Clinic 66 has been providing vasectomies in Sydney for over 20 years, and thousands of men have had a vasectomy with us. It is the only surgical procedure we offer to men, so we have extensive experience and are totally focused.
Vasectomies are very popular–about one in 4 men in Australia have had the “snip”. Most men will testify to the simplicity and ease that it took to get.
Fully committed to the highest standards of care, here at Clinic 66 we undertake continuous clinical audits to ensure that we do everything possible to ensure we get good results for our patients. Currently we do 5-20 vasectomies per week at our rooms in Chatswood in Sydney. We have excellent clinical outcomes, with lower risks than are quoted by local urologists who undertake this procedure. Also, we do not charge expensive and unnecessary hospital fees.
Our Vasectomy Procedure
For men who want information and discussion prior to the procedure, we recommend a pre-procedure consult with any of our doctors. This consult helps you understand the implications and process, and have time to reflect before having the vasectomy. For those men who are decided and fully ready, we will book you in directly for the vasectomy on the same day as the consultation.
Either way, we will undertake a full assessment to ensure you are suitable to have vasectomy as an office-based procedure. IV sedation is available at our clinic in Chatswood, or you can opt to just have local anaesthetic. Local anaesthetic alone is best if you need to drive home or you prefer not to have any kind of intravenous medication. There is also an intermediate option which requires the man to inhale (Penthrox, or the “green whistle”), enabling him to have a more comfortable experience but without full sedation.
We have male and female surgeons available to handle your precious assets.
The surgical technique used at Clinic 66 is the open-ended no-scalpel technique, proven to have the least risk of side effects and complications.
By using a minimally invasive approach, the vasectomy is performed through a tiny opening in the front part of the scrotum (about an inch below the base of the penis in the midline of the scrotum. There is one tiny hole, through which the surgeon does the vasectomy.
The operation takes about 20 minutes and goes like this:
- No-sting local anaesthetic injected into the area
- Tiny hole made in the scrotum
- Vas deferens is divided and the testicular end of the tube is left open. (This helps prevent congestion in the testis and therefore reduced risk of pain, or post vasectomy syndrome). Tiny layer of sheath placed between the 2 ends of the vas to stop them re-joining. The same procedure is performed on the other side but through the same hole.
- Skin edge clipped together without stitches. Dressing applied.
- The man can choose to have twilight sedation, inhaled anaesthetic, or be fully awake for the whole procedure
You need to manage your expectations around vasectomy; you will feel a bit sore for a few days but the overwhelming majority of men have a straightforward recovery. Compared to sterilisation in a female, it’s a very easy procedure, office based and without the hassle and expense of a hospital inpatient stay. After the short recovery period, and until your semen becomes clear of sperm, you will be able to cease usual birth control methods (i.e. you don’t need to use hormones or condoms or be limited by the calendar as to when you can have sex). It brings great relief to men and women who no longer have to worry about reliability, cost, side effects of other types of contraception. You can be totally spontaneous!
Can a Vasectomy be Reversed?
You should think carefully about having a vasectomy, as it is intended to be a permanent and irreversible form of male sterilisation. This is what makes it so popular! However, occasionally men change their minds, a few years after having a vasectomy, usually as a result of change in partner, and request a reversal. Vasectomies can be reversed by using microsurgery where the vas deferens is re-joined. Vasectomy reversal needs to be done in hospital under a general anaesthetic, and takes several hours. If you have had the vasectomy less than ten years previously and you have a partner under the age of 35, there is a better chance of success for vasectomy reversal. The age of the female partner is the most important factor for successful pregnancy after vasectomy reversal.
Alternatively, you can try Intracytoplasmic Sperm Injection or “ICSI” which is a type of assisted reproductive technology, where a sperm cell is removed directly from the testicle and injected into the egg of the female.
Neither approach is simple or cheap, so best to consider all options before you go ahead with the having a vasectomy in the first place. A vasectomy reversal using surgery will cost around $7000. IVF costs vary according to provider and how many attempts to get an embryo to implant successfully. It is likely that IVF will be more expensive than vasectomy reversal.
Sperm antibodies form when the sperm no longer leave the body, and can be found in the semen and the blood, after a male has had a vasectomy. If sperm antibodies are found, then it is recommended that IVF and ICSI is the better option if you want to conceive after having had a vasectomy.
Recovery After Vasectomy
Like any minor surgical procedure, there are risks of bruising, discomfort and infection. These are generally mild, and can be minimised by resting, and wearing supportive underpants for a few days after the operation. Simple measures such as frozen peas wrapped in a tea towel is a useful first measure, combined with paracetamol.
It is best to avoid aspirin and anti-inflammatory medication for the first week after the operation, but NSAIDs such as ibuprofen and diclofenac can be used thereafter if there is any continuing discomfort.
If your work is very physical and involves heavy lifting or extreme movement, then you will need to go on light duties for a week after the vasectomy. If you are desk based or quite sedentary in your work, then you should be able to return to work the day after having your vasectomy. Try to avoid sitting for long periods, but avoid bike riding and contact sports. We will give you written instructions about your return to sports. Generally, if you can avoid too much too soon, your recovery will be optimised.
Men who run into trouble are usually those who try to do too much too quickly. There are some very fine sutures around the site of the vasectomy and if these are dislodged (by trying to do too much too quickly) then a scrotal haematoma can develop which is uncomfortable and can take weeks to resolve. Infection is very unlikely but sometimes if you are not recovering as quickly as we would like, we may give you oral antibiotics such as cephalexin.
Sex After Vasectomy
Most men can masturbate comfortably after a few days and return to full sexual function after about a week. Your erection, climax, desire and ejaculation will all be unchanged. After a vasectomy, the volume of ejaculate might be slightly reduced (by about 3%), but the sensation and function of climax is the same. Many men say their sex life improves after a vasectomy because they are no longer worried about unplanned pregnancy. Some say they are able to keep an erection for longer without ejaculating, and therefore enjoy sex for longer.
One very important aspect is that you should not rely on vasectomy as a form of birth control until you get the all clear from our doctors. Typically, this happens around 3 months after the procedure. It takes that amount of time, with regular ejaculations to flush out all the sperm. Sometimes it can happen sooner, and sometimes a second sample is required a month after the first. Until you get the good news, you will still need to use contraception to prevent unplanned pregnancy.
There has been much research undertaken in men who have had a vasectomy, to see if there are increased risks associated with long term complications, such as prostate or testicular cancer. Some studies have suggested that there is an increased risk, but meta analysis of the research is inconclusive. Unfortunately there are no known preventable risk factors for prostate cancer.
Take Responsibility, Guys!
Unplanned pregnancy can be a nightmare for all concerned. Whether you’ve completed your family, or have decided that children are not for you, we can provide a permanent solution which leaves you and your partner free to stop worrying about contraception and unplanned pregnancy, and have great sex whenever you like.
Make an enquiry today for your vasectomy consult or procedure at our discrete, state of the art facility in Chatswood, Clinic 66.