Vasectomy FAQ’s

Your Questions Answered

Vasectomy Procedure –  What is it  – how does it work?

Vasectomy is the common name for male sterilisation – a permanent method of contraception. It is a simple surgical procedure that seals the sperm-carrying tubes (vas deferens) to prevent sperm from entering the fluid you ejaculate. The procedure just takes about 15–20 minutes. We use a No Scalpel technique to achieve this. There is a lower complication and infection rate using this method.

Vasectomy cost – How much is it?

The fee for vasectomy including all pre procedure counselling, and follow up semen analysis is €475 If there is anything at all that you are unsure about or that is worrying you, please do ask. Our vasectomy cost is very competitive and our doctors are very experienced.

Who chooses vasectomy?

Any man who decides that he definitely does not want to have any more children or any children at all. It is a permanent procedure, so you must be absolutely sure about your decision – you cannot change you mind afterwards. We therefore offer a consultation with counselling prior to the procedure taking place. It is possible to book the consultation and procedure on the same day or separately if you would like more time to consider. Ideally we like to see all patients prior to doing the procedure. We will not refuse anyone on the grounds of marital status, but do not generally perform vasectomy on men under 27 years old.

How will vasectomy affect my body?

Your testicles will continue to produce sperm, but after the vasectomy procedure this cannot enter the tubes and is simply reabsorbed into the body. Vasectomy does not affect the production of male hormones. Orgasm and ejaculation are also not affected. The only difference when you ejaculate is that there is no sperm in the fluid – it will look the same.

Will a vasectomy affect my sex life?

With no change to your hormones, ejaculation or orgasm, there is no reason why a vasectomy should have a negative impact on your sex life. In fact, many couples find vasectomy improves their sex life – enjoying greater sexual freedom once they no longer have the worry of an unintended pregnancy.

How effective is vasectomy?

Vasectomy is probably the most effective method of contraception that exists; the failure rate is less than 1%. The sperm-carrying tubes may join together again naturally, but this is rare. If this happens soon after the procedure, we will find out when we test for sperm. We will offer to repeat the vasectomy at no cost to ensure it is successful. Very occasionally, the tubes will rejoin years after the procedure. You will have no way of knowing if this has happened, but if your partner falls unexpectedly pregnant following your vasectomy, we will be able to offer advice and help.

How is a vasectomy performed?

A fast acting local anaesthetic is given before the procedure, which numbs the area. We cannot guarantee that you will feel no discomfort as each person reacts differently, but any discomfort can be relieved with pain-killers.

What are the risks of vasectomy?

Vasectomy is a very common and safe procedure and long-term complications are very rare. However you need to be aware that, as with any surgery there are risks involved. Infection The risk is small, but can be easily treated with antibiotics. Swelling/bruising It is common to experience a little swelling or bruising which can be relieved with painkillers and an ice pack. A small, pea-sized lump may develop around the wound and last for a while. This is your body’s natural reaction to the healing process and usually needs no special treatment. Book an appointment here Bleeding A small amount of bleeding is not uncommon. This may form a swelling called a haematoma, particularly if you have been undergoing physical activity. A haematoma can be painful but subsides over time. In rare cases further treatment may be indicated. Post-operative pain A very small number of men have been known to experience testicular pain for several years following a vasectomy.

There is no firm evidence linking vasectomy to cancer of the prostate or testicles. However we advise all men, whether or not they have had a vasectomy, to undergo regular health screening. It is also important to get into the habit of regularly checking your own testicles for lumps.
Are there any alternatives to vasectomy?

There are very few methods of contraception for men, either vasectomy or condoms. If you have doubts over whether or not you will want to have children in the future, you should choose another method instead of male or female sterilisation.

Does anyone need to know?

Only you can decide whether or not to have a vasectomy. You do not need your partner’s agreement and our service is confidential. However, if you are in a long-term relationship, we would always advise that you discuss such an important decision with your partner. We will not inform anyone, without permission.

Is my medical history important?

We need to know if you have had any previous surgery on your testicles or a hernia repair. Scar tissue from these procedures can make vasectomy a little more complicated. Please also tell us of any other significant conditions such as chest or heart problems or hepatitis. It should not affect your procedure, but it is important for your safety that we are aware of such problems. The doctor will examine you prior to the procedure and should he/she anticipate any problems, your procedure may be postponed to a later date.

Does the vasectomy work straight away?

No. Because there will be some sperm left in your tubes, you will still need to use another method of contraception for a few months until the tubes have cleared. We will ask you to provide sperm samples at 16 weeks after the procedure to check if there are sperm still present.  When you have given 1 sample that is free of sperm we will write and inform you that your vasectomy has been successful and that you can stop using contraception

Vasectomy Recovery – How much time will I need to take off?

It is a good idea to take things easy for a day or two. You might want a couple of days off work. If you have a very physical job we would advise you take a week off. We will be happy to give advice about your particular situation.

Vasectomy Recovery – When can I play sport again?

You should avoid going to the gym, cycling, playing very physical sports such as football, and rugby for a couple of weeks.

What to do on the day of the procedure

You MUST be accompanied to the procedure as you will not be able to drive yourself home Sedation will be offered to patients who are anxious about having the procedure done A shower or bath is recommended on the day of the procedure The testicles must be shaved to reduce the risk of infection (If you would prefer this can be undertaken at the surgery by the medical staff) Arrive 15 minutes before your booked appointment so that last minute queries can be addressed Please ensure that TIGHT fitting underwear is worn on the day of the procedure. This will reduce the risk of post vasectomy bleeding and discomfort. . Take 2 Neurofen (Ibuprofen 200mgs) one hour prior to your appointment time.