VASECTOMY
Vasectomy is a popular choice of contraception for men who have completed their families and want a safe and reliable form of contraceptive that does not involve condoms for them or hormones for their partners.
I have been performing vasectomies in a general practice setting since 2011. My patients have found it accessible, cost-effective, convenient and non-scary. There are no impersonal hospital waiting rooms and cold corridors, just friendly and professional staff who will make you feel comfortable and make the process as stress-free as possible.
While the idea of a vasectomy may be scary, the reality is a quick procedure with minimal discomfort and down-time. I perform a scalpel- free vasectomy with only a single small hole in the skin of the scrotum. You'll be in and out in an hour. You even get to choose the music we listen to! There are no stitches to remove and there is no need for a follow up visit.
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What happens in a vasectomy?A vasectomy is a simple day-procedure which closes off the small sperm-carrying tubes (vas deferens) located in the scrotum. It is performed under local anaesthetic (yes, it's an injection) in our procedure room at our clinic, Paddington Medical Centre. The procedure takes about half an hour. Once the area is numb, a small hole - about half a cm, is made in the centre of the scrotum and each tube is identified, divided and tied off. The small hole is closed with special glue and heals naturally and becomes almost invisible. There are no stitches and no need for any follow up appointments.
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Will I be awake and can I be sedated?You will be awake. Remember that a vasectomy is a very small operation and does not justify the risks of a general anaesthetic. However, you can be sedated if you prefer. If you would like a vasectomy but the idea of it makes you anxious, please let Dr Levy know at your initial meeting and he can provide you with a prescription tablet to take beforehand which will help you to relax. You can also use numbing cream to make the injection hardly felt at all. Music is played during the procedure. If you'd prefer to listen to your own headphones, that's OK too.
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Does a vasectomy hurt?There is an initial injection of local anaesthetic that stings for about 20 seconds. If you use numbing cream you will hardly feel this. After the initial initial injection you will not feel any pain during the operation. The local anaesthetic wears off after about an hour and then ordinary painkillers like paracetamol or ibuprofen will manage any discomfort. We recommend an ice pack (frozen peas are great) to reduce the risk of bruising. After the vasectomy, we also recommend you take it easy and have a day or two off work, or more if your work is very physical. Supportive underwear can improve comfort. It is recommended to avoid heavy lifting or sporting activities for a week.
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Will a vasectomy affect my sex life?No, not at all. A vasectomy has no effect on libido, sex drive, erections or enjoyment. After having a vasectomy, you will still climax and ejaculate as before. Sperm contribute a very small proportion of the volume of ejaculation, and you will not notice any difference. Sperm that continues to be produced will be re-absorbed by the body as they would be normally if you did not ejaculate for some time. You can start having sex again as soon as you feel comfortable - usually about a week.
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How will I know the vasectomy has worked?There is a small risk of failure of vasectomy - <0.5% You will need to submit a semen sample for testing to confirm that it's all okay. Sperm are present in the tubes at the time of vasectomy and so you will need to get rid of any sperm that were "down stream" before the procedure is considered complete. I recommend 15 ejaculations over a three month period after the vasectomy. After three months you will need to submit a semen sample to ensure your semen is sperm-free.
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Can a vasectomy be undone?A vasectomy can successfully be reversed by expert surgeons in the first three years or so after the procedure. The chances of successful reversal fall quite sharply after that 2-3 years. Vasectomy should be considered a permanent form of contraception.
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What is the cost of a vasectomy?The cost of vasectomy is $730. There is a Medicare rebate of $222.65 The Out of pocket cost is $507.35