A vasectomy is a big decision; however, you do not need to worry once
the decision is made as the procedure is simple with a quick recovery.
Here, we explain what to expect on the day of your vasectomy:
1. Pre-Vasectomy Consultation
Before your vasectomy procedure, Dr Cashion will conduct a consultation to:
- Confirm your decision to have a vasectomy causing permanent sterilisation
- Observe your medical history
- Confirm no medication use such as aspirin or warfarin that would require vasectomy postponement
- Review our consent form to ensure you understand the risks and potential complications of a vasectomy procedure.
- Conduct a brief vas deferens examination
Please contact the centre if you require free phone consultation with Dr Cashion before booking a vasectomy.
2. The Vasectomy Procedure
After your consultation, a nurse assisting Dr Cashion will be waiting for your arrival in the procedure room. Here:
- Remove your pants and underwear and wait on a bed with a sheet while final vasectomy preparations are performed
- Scrotum cleaning and preparation with betadine to reduce infection chances
- A small and pain-free needle with a local anaesthetic will be used to numb the skin of the scrotum. Most men do not notice the injection.
- A tiny incision into the front of the scrotum will be made
- A small and pain-free needle with a local anaesthetic will be injected into each side of the scrotum near the vas deferens, causing a few seconds of discomfort.
- The left vas deferens is withdrawn from the scrotum, and the outer lying tissue is removed.
- A hyfrecator is used to cut the vas deferens in half, and the end closest to the penis, known as the prostatic end, is blocked off.
- A tissue layer is placed on both the prostatic and testicular ends of the vas to prevent re-connection, known as fascial interposition.
- The testicular end is cut with scissors, left open, and the end returns to the scrotum.
- This process is repeated with the right vas.
- The small incision on the front of the scrotum is closed with steri-strips.
- The vasectomy is complete, and you are free to go.
You will receive post-operative instructions, including Dr Cashion’s contact details should you have any issues, and a pathology request form for a post-vasectomy semen analysis.
On the morning of your procedure, shave your scrotum with a razor as per the picture.
If you have a physical job, you must pre-plan time off work or arrange light duties that prevent heavy lifting for seven days following your procedure.
You will be asked to read and sign our electronic consent form in advance of your procedure, which will be sent to you via SMS to your mobile phone 3 days before your scheduled procedure.
|Less Medicare Rebate||$200|
|Out of Pocket Cost||$550|
A $100 deposit is required to secure an appointment, while the balance is due on the day of the procedure. Once paid in full, you will be provided with a receipt that can be used to claim a Medicare rebate.
A vasectomy is a simple procedure where the vas deferens (vas) the is cut to cause sterilisation in a male. The vas is a tube that carries sperm from the testicles where it is made to the penis. On the way sperm is joined by semen so your ejaculate contains both sperm and semen. Sperm makes up a very small percentage (less than 5%). Because we are only stopping sperm being made most men will not notice any change in the volume of their ejaculate after a vasectomy.
A vasectomy takes between 15-20 minutes, depending on the procedure.
There are two ways to categorise a vasectomy procedure.
Traditional or No-Scalpel
The traditional way to perform a vasectomy uses a scalpel to make an incision on each side of the scrotum, giving access to the vas.
The no-scalpel technique only involves one access hole via blunt dissection to access the vas from both sides. The no-scalper method has less chance of complications like bruising and bleeding and offers a quicker recovery time.
Open-ended or Close-ended
Open-ended vasectomy leaves the vas attached to the testis open to allow sperm release into the scrotum. The open-ended method reduces congestion and pressure, using a kinked hose on a running tap as a metaphor.
Close-ended vasectomy clamps the testicular end of the vas with a clip or suture.
Yes, it is safe to drive home after a vasectomy.
We only offer local anaesthetic for our vasectomy procedure. A Urologist can give a referral if you prefer sedation or general anaesthetic options.
Yes, you can reverse a vasectomy; however, the process is costly and not covered by medicare. If you ask this question, you may need more time before deciding on permanent contraception via vasectomy.
All surgical procedures have some sort of risk, yet we do all we can to reduce the rate of complications. We believe our patients should be aware of all risks, and we have outlined potential complications in your consent form.
After a vasectomy, there are some symptoms which include:
- Bruising in the days following your vasectomy, but it should fade after a week or so.
- Mild pain and swelling that should settle within a few days post vasectomy.
Less common complications include:
Scrotal haematoma – A large bruise within the scrotum.
*The chances of scrotal haematoma can be significantly reduced by following recovery instructions regarding lifting heavy objects in the days following the vasectomy. If your job requires manual handling, we suggest taking time off work or performing light duties only.
Infection – We adhere to strict infection control protocols to reduce infection chances. If an infection occurs, they are often mild and can be treated with oral antibiotics.
Post-Vasectomy Pain Syndrome (PVPS) – PVPS is a complication that can arise any time post-vasectomy and with no agreed cause. Pain often reduces naturally, but in rare cases, a specialist may need to perform additional surgery or a vasectomy reversal to resolve PVPS, which is not always successful.
A vasectomy procedure does not mean sterilisation. You must consider yourself fertile until you are informed the vasectomy was a success and a semen analysis is performed. The semen analysis is performed approximately three months post-vasectomy to ensure all residual semen has cleared and your ‘pipes are clean.’
It depends on if your job involves heavy lifting. If not, you can return immediately; however, if it does, you may need to take some time off or request light duties for the first week. A medical certificate can be written if required.
Generally, you can resume sexual activity after a week, but you must consider yourself fertile until notified otherwise.
A GP referral is not necessary.
Some men recover quite quickly from vasectomy while others may take up to 2 weeks. The average time to feeling back to normal is about 7 days.
Technically, “Laser” vasectomy does not exist. Some Vasectomists use a hyfrecator to cut the vas, which may confuse people; however, it is not “laser vasectomy.