Please click on any of the following headings for more information
This is something I've been thinking of for some time but have been so nervous. Even looking at the details on the website doesn't seem to help.
You are not on your own. Many other men have waited a very long time. But then they cannot believe how easy the procedure was once completed. They don't believe that they worried for such a long time and then it was so easy.
I don't like needles. And the thought of an injection into my testicles...
Don't worry, we won't harm your testicles. It's not uncommon to worry about needles. First we put a little bit of local anaesthetic under your scrotal skin to numb the area, so you probably won't even feel the injection.
I am worried about pain afterwards. You hear all sorts of horror stories about men being in agony and not being able to walk for ages.
The pain is usually mild and lasts for only a few days.
Nothing that simple painkillers like paracetamol or solpadol cannot not deal with.
I really don't like the thought of lying naked in front of a doctor and a nurse and having my testicles tampered with.
You will be partly covered. You keep your top on. Your legs and a small part of your abdomen are however exposed. Your penis is covered with operation theatre "greens". Only the part of your scrotum we need to work on is exposed. We make every effort to ensure your comfort, both physically and mentally.
I am worried about impotence.
Some men think vasectomy will cure already existing impotence, which is wrong. However, the physical operation of a vasectomy cannot make you impotent. Testosterone is released by the testicles into the blood stream. This mechanism is left untouched. We only interrupt the tubes that transport the sperm to the semen.
Will I still ejaculate in the same way?
Yes you will. You will just be firing blanks! 97% of the ejaculate is made in the prostate gland (the semen). Only sperm is produced in your testicles. The volume of your ejaculate will therefore reduce by 3% which is barely noticeable.
Why is it better to have a No-scalpel Vasectomy rather than a conventional one?
- Less discomfort
- No stitches
- Faster procedure
- Faster and easier recovery
- Only two small openings of the skin (keyhole procedure)
- Less chance of bleeding and other complications
- Just as effective
What is Different about a No-Scalpel Vasectomy?
A No-Scalpel Vasectomy is different from a conventional vasectomy in the way the doctor gets to the tubes and interrupts them.
In a conventional vasectomy the doctor makes one or two small cuts in the skin and lifts out each tube in turn, cutting them and tying a stitch around each end of each tube so that sperm cannot reach the semen. Then the doctor stitches the cuts closed.
In a No-Scalpel Vasectomy the doctor feels for the tubes under the skin and holds them in place with a small clamp. The Doctor creates two tiny openings with a special instrument. The tubes are then cauterised and interrupted using new and advanced techniques through radiolase equipment. This procedure results in significantly reduced discomfort afterwards. There is very little bleeding with the No-Scalpel technique. No stitches are needed to close the tiny opening, which heals quickly, with little or no scar.
Is No-Scalpel Vasectomy Safe?
Vasectomy in general is safe and simple. Vasectomy is an operation, and all surgery has some risks, such as bleeding, bruising, and infection. But serious problems usually do not happen.
Does No-Scalpel Vasectomy Work?
It is as effective as any other vasectomy method. There is a less than 1% chance of failure. And remember, even a failure can be sorted out.
Do I need my GP to refer me?
Yes, if the operation is to be performed on the NHS and you live in the following areas:-
Derbyshire Dales - including Hilton, Ashbourne and Swadlincote.
Staffordshire Morlands - including Leek, Cheadle.
South Staffordshire - including Burton, Uttoxeter, Lichfield, Tamworth, Stafford, Stone, Cannock, Rugeley.
If you wish to be seen as a private patient, a GP referral is preferable as it confirms to us your suitability for the procedure.
How long will the No-Scalpel Vasectomy Procedure take?
You come to see us at the clinic for an initial consultation when we explain the procedure and answer your questions. We prefer your partner to attend with you. You then book in for the operation to be done on another day. The actual operation will take about 15 minutes on average, but overall you will be at the clinic for around an hour. You should bring somebody with you to drive you home.
Will it hurt?
You may feel some discomfort when the local anaesthetic is injected into the skin. However you should not feel any discomfort after it has taken effect. Afterwards you may experience some discomfort, but normal "over the counter" painkillers are usually all it needs to alleviate any pain. After-effects are usually much less with the no-scalpel technique; because there are fewer injuries to the tissues and many patients do have virtually no discomfort at all. There are also no stitches to be removed after the procedure (as the small single incision does not need suturing).
Can I drive home after surgery?
We prefer you to be driven by somebody. As you should rest, initially, we would hope you can keep your car journey as short as possible. The initial period after any surgery is crucial for a recovery with little or no side effects...
Can I fly home after surgery?
While flying itself is not a problem, airports are usually stressful. You should preferably lie down, be reclined or at least rest sitting after surgery for 6 hours to minimise circulation and the possibility of side effects. For 48 hours you should do pretty little. You should not stand in an airport for hours or handle heavy luggage. You are therefore advised to try to avoid flying. Please refer also to the section designed for international customers.
How soon can I get back to work?
We advise to relax for 48 hours following your vasectomy and not to do any heavy physical labour for about a week. Otherwise you are free to return when you wish to.
When Can I Start Having Sex Again?
As soon as you are comfortable, a week is probably a good guidance, but remember to use some other kind of birth control until we let you know you are sterile.
Will vasectomy change me sexually?
The only thing that will change is that you will not be able to make your partner pregnant. Your body will continue to produce the hormones that make you a man. You will have the same amount of semen. Vasectomy won't change your beard, your muscles, your sex drive, your erections, or your climaxes. Some men say that without the worry of accidental pregnancy and the bother of other birth control methods, sex is actually more relaxed and enjoyable than before.
Will I Be Sterile Right Away?
No. After a vasectomy, there are always some active sperm left in your system. It takes at least 20 ejaculations to clear them. You and your partner should use some other form of birth control until your semen has been tested and we let you know that it is free of sperm
Can a No-Scalpel Vasectomy be reversed?
Although the No-Scalpel Vasectomy is quick, easy, and convenient, it should be considered permanent. Reversal operations are expensive and often unsuccessful. If you are thinking about reversal, perhaps vasectomy is not right for you at this time.