Q&A Vasectomy Toowoomba 

Wilsonton Medical Centre

Dr Tom Conaghan performs Vasectomies at Wilsonton Medical Centre, Toowoomba. He has been performing Vasectomies since 1989 and currently uses the open-ended No Scalpel Vasectomy Technique(NSV). A referral is not required for a Vasectomy, but an initial consultation is necessary for discussion and explanation of the procedure and for a clinical examination. Dr Conaghan will communicate with the patient’s usual GP after the procedure.

What is a Vasectomy?

A Vasectomy involves cutting the tubes (Vas Deferens) which transport the Sperm from the Testicles to the Seminal Vesicles where they are stored with fluid in the vesicles and from the Prostate Gland. Sperm continue to be produced but cannot reach the Seminal Vesicles. The No Scalpel Vasectomy involves the use of a specially - designed pair of dissecting forceps which produces a smaller skin opening than a Scalpel resulting in a lower risk of bruising and bleeding.

Is having a Vasectomy painful?

Vasectomy is performed under local anaesthetic. There is some initial discomfort when the Local anaesthetic is injected but then the site of the operation is numb. During the procedure there are some sensations of touch or pressure but this is not painful.

Pre - medication with a sedative tablet on the morning of the operation can be provided to reduce anxiety.

Is a General Anaesthetic required?

The vast majority of the 30,000 Vasectomies performed in Australia each year are done under local anaesthetic. On rare occasions a general anaesthetic may be necessary if there is difficult anatomy or severe anxiety. This would require the procedure to be performed in a Hospital.

How effective is a Vasectomy?

Vasectomy is a very reliable form of Contraception. Once sterility has been confirmed the failure rate is 1 in 1,000 cases.

How long after a Vasectomy is sterility achieved?

There are at least 20 Ejaculations stored in the Seminal Vesicles so these need to be cleared before sterility can be confirmed. At Wilsonton Medical Centre Toowoomba a semen analysis is arranged 3 months after the procedure to confirm sterility, until this is confirmed alternative contraception needs to be continued.

Is Vasectomy Reversible?

Vasectomy should be regarded as a permanent procedure. A reversal operation can be performed under an operating microscope and a General anaesthetic is required. Success is not guaranteed and the pregnancy rate is lower than average. IVF techniques  using Sperm aspirated from the tubules in the Testes can be used but again success is not guaranteed.

Is ejaculation affected following a Vasectomy?

There are at least 20 Ejaculations stored in the Seminal Vesicles so these need to be cleared before sterility can be confirmed. At Wilsonton Medical Centre Toowoomba a semen analysis is arranged 3 months after the procedure to confirm sterility, until this is confirmed alternative contraception needs to be continued.

Does Vasectomy increase the risk of Cancer?

No. There is no increased risk of cancer of the Testicle or Prostate following a Vasectomy.

What are the risks from a Vasectomy?

Complications are rare but there are some:

Short - Term:

  • Swelling or Bruising may occur but are usually mild and the risk can be reduced by using an ice pack and resting after the procedure. A very rare complication of internal bleeding leading to a collection of blood (haematology) in the Scrotum can occur. This can cause some pain and may take several days to resolve.

 

  • Infection is a risk with any surgical procedure but is rare and easily treated.

Long Term:

  • Post Vasectomy Pain syndrome is a very rare, poorly understood syndrome when a man has long terms Scrotal  discomfort following a Vasectomy. Most cases settle with time. 

  • A small lump may develop in the Scrotum. This may be a Granuloma or Spermatocele. There is usually no discomfort and treatment is rarely necessary.

Does Vasectomy have any effect on Sexual Function?

No. Hormone function is not affected and there is no effect on sexual libido, erectile function or orgasm.

What is the recovery time after a Vasectomy?

After the operation you should apply an ice pack and rest for the remainder of the day. Strenuous work or exercise should be avoided for 5-7 days. Most men with sedentary/light jobs  can return to work within 2 days but it is best to avoid prolonged periods of standing or walking. Sexual intercourse should be avoided for 5 days.

What is the post operative management following a Vasectomy?

  • Apply an ice pack and rest for the remainder of the day.

  • Pain relief: if needed use Paracetamol rather than Aspirin or anti-inflammatories.

  • There are no skin sutures. There  will be a small adhesive dressing .The wound should be kept dry for 24 hours.

  • No follow up appointment is necessary unless there are any problems.

  • Please contact Dr Conaghan if there is any severe pain or swelling or if there are any other concerns.

How do I prepare for a Vasectomy?

  • The hair from the Base of the Penis and all of the Scrotum should be removed the day before the procedure. This can be done with a conventional or electric razor or electric clippers.

  • Do not take Aspirin or other Anti-inflammatory Medications for 5 days before the procedure because they can interfere with coagulation.

  • Alcohol is best avoided on the day of the procedure.

  • Underwear: It is best to wear supportive underpants rather than boxer shorts.

  • It is best to have someone available to drive you home.