Vasectomy is one of the most effective and safest forms of permanent contraception available. A brief, minimally invasive procedure, it divides the vas deferens (the tubes that carry sperm) to prevent pregnancy, with a success rate above 99%. It is usually performed under general anaesthesia as a day procedure.
TREATMENTS
Vasectomy
Is Vasectomy Right for You?
Vasectomy is intended to be permanent, and careful counselling is essential before proceeding. It is appropriate when:
• You have completed your family, and ideally both you and your partner are confident you do not wish to have children in the future
• A reliable, long-term contraceptive solution is desired that does not rely on ongoing compliance
• Other contraceptive methods have been considered, and vasectomy is the preferred option
• You understand that reversal is possible but cannot be guaranteed to restore fertility
• You understand that vasectomy is not immediately effective and another form of contraception is needed until a semen test confirms success
Techniques
• No-scalpel vasectomy: The preferred modern technique, where a small puncture rather than an incision is used to access the vas deferens, minimising bleeding and discomfort and allowing rapid recovery.
• Conventional incision vasectomy: Small incisions are made to access the vas deferens. Performed when anatomy makes the no-scalpel approach less suitable.
Risks and Considerations
All procedures carry risks, which your surgeon will discuss with you in detail. These may include:
• Bruising or a blood collection (haematoma) in around 1–2% of men
• Infection (uncommon)
• A sperm granuloma — a small, usually harmless lump at the vasectomy site
• Chronic scrotal discomfort that is troublesome in around 1–2% of men
• Late failure after a clear semen test is rare (~ 1 in 2,000)
Recovery at a glance: Return to light activity within 48 hours; supportive underwear and no heavy exertion or sport for about 2 weeks
1
Counselling and Consent
The permanence of vasectomy, the small failure rate, the possibility (but not guarantee) of reversal, and the need for post-procedure semen testing are discussed in detail.
2
Day Procedure
The procedure takes approximately 15–20 minutes. The vas deferens on each side is divided and buried through a small puncture or incision.
3
Recovery
Discomfort is usually mild and settles within a few days with simple pain relief and scrotal support. Return to light activity within 48 hours is typical.
4
Semen Analysis Confirmation
A semen analysis at around 12 weeks and > 20 ejaculations, is essential to confirm the procedure has been successful before other contraception is ceased.
Our Approach
