How effective is No-Scalpel Vasectomy?
In our doctor’s hands, it is extremely effective. Our success rate has been better than 99.9% which is amongst the highest in North America. Having said that, statistically, 1/1200 vasectomies will fail. You must use other forms of contraception for three months as well until the doctor has examined two separate semen specimens and found them to be sperm free. If both tests are negative, it is very likely you will have permanent success as it is exceedingly rare for the tubes to ever grow back together if they have not done so by three months.
Is No-Scalpel Vasectomy safe?
Most medical experts, including special panels convened by the National Institutes of Health and by the World Health Organization, have concluded that vasectomy is a safe and simple procedure. Vasectomy is surgery however, and all surgery has some risks, such as bleeding and infection. But serious problems are uncommon. To date there have been no studies to support any long term side effects like prostate cancer, high blood pressure etc.
Is there any discomfort?
No-scalpel vasectomy is virtually painless. Our popular No-Needle No-Scalpel vasectomy is also available with Premium Service for improved comfort and convenience. After the procedure, you may be sore for a couple of days if you don’t overdo it and you should take a mild painkiller as outlined in the instructions. The discomfort is much less than with the conventional technique because there is minimal injury to the tissues.
How long does the procedure take?
When you come in for surgery, you will be with us for about one hour. When it comes time, it takes about 10 minutes to get you ready, 10 minutes for the procedure, and 10 minutes of waiting in our waiting room to ensure you are not lightheaded before driving home. Our doctors are two of the most experienced vasectomists in BC and are therefore able to complete your vasectomy very quickly.
How many visits are required?
At Pollock Clinics, our doctors understand your time is valuable so we make it possible to get your vasectomy done in just one single visit with our Premium Service option.
Consider the multiple visits many other physicians require in order to get a vasectomy:
- Schedule first preoperative appointment
- Schedule second appointment for vasectomy (if you even go back)
- Schedule third appointment for a follow-up visit
- Schedule fourth appointment for the after vasectomy semen sample testing
Can you give me a prescription to help me relax?
Yes, we usually prescribe Diazepam for patients who would like to take something prior to their procedure to help them relax. We find most patients do not need this. However, if you do take Diazepam, you will need a driver to come with you. Please let our doctors know if you think you might need this.
The doctor said my scrotum was “too tight or constricted” on the day of surgery. What does that mean?
Occasionally, we have men who have very “tight” or “constricted” scrotums. In this situation, our doctors will postpone the procedure and prescribe you Diazepam as well as ask you to soak your scrotum in a hot bath prior to coming in for your procedure the next time. This will help relax the muscles in the scrotum and make it easier to access your vas deferens and will also result in less chance of complications.
How do you access the tubes without a scalpel?
In order to perform a no-scalpel vasectomy, we use a very pointy hemostat that allows us to make a tiny puncture through the skin. This puncture can occur anywhere along the base of the penis or anywhere along the scrotum. The optimal location will be decided on the day of surgery and there is no need for concern where the puncture occurs.
Will I be sterile right away?
No. After a vasectomy, there are always some active sperm remaining in your reproductive tract. It usually takes three months and 20 ejaculations to clear them. You and your partner should use some other form of birth control until two semen tests confirm that your semen is sperm free.
When can I start having sex again?
As soon as you are comfortable, after a minimum of seven days, but remember to use some other kind of birth control until your semen analysis confirms that 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 voice, 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, the freedom results in substantially improved sexual fulfillment.
What happens to the sperm?
The body continues to make sperm but after a vasectomy there is no place for them to go. They will die, dissolve, then get absorbed by the body. This happens in the same manner as a man who does not ejaculate for a very long time; sperm are still made but the body clears them away.
How soon can I go back to work?
You should not do any heavy physical labour for seven days after your vasectomy. If your job does not involve this kind of work, you can go back sooner.
Can No-Scalpel Vasectomy be reversed?
Yes, but reversal operations are expensive and not always successful. Current techniques are only slightly greater than 50% effective. If you are thinking about reversal, perhaps vasectomy is not right for you. Sperm banking is a good idea for almost anyone considering a vasectomy. If you have any doubts, please discuss other temporary birth control methods that are available with your family physician.