VASECTOMY

NON-SCALPEL VASECTOMY

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If you're thinking of having a vasectomy, 
think of Capricorn Skin & Laser Centre.

Click here to download a printable Vasectomy Information Booklet
Why Capricorn Skin & Laser Centre?
 
Dr Stephen Murray is the founder and principal Skin Doctor at Capricorn Skin & Laser Centre. He has completed advanced training in vasectomy and has perfected the specialised technique he performs within the Clinic. Dr Murray has performed well over 1000 non-scalpel vasectomy procedures and performs them in an on site operating theatre within Capricorn Skin & Laser Centre.  He uses a no needle, no scalpel technique which has considerable advantages over a traditional vasectomy.

No needles...
 Traditionally, 5-10 ml of anaesthetic is injected on each side with a needle to numb the skin. Fear of needles is a valid concern, especially considering the injection site's vulnerable location and the large amount of anaesthetic that is needed to be injected to get anaesthesia. Dr murray uses a specialised method where he administers a fraction of the amount (0.3ml) without a syringe or needle by using a jet-spray injection instrument. This technique practically eliminates the potentially uncomfortable needle sticks (one stick on each side, for each vas deferens) and swelling that happens with the standard technique.
 
Our patient feedback is that this technique considerably reduces anxiety and most say the procedure is either virtually pain free or only slightly uncomfortable with a quick recovery usually within 48 hours.

No scalpel...
Traditionally a scalpel is used to make a 2-3cm incision on each side to access the vas. With a no scalpel technique, only a small 3mm micro puncture is made into the skin, through which he is able to do the procedure. Very often Dr Murray is able to access both tubes through the same puncture site leaving only 1 small wound allowing for a quick healing time.

No skin sutures...
Generally the small hole is sealed with special tissue glue which falls off after a few days so that there is no need to have any stitches removed later.

The advantages of this technique over a traditional vasectomy are:
  • Less pain
  • Less / no bruising
  • Quicker return to work
  • Quick procedure (usually 20 to 30 minutes)
  • No need for a day clinic stay 
  • Single day trip (no overnight stay)

What is a Vasectomy?
For couples in a stable relationship who have completed their family vasectomy takes away the concern of unplanned pregnancy. Using a modern 'no-scalpel' technique, the vasectomy is performed with minimal discomfort.

Vasectomy is one of the safest and most effective methods of permanent birth control. The procedure involves cutting the vas deferens (the tubes that carry sperm from the testicles), preventing sperm from being added into the man's ejaculation fluid (semen), and preventing an unplanned pregnancy.

It is important that both you and your partner have no reservations about having a permanent form of contraception. It is possible for a specialist to reverse the procedure however it is not always successful. Vasectomy should be considered permanent.

When planning for the operation, please allowed two days to recuperate afterward (longer if you have a strenuous manual job), and if possible, arrange for someone to drive you home afterward.

Advantages of Vasectomy

  • A one-time, relatively inexpensive cost
  • Specialised No-Scalpel technique
  • Quick recovery
  • More dependable than any other form of birth control
  • Less expensive and poses less of a medical risk than female sterilisation
  • Easier to reverse than female sterilisation (but should be considered permanent)
  • Eliminates risks to female partner of oral contraceptives or IUDs
  • Freedom from hassle and worry of contraception

How will vasectomy affect me?

Vasectomy only interrupts the tubes that carry sperm from the testes to where they are added to your semen. You penis and testes are not altered. All hormonal and sexual functions are unaffected, so your voice, body hair and interest in sex remain the same.

Your body still produces semen, and erections and ejaculation occur normally. The only difference is that your semen will no longer contain sperm. As before, the body naturally absorbs the unused sperm.

Is a vasectomy painful?

You may feel some discomfort when the local anaesthetic is given. After it takes effect, you should feel no pain, though some men may feel a slight tugging sensation as the vasa are manipulated. 

After surgery you may feel sore for a few days. Generally, two or three days of rest and recovery are enough before men return to work and most normal, non-strenuous physical activity.

Are there any risks to the procedure?

Any medical procedure, no matter how minor, carries some degree of risk. No-scalpel vasectomy is no different, though the risks are quite low and are lower than conventional vasectomy. 

Here are the complications that are possible (though very unlikely) to occur:
  • Bleeding or bruising (typically minor)
  • Infection
  • Vasectomy failure (very rare, but it is possible for sperm to cross the void between the two blocked ends of the vas deferens)
  • Sperm granuloma (a hard, pea-sized lump that results from sperm leaking from the cut end of the vas deferens - these are not harmful and typically disappear with time)
  • Congestion (a sense of pressure caused by sperm in the testes and epididymis which may cause some discomfort for some 2 to 12 weeks after vasectomy - like sperm granuloma, congestion resolves itself in time)
  • About 5:1000 cases may develop a long standing testicular pain and this is likely due to back pressure build up - some of these cases require surgery
Many studies have looked at the long term health effects of vasectomy. The evidence is reassuring, suggesting that no permanent risks exist. Men who have a vasectomy are no more likely than other men to develop cancer, heart disease or other health problems.

Pre-operative Requirements

Download New Patient Form
It is necessary to confirm your operation the day before your appointment, we will call you. If we miss you please make sure you return our call and confirm. If you fail to confirm, your operation may be cancelled for that day.

Please take the time to print and complete the New Patient forms (button above), and bring them in with you on the day of your procedure.  This will save you time when you present for your appointment.


Physically, you will need to completely shave the front of the scrotum across to the sides of the groin and up the underside of the penis. It is not necessary to shave the pubic hair above the penis. 

Please bring supportive underwear for after your procedure. You may eat and drink as normal both pre and post-op. 

Ensure you know the location of the Clinic. Keep in mind there is surgical paperwork to be completed on the day of your procedure, and we ask you to arrive 15 minutes before your scheduled appointment time. It may be helpful to contact the clinic 30 minutes prior to your procedure to see how theatre is running for time. That way we can advise if there are any delays to your procedure. 

Payment needs to be made before leaving the Practice.

We do require a $115 deposit at the time of booking which will be deducted off the total cost of the procedure.

Post-operative Information

Rest and do not shower for at least 24 hours. Wear supportive underwear (or even a pair of Speedos) until you are free of discomfort. Take pain relief as directed until the discomfort has settled.

You can start sexual activity when you feel able (usually about a week) but wait until you are completely discomfort free. (Note: You must use alternative contraception until a zero sperm count is returned from your submitted samples) .

Submit the first semen analysis after 20 - 25 ejaculates. Take the sample to any laboratory with the pathology form given by your surgeon. If the count is zero you may stop contraception.

If the first count is not zero, please continue using contraception. Submit another sample for semen analysis after 10 - 15 more ejaculates.

Always, do not hesitate to contact us if there are any concerns or queries.

Can a vasectomy be reversed?

In many cases, the cut ends of the vas deferens can be surgically reattached. However, this operation (called a vasovasostomy) is expensive and for a variety of reasons, does not guarantee a return to fertility. Vasectomy should therefore be considered a PERMANENT procedure. 

Before you choose to have a vasectomy, make quite sure that you and your partner do not want any more children. If you're thinking about a reversal now, perhaps you should take more time to decide whether vasectomy is right for you.

Procedure Timing

Dr Stephen Murray performs all surgical procedures on Tuesday and Thursday each week.

Generally, consultation and procedure are done on the same day unless requested by the patient. Your consultation and procedure should take no more than 45 minutes. However, you will need to stay a little longer for recovery prior to leaving the clinic.

Please note that our surgeon also performs complex skin cancer removals, which can at times require an extended amount of time once the lesion is uncovered (under the skin). It is because of this that we allow a 2 hour window for surgery.

If your Vasectomy is scheduled for 11am, we suggest to allow from 11am to 1pm for completion. Please do not 'squeeze' your procedure between other appointments if you are coming from out of town, as we cannot guarantee our surgical times.

Fee Structure

Vasectomy charges are as follows:
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