost of the vasectomy procedure is $478 with a rebate of $198 from Medicare ( out of pocket cost $280).
We have Easy Claim System, which allows Medicare to electronically put your rebate back into your account within few days.
You may need to notify Medicare on phone 13 20 11 of your bank details and present your current Medicare Card on arrival.
Advantages of Vasectomy
- Low one-time expense with some rebate from Medicare.
- More dependable than any other form of contraception including female sterilization.
- Eliminates risks associated with birth control pills or shots and the IUD.
- Vasectomy reversals are less costly and more successful than tubal ligation reversals (see Vasectomy Reversal).
No need for inconvenient and less dependable methods, so there are no more worries.
Limitations of Vasectomy
- Not 100% reversible *
- Must use other forms of birth-control until sperm-free.
- Does not prevent transmission of sexually transmitted infections (STI’s).
Is vasectomy reliable?
While vasectomy is a safe and effective procedure, you need to consider following things:
- you will not be sterile immediately; it takes a minimum of 8-12 weeks for the sperm stored in the seminal vesicle (which is above the site of the vasectomy) to be cleared from the system.
- You need to have a sperm count after 12 weeks in a pathology center to ensure there is no sperm.10 % of patient may need repeat tests until its proven no sperm left.
- There is a failure rate of 1 in 1000 compared with 1 in 250 in women who have tubal ligation.
Is vasectomy painful? Can a vasectomy be reversed?
Vasectomy is generally considered a permanent and irreversible as reversal has variable success rate. If you are thinking of a reversal at the beginning then vasectomy may not be the best choice for you.
Success rate of reversal decline after 5 years of vasectomy
Does vasectomy affect sexual function?
Vasectomy does not affect sexual function or performance as it has no effect semen and testosterone production.
Is there any complication for a vasectomy procedure?
Generally serious side effects are rare.
Pain after procedure is mild and resolve with rest and simple painkillers
Chronic post-vasectomy pain pain has been reported in 1 in 2000 of cases
Infection -chance is infection is minimal.
Scrotal hematoma Some people may experience scrotal hematoma (blood clot inside scrotum)
Sperm granuloma- is a pea-sized (sometimes tender) lump on the vas tube at the vasectomy site, almost never requiring treatment. Some consider sperm granulomas beneficial, as they may increase the likelihood of success with vasectomy reversal. Pain of the granuloma respond to simple painkiller and if granuloma cause recurrent pain it can be removed by simple procedure.
May have reaction to suture material.
Recanalization may happen in 1in 1000 cases
Allergy to local anesthetics is rare.
Link between vasectomy and Prostate cancer and heart attack
There have been media reports in the past about the link between Vasectomy and heart attack and Prostate cancer and testosterone deficiency.
Although this does not mean that does not have any effect of health, these effects have not been supported by multiple studies in many countries.
Are there any age restrictions?
We normally do vasectomy for a candidate who is at least 21 years old and appears mentally competent” There are no laws forbidding vasectomy for certain age groups, though individuals under 18 require parental consent for any elective surgery. We will not provide vasectomy for a childless man less than 21 years old except for special circumstances such as a hereditary disease or obvious inability to care for a child, as might be the case in someone with a cognitive disability.
Is it a laser vasectomy?
Laser been used in many medical procedures such as eye.
There is no role for laser vasectomy as it is a simple procedure, which can be done under direct vision without accepting he risks associated with laser.
How can I have a vasectomy done?
Phone our friendly staff on 07 31334483
We strongly recommend you have a pre-vasectomy consult to discuss all your options and go through all the aspect of procedure and answer any questions you may have.
You must notify the doctor if you are taking aspirin or any other blood thinners prescribed by a doctor.
About our Vasectomist
DR MOHSEN AMOLI
MD, FRACGP, PGDip Dermatology(UK), Cert Advance skin surgery(UQ), Cert Aesthetic Medicine
- Over 10 years of experience in skin and cutaneous surgery.
- 15-20 minute procedures using local anesthetic with minimal pain.
- No Scalpel, No stiches, virtually pain free.
- We use the most advanced technique called fascial transposition.
- Multiple training by the most reputable surgeon in the world to adapt the most advanced technique in the field.
Dr Mohsen Amoli has over 10 years of experience in surgical fields. Over the last 10 years he has performed more than 20,000 skin surgeries.
He network closely with leading Vasectomists and Urologists around the world to bring you the most gentle techniques making your vasectomy virtually pain-free, simple and safe.
Dr Amoli is able to perform various methods of vasectomy but prefer the open-ended technique with fascial transposition, which eliminates the pain caused by back pressure of the traditional method.We have a friendly staff and experienced theatre nurse to answer any questions you may have.