You are here

Vasectomy

Glebe Hill Family Practice offers vasectomy with Dr Dora von Conrady.

What is a vasectomy?

Vasectomy is a minimally-invasive procedure that divides the tube (vas), which carries sperm from the testicle. There are 2 tubes (vasa), one coming from each testicle. Vasectomy is a permanent, reliable and safe form of contraception. A vasectomy will not affect the volume of ejaculatory fluid or your libido.

Is vasectomy right for me?

While a vasectomy is a safe, effective and reliable procedure, it is not right for everyone. If you do not want to have any more children, and you want a simple, long term contraceptive option, then vasectomy may be right for you.

How is it done?

Vasectomy requires at least 3 visits to GHFP:

First visit

Your initial visit takes about 30 minutes and will involve an in-depth consultation taking your individual situation into account.

A genital examination will be necessary to assess whether local anaesthetic is the right option for you. Whilst most men can have a vasectomy under local anaesthetic, some men would benefit from a general anaesthetic and your doctor will advise you of this.

Following this assessment, both you and your doctor need to feel confident that this is the right procedure for you.  It is completely fine to take some time to think things over following the initial consultation.

Second visit

Your second visit will be for the vasectomy procedure. The procedure usually takes 30-60 minutes.

We use a no-scalpel technique. We ask you to have a bath or shower before the procedure and to shave your scrotum.

A small amount of local anaesthetic is injected into a small patch of skin on the scrotum. The needle we use is very fine and most men find the injection to be quite acceptable. Following the injection, you may feel pressure during the procedure but should not feel any pain. Your doctor will be monitoring for during the procedure to ensure that you are comfortable.

A small hole is made in the numb skin of the scrotum and one vas is brought out through that hole and divided. Then the other vas is brought out through the same small hole and also divided. Sometimes it is not possible to do the operation using one hole and your doctor may need to make a second small hole.

You will have some adhesive strips and a small dressing afterwards. Sometimes a small dissolving suture will be used.

Third visit

Your third visit is about 2 weeks after your vasectomy. At this time your doctor or nurse will check for any problems you may have had and supply you with a kit and instructions for semen analysis.

After your vasectomy

We advise that you wear firm fitting underwear day and night for a week and take it easy in the first few days. You may need to take some paracetamol or ibuprofen and apply an ice pack in the first 1-2 days. There may be a little bruising and swelling but this should be mild. Gentle exercise is recommended, but we advise that you avoid running or contact sports for one month after the procedure. You can resume sex once you feel comfortable, but will need to have another form of contraception (e.g. condoms, or partner with contraception) until the success of the vasectomy has been confirmed.

Confirming the success of the vasectomy

Following a vasectomy sperm can remain active in the tubes for several months. The success of the vasectomy cannot be confirmed until a semen analysis has been done 3-4 months after the procedure. The vasectomy cannot be considered a success until the semen analysis has been done and is negative. We will contact you by phone or SMS with your semen analysis results. Until then you should use another form of contraception to avoid unplanned pregnancy.

What are the risks and will it hurt?

A vasectomy is usually a very well-tolerated procedure. However, as with any surgical procedure, there are some potential risks. These include:

  • Discomfort in the area of the procedure
  • Swelling in the scrotum or a small lump for a few days
  • Bruising
  • Infection
  • Blood in the ejaculatory fluid

Serious complications are rare, and your doctor will discuss these in more detail with you during your initial appointment.

Can it be reversed?

Vasectomy is considered  a permanent method of contraception. While reversals can be attempted, they are often unsuccessful.

Vasectomy is not right for you if you are considering having any future children.

How much will it cost?

GHFP's Fees for the 3 visits, including the vasectomy procedrue, are outlined below. Payment is required on the day of each appointment. Only the post operative appointment will be a bulk-billed consultation.

VisitFeeRebateOut of pocket

First visit

Initial consult

(item 36)

$150

(or $110 concession)

$73.95

$76.05

($36.05 concession)

Second visit

Vasectomy

(Item 37623 + Procedure Fee*)

 

$490

+

Procedure Fee $50.60

$198.55

$291.45

+

$50.60

Third visit

Post operative check

(Item 23)
Bulk billed

Bulk billed

0
   

The total out of pocket is $418.10 ($378.10 concession)

*The Procedure Fee is inclusive of GST adn cover's the practice's costs: instruments, local anaesthetic, sterilisation, nursing support and dressings.

For more information about vasectomy we recommend visiting https://www.mariestopes.org.au/vasectomy_patient_information-1803/