NHS Vasectomy

What is a Vasectomy?

The procedure is a non-scalpel mid-line vasectomy and is the least invasive 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 permanent contraception is desired
After 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?

The only method of male sterilisation is a vasectomy.

What is Happens During Surgery?

The appointment is between 30-45 minutes which includes a 10 minute consultation. The surgeon will inject local anaesthetic around the sperm tube to numb the area. One or two small incision(s) are made and the vans deferens are cauterised. The surgeon will be assisted by a Health Care Support Worker.

What to Expect Before and After Surgery

Before surgery:

Shave and wash as advised in the patient information leaflet.

After Surgery:

Rest for 24–48 hours
Wear supportive underwear
Avoid sexual activity and heavy lifting for 1 week and no sport for 2 weeks.
You must continue using contraception until a semen test confirms a successful procedure.

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?

Follow pre-procedure instructions sent in the patient information leaflet.

Medications: Inform your doctor about all medications and supplements you're taking.
Eat and drink as normal on the day of the procedure.
Transportation: Arrange for someone to drive you home post-surgery.

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 and is not available on the NHS. A vasectomy should be considered permanent family planning option.

Vasectomy Patient Leaflet

Information regarding the procedure can be found here