Vasectomy

What is a Vasectomy?

A vasectomy is a permanent method of contraception for men. It involves cutting and sealing the vas deferens, the tubes that carry sperm, to prevent sperm from entering the semen.

It does not affect libido, hormone levels, or ability to ejaculate.

When Should I Seek Treatment?

If you’re certain you do not want (more) children
If long-term or permanent contraception is desired
After careful counselling and discussion with your partner

What is the NHS Criteria for this procedure?
Vasectomy NO prior approval needed

The ICB will only fund a vasectomy under local anaesthetic where all the following criteria are met:

The patient understands that the sterilisation procedure is permanent and irreversible, and the reversal of sterilisation operation would not be routinely funded by the NHS

AND

The patient is certain that his family is complete

AND

The patient has sound mental capacity for making the decision as emotional instability or equivocal feelings about permanent sterilisation are contraindications to vasectomy

AND

The patient has received counselling about the availability of alternative, long-term and highly effective contraceptive methods and these are either contra-indicated or unacceptable to the patient

AND

The patient understands that sterilisation does not prevent or reduce the risk of sexually transmitted infections

Can It Be Treated Without Surgery?

Yes. Consider long-acting reversible contraception (LARC) such as the implant, coil for the female partner, or female sterilisation.

What is Happens During Surgery?

Performed under local anaesthetic in a one-stop appointment:

A small puncture or incision is made in the scrotum
The vas deferens are cut and sealed
The wound is closed without stitches or with one dissolvable suture

What to Expect Before and After Surgery

After Surgery:

Rest for 24–48 hours
Wear supportive underwear
Avoid sexual activity and heavy lifting for 1 week
You must continue using contraception until a semen test confirms no sperm (usually 16 weeks post-op)
We would arrange a semen test for you at 16 weeks after the procedure and you should wait for our communication which would confirm sterilisation. Sometimes it might require a further semen test beyond the first test before we give you the 'all clear'.

What Are the Risks?

Bruising or swelling
Infection
Sperm granuloma (small lump)
Failure (rare, <1 in 2,000 after confirmation of success)

How Do I Prepare?

Medical Evaluation: Ensure all preoperative assessments are completed.
Medications: Inform your doctor about all medications and supplements you're taking.
Fasting: Follow instructions regarding eating and drinking before surgery.
Transportation: Arrange for someone to drive you home post-surgery.
Home Preparation: Set up a comfortable recovery area with necessary supplies within easy reach.

Patients Asking a doctor Questions _edit

Frequently Asked Questions

Q: Will it affect my sex life?
A: No — it does not affect erections, ejaculation, or libido.

Q: Can it be reversed?
A: Technically yes, but reversal is not always successful. Consider it permanent.

Vasectomy Patient Leaflet

Information regarding the procedure can be found here