Michael J. Sylvester MD MEd CCFP FCFP

Le Dr Sylvester a obtenu son diplôme de la faculté de médecine de l’Université d’Ottawa en 1993 et ​​de sa résidence en médecine familiale en 1995. Il a commencé à pratiquer la vasectomie sans scalpel dans le cadre de sa pratique à Marathon (Ontario) en 1998. Il a rejoint le département de médecine familiale de l’Université Queen’s ou il est devenu professeur adjoint, puis directeur du programme de médecine familiale de premier cycle. Il a continué la vasectomie sans scalpel dans le cadre de son enseignement.

Il a quitté son poste universitaire à l’Université Queen’s en 2014 afin de se concentrer sur ses pratiques de vasectomie et de psychothérapie.

Il est marié et a 3 enfants. Il a eu sa propre vasectomie sans scalpel, sans aiguille en 2003.

Kingston Vasectomy fait parti du Kingston Medical Centre à 725 Arlington Park Place à Kingston.

Pour arranger une consultation, demander à votre médecin de faxer une référence à 613.777.4999

Une fois que nous avons reçu votre référence, vous pouvez nous contacter pour un rendez-vous par courriel, texte ou messagerie vocale.

Courriel: kingston.vasectomy@gmail.com
Texte: 613.214.7330
Messagerie vocale: 613.546.1858 ext 118

Comment puis-je préparer?

  1. Raser le devant de votre scrotum – du bas de votre pénis à la partie la plus basse du sac. Un rasoir simple obtient les meilleurs résultats.
  2. Avoir ce qui suit à la maison :
  • Acétaminophène ou ibuprofène (aucune aspirine – vous pouvez saigner plus facilement)
  • Compresse froide*
  • Livres, films (pour vous garder sur le sofa)
  • Des sous-vêtements serrés ou un soutien athlétique* pour vous garder à l’aise lorsque vous commencez à marcher sur le sofa.

* Disponible à la clinique moyennant des frais.

Jour de l’opération – À la maison

  1. Prendre une dose adulte d’acétaminophène ou d’ibuprofène dès que vous arrivez à la maison, et répéter comme indiqué jusqu’à l’heure du coucher.
  2. Placez une compresse froide sur le devant de votre scrotum pendant 20 minutes et retirez-la pendant 20 minutes – jusqu’au coucher.
  3. Détendez-vous. Asseyez-vous ou étendez-vous. Lire, regarder la télé…

Jour 2 – 7

  • Analgésiques et compresses froides au besoin.
  • Si vous avez eu de la colle cutanée, vous pouvez prendre une douche – sinon, attendez 48 heures après l’opération.
  • Pas de bains ou de bains à remous pendant 7 jours.
  • Pas d’éjaculations pendant environ 7 jours.

Augmentez votre activité graduellement si vous n’avez pas de masses douloureuses ou de douleurs qui s’aggravent. Par exemple, marchez un peu le deuxième jour. Si vous vous sentez bien au 3e jour, essayez de marcher plus et de lever des objets légers. Continuez à augmenter votre activité quotidienne jusqu’à votre norme.

Il est fréquent d’avoir plus mal après une augmentation de l’activité physique. Des doses régulières d’anti-inflammatoires (ibuprofène ou naproxène) pendant quelques jours vous aideront.

Ne pas s’inquiéter

Le sang dans vos premières éjaculations est normal et disparaîtra. Les ecchymoses pourpres ne sont pas graves.

Suivi après la vasectomie

Après votre première semaine, éjaculez aussi souvent que vous pouvez le faire au cours des 3 prochains mois afin d’obtenir zéro lors de votre premier échantillon de laboratoire.

Faites rendezvous pour déposer votre échantillon chez Flowlabs en utilisant leur site web: Flowlabs.ca. Utilisez les instructions fournies et apportez l’échantillon et la demande à Flowlabs: 1473 John Counter Blvd., Suite 202.

Si vous n’habiter pas à Kingston, vous pouvez déposer votre échantillon à n’importe quel LifeLabs, et vous pouvez confirmer en les appelant à : 1-877-849-3637.

Appelez ou m’envoyer un message:

  • Si vous avez une masse douloureuse plus grande qu’une amande.
  • Si votre douleur augmente malgré le repos, la glace et l’ibuprofène ou le naproxène.
  • Si vous avez d’autres questions ou préoccupations.

Mon cellulaire : 613.888.1867

Deux tubes (canal déférent) de la taille d’un spaghetti transportent le sperme de vos testicules vers les vésicules séminales pour l’entreposage. Seulement 5 % de l’éjaculât sont des spermatozoïdes! Le reste est du fluide porteur produit dans la prostate et les vésicules séminales.

Comment se fait la vasectomie sans scalpel?

Je retrouve et retiens doucement votre canal sous la peau au milieu du scrotum. Ensuite, j’engourdis votre peau et votre canal avec une petite pompe qui pulvérise l’anesthésique à travers votre peau sans aiguille! Ensuite, je fais un petit trou dans la peau engourdie et je l’ouvre à environ 6 mm. Je retire le canal, je le coupe, je scelle l’extrémité supérieure à la chaleur et je l’enferme avec un clip en titane de 3 mm. L’extrémité inférieure du canal reste ouverte – de sorte que les nouveaux spermatozoïdes peuvent se drainer dans le scrotum où il est réabsorbé. Je replace les deux extrémités dans l’ouverture. Ensuite, je fais la même chose avec l’autre canal, à travers la même ouverture. L’ouverture unique dans votre peau se ferme très bien sans points de suture. Pour une somme modique, je peux appliquer une colle spéciale pour la peau, qui scelle l’ouverture et vous permet de prendre une douche immédiatement. Sinon, la plaie fermée est recouverte de gaze et devient imperméable pour une douche après deux jours.

Est-ce que ça fait mal?

La pompe de pulvérisation sans aiguille Madajet gèle instantanément votre peau et votre canal. Il sent comme le claquement d’un élastique sur votre peau. Une fois que vous êtes gelé, vous ne ressentez aucune douleur. La congélation dure environ une heure. La plupart des hommes ont des douleurs légères, qui s’installent dans 2-10 jours. Des sous-vêtements de soutien, une compresse froide et de l’acétaminophène ou de l’ibuprofène soulagent l’inconfort.

Quelle est l’efficacité de la prévention des grossesses?

C’est la meilleure méthode que nous connaissons. Après que le nombre de spermatozoïdes est rendu à zéro, environ seulement 1 couple sur 2 000 tombe enceinte.

Quels sont les complications possibles ?

  • Hématome (saignement) : moins de 1 sur 200.
  • Épididymite (infection) : rare.
  • Douleur chronique: très rare.

Qui ne devrait pas avoir une vasectomie?

Ne le faites pas s’il est possible que vous puissiez vouloir une grossesse plus tard. L’inversion et l’entreposage du sperme sont possibles, mais ils sont coûteux (non assurés) et peu fiables.

Quand puis-je retourner au travail / aux sports?

Cela dépend de l’activité. Je recommande que vous ne fassiez rien le jour de la procédure, puis augmentiez progressivement vos activités – un peu plus à chaque jour. Certains hommes ayant un travail de bureau sont de retour au travail le lendemain, les travailleurs manuels doivent prendre une semaine complète de congé.

Est-ce que la vasectomie fonctionnera tout de suite?

Non. Vous devrez attendre 3 mois avant de vérifier si vous avez un nombre de spermatozoïdes nul – seul le laboratoire peut dire à coup sûr! Je vais vous donner des fournitures d’analyse le jour de votre procédure. Utilisez une autre forme de contraception en attendant vos résultats sont rendus à zéro pour les spermatozoïdes.

Affectera-t-elle ma vie sexuelle?

Non. La plupart des hommes sont plus heureux de leur vie sexuelle parce qu’ils sont moins d’inquiets de la grossesse.

Les nerfs et les vaisseaux sanguins qui font vos érections n’ont rien à voir avec le canal. Il n’est pas possible que la procédure affecte vos érections. La testostérone (hormone mâle) produite par vos testicules n’a rien à voir avec le canal. Il n’est pas possible que la procédure affecte votre niveau de testostérone ou votre masculinité.

NO-SCALPEL NO-NEEDLE VASECTOMY

Two spaghetti-sized tubes called vas deferens carry sperm from your testicles to seminal vesicles for storage. Only 5% of what you ejaculate is sperm! The rest is semen: carrying fluid made in your prostate gland and seminal vesicles.

How is it done?

I gently locate and hold your vas just under the skin in the upper middle part of your scrotum. Then I numb your skin and your vas with a jet injector that sprays freezing liquid through your skin without a needle! Then I make a small hole in the numb skin and spread it open to about 6 mm. I pull the vas out, heat-seal the upper end, cut the vas, and lock it away under a 3mm titanium clip. The lower end of the vas stays open – so that new sperm can drain into the scrotum where it is reabsorbed. I drop both ends back through the opening. Then I follow the same steps with the other vas, through the same opening. Finally, I pinch the skin closed and cover it with gauze. The single opening in your skin closes very well without stitches. For a small fee, I can apply skin glue, which seals the opening and allows you to shower right away. Otherwise, the closed wound becomes waterproof for a shower after two days.

Does it hurt?

The Madajet No-Needle spray pump instantly freezes your skin and vas. It feels like the snap of an elastic band on your skin. Once you are frozen, you feel no pain. The freezing wears off after about one hour. Most men have some mild aching, which settles in 2-10 days. Supportive underwear, a cold pack, and acetaminophen or ibuprophen help with discomfort.

How effective is it at preventing pregnancy?

It’s the best method we know. After a post-vasectomy sperm count of zero, only about 1 in 2,000 couples get pregnant.

What are the possible complications?

Hematoma (bleeding): less than 1 in 200.

Epididymitis (infection): rare.

Chronic pain: very rare.

Who shouldn’t have a vasectomy?

Don’t do it if you can think of any reason you might want a pregnancy later on. Reversal and sperm storage are possible, but they are expensive (not insured) and unreliable.

When can I go back to work / sports?

That depends on the activity. I recommend that you do nothing on the day of the procedure. Then gradually increase your activity – a little more each day. Some men with desk jobs are back to work the next day, others need to take a full week off.

Will the vasectomy work right away?

No. You’ll need to wait at least 3 months before checking to see if you have a zero sperm count – only the lab can say for sure! I will give you testing supplies on the day of your procedure. Use other birth control until your test shows zero sperm.

Will it affect my sex life?

The nerves and blood vessels that make your erections have nothing to do with the vas. It is impossible for the procedure to affect your erections. The testosterone (male hormone) that your testicles produce has nothing to do with the vas. It is impossible for the procedure to affect your level of testosterone or your maleness. Most men are happier about their sex life after the procedure – and are less worried about contraception.

Vasectomy does not prevent sexually transmitted infections.

Do I need a referral?

Yes, the Ontario Health Insurance Plan (OHIP) requires a referral. Get your family doctor to fax a simple referral to me at 613-777-4999. If your family doctor is not available, you can get a walk-in clinic doctor to do the referral.

How soon can I get in?

Soon! I run clinics on Wednesdays and Fridays and I like to keep appointments available within 2-3 weeks. Email us at kingston.vasectomy@gmail.com, text us at 613-214-7330, or call the us at 613-546-1858 ext. 118,  to find a time that suits your schedule.

Does it cost anything?

Ontario’s provincial health plan covers the entire cost of the consultation and procedure. You can choose to pay for two additional options:

Skin Glue ($20)

I can apply medical cyanoacrylate glue at the end of the procedure to close the small opening instantly – making it waterproof and allowing you to have a shower right away. Without the glue, you simply have to keep the area dry for 2 days.

Athletic supporter + cool pack ($20)

This athletic supporter (Large, Medium, or Small) does a great job supporting your scrotum. The perfectly-sized gel pack is a great way to keep things cool.

Before

How do I prepare?

  1. Shave the whole front of your scrotum - from the base of your penis to the bottom of the sack. Electric shavers can be dangerous! A simple razor works best.
  2. Have the following ready at home:
  • Acetaminophen 500mg or Ibuprofen 400mg (No Aspirin)
  • Cold pack*
  • Books, movies (to keep you on the couch)
  • Snug underwear or an athletic support* to keep you comfortable when you start to walk around.

* Available at the clinic for a fee.

After

Right after the procedure (Day 1)

  1. Take an adult dose of acetaminophen or ibuprofen as soon as you get home, and repeat as directed until bedtime.
  2. Place a cold pack on the front of your scrotum - alternating 20 minutes on, 20 minutes off – until bedtime.
  3. Relax. Sit or lie down. Read, watch TV...

Day 2 - 7

Starting on day 2, the acetaminophen or ibuprofen and ice become optional. Use them as you feel you need them. Increase your activity gradually - as long as you have no worsening aches. For instance, walk around a bit on day 2. If you still feel fine on day 3, try more walking and some light lifting. Continue to increase your activity daily until you are back to normal. It is common to have more aching after you increase your activity. Regular doses of ibuprofen or naproxen for a few days will help.

  • Remove the gauze on day 2.
  • If you’ve had skin glue you can shower anytime – if not, wait 48 hours after the procedure.
  • No hot tubs or baths for 7 days.
  • No ejaculations for about 7 days.

Not to worry

Sometimes there is blood in your first ejaculations. This is normal and will go away. You may have a painless purple skin bruise near the procedure site from small blood vessels in the skin. These can stay small, or can spread over the whole scrotum. This is not serious and will fade over time. The glue that dries on the skin will flake and fall off within days. This is normal - leave it alone.

Testing after vasectomy

Wait about 7 days for your first ejaculation. After that, ejaculate as often as you can manage over the next 3 months in order to get to zero for your first lab sample.

Once your three months have passed, book a drop-off appointment online at Flowlabs.ca
Use the instructions on your requisition, and bring the sample and requisition to Flowlabs Kingston:

1473 John Counter Blvd., Suite 202.

If you live outside of Kingston, you can use the same requisition at any Lifelabs. Check www.lifelabs.com or call them at 1-877-849-3637 to find a lab near you.

Call or text me

  • If you feel a lump larger than an almond that is really sore.
  • If your pain is increasing in spite of rest, ice, and ibuprofen.
  • If you have any other questions or concerns.

Mobile 613-888-1867 (leave a message if I don't pick up)

NO-SCALPEL NO-NEEDLE VASECTOMY

Two spaghetti-sized tubes called vas deferens carry sperm from your testicles to seminal vesicles for storage. Only 5% of what you ejaculate is sperm! The rest is semen: carrying fluid made in your prostate gland and seminal vesicles.

How is it done?

I gently locate and hold your vas just under the skin in the upper middle part of your scrotum. Then I numb your skin and your vas with a jet injector that sprays freezing liquid through your skin without a needle! Then I make a small hole in the numb skin and spread it open to about 6 mm. I pull the vas out, heat-seal the upper end, cut the vas, and lock it away under a 3mm titanium clip. The lower end of the vas stays open – so that new sperm can drain into the scrotum where it is reabsorbed. I drop both ends back through the opening. Then I follow the same steps with the other vas, through the same opening. Finally, I pinch the skin closed and cover it with gauze. The single opening in your skin closes very well without stitches. For a small fee, I can apply skin glue, which seals the opening and allows you to shower right away. Otherwise, the closed wound becomes waterproof for a shower after two days.

Does it hurt?

The Madajet No-Needle spray pump instantly freezes your skin and vas. It feels like the snap of an elastic band on your skin. Once you are frozen, you feel no pain. The freezing wears off after about one hour. Most men have some mild aching, which settles in 2-10 days. Supportive underwear, a cold pack, and acetaminophen or ibuprophen help with discomfort.

How effective is it at preventing pregnancy?

It’s the best method we know. After a post-vasectomy sperm count of zero, only about 1 in 2,000 couples get pregnant.

What are the possible complications?

Hematoma (bleeding): less than 1 in 200.

Epididymitis (infection): rare.

Chronic pain: very rare.

Who shouldn’t have a vasectomy?

Don’t do it if you can think of any reason you might want a pregnancy later on. Reversal and sperm storage are possible, but they are expensive (not insured) and unreliable.

When can I go back to work / sports?

That depends on the activity. I recommend that you do nothing on the day of the procedure. Then gradually increase your activity – a little more each day. Some men with desk jobs are back to work the next day, others need to take a full week off.

Will the vasectomy work right away?

No. You’ll need to wait at least 3 months before checking to see if you have a zero sperm count – only the lab can say for sure! I will give you testing supplies on the day of your procedure. Use other birth control until your test shows zero sperm.

Will it affect my sex life?

The nerves and blood vessels that make your erections have nothing to do with the vas. It is impossible for the procedure to affect your erections. The testosterone (male hormone) that your testicles produce has nothing to do with the vas. It is impossible for the procedure to affect your level of testosterone or your maleness. Most men are happier about their sex life after the procedure – and are less worried about contraception.

Vasectomy does not prevent sexually transmitted infections.

Do I need a referral?

Yes, the Ontario Health Insurance Plan (OHIP) requires a referral. Get your family doctor to fax a simple referral to me at 613-777-4999. If your family doctor is not available, you can get a walk-in clinic doctor to do the referral.

How soon can I get in?

Soon! I run clinics on Wednesdays and Fridays and I like to keep appointments available within 2-3 weeks. Email us at kingston.vasectomy@gmail.com, text us at 613-214-7330, or call the us at 613-546-1858 ext. 118,  to find a time that suits your schedule.

Does it cost anything?

Ontario’s provincial health plan covers the entire cost of the consultation and procedure. You can choose to pay for two additional options:

Skin Glue ($20)

I can apply medical cyanoacrylate glue at the end of the procedure to close the small opening instantly – making it waterproof and allowing you to have a shower right away. Without the glue, you simply have to keep the area dry for 2 days.

 

Athletic supporter + cool pack ($20)


 

This athletic supporter (Large, Medium, or Small) does a great job supporting your scrotum. The perfectly-sized gel pack is a great way to keep things cool.

 

Michael J. Sylvester MD MEd CCFP FCFP

Dr. Sylvester graduated from the University of Ottawa Medical School in 1993 and from Family Medicine Residency in 1995. He started performing No-Scalpel vasectomies as part of his practice in Marathon, Ontario 1998. He joined Queen’s University Department of Family Medicine in 2000 where he became Assistant Professor, and later, Director of the Undergraduate Family Medicine Program. He continued No-Scalpel vasectomy as part of his teaching practice.

He left his academic position at Queen’s University in 2014 in order to concentrate on his vasectomy and psychotherapy practices.

He is married and has 3 children. He had his own No-Scalpel, No Needle vasectomy in 2003.

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Kingston Vasectomy Clinic is part of the Kingston Medical Centre at 725 Arlington Park Place in Kingston.

For a consultation, have your doctor fax a referral to: 613.777.4999
Once we have received your referral, you can contact us for an appointment by email, text, or voice mail.

email: kingston.vasectomy@gmail.com
Text Message: 613.214.7330
Voice mail: 613.546.1858 ext 118

 

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NO-SCALPEL NO-NEEDLE VASECTOMY

Two spaghetti-sized tubes called vas deferens carry sperm from your testicles to seminal vesicles for storage. Only 5% of what you ejaculate is sperm! The rest is semen: carrying fluid made in your prostate gland and seminal vesicles.

How is it done?

I gently locate and hold your vas just under the skin in the upper middle part of your scrotum. Then I numb your skin and your vas with a jet injector that sprays freezing liquid through your skin without a needle! Then I make a small hole in the numb skin and spread it open to about 6 mm. I pull the vas out, heat-seal the upper end, cut the vas, and lock it away under a 3mm titanium clip. The lower end of the vas stays open – so that new sperm can drain into the scrotum where it is reabsorbed. I drop both ends back through the opening. Then I follow the same steps with the other vas, through the same opening. Finally, I pinch the skin closed and cover it with gauze. The single opening in your skin closes very well without stitches. For a small fee, I can apply skin glue, which seals the opening and allows you to shower right away. Otherwise, the closed wound becomes waterproof for a shower after two days.

Does it hurt?

The Madajet No-Needle spray pump instantly freezes your skin and vas. It feels like the snap of an elastic band on your skin. Once you are frozen, you feel no pain. The freezing wears off after about one hour. Most men have some mild aching, which settles in 2-10 days. Supportive underwear, a cold pack, and acetaminophen or ibuprophen help with discomfort.

How effective is it at preventing pregnancy?

It’s the best method we know. After a post-vasectomy sperm count of zero, only about 1 in 2,000 couples get pregnant.

What are the possible complications?

Hematoma (bleeding): less than 1 in 200.

Epididymitis (infection): rare.

Chronic pain: very rare.

Who shouldn’t have a vasectomy?

Don’t do it if you can think of any reason you might want a pregnancy later on. Reversal and sperm storage are possible, but they are expensive (not insured) and unreliable.

When can I go back to work / sports?

That depends on the activity. I recommend that you do nothing on the day of the procedure. Then gradually increase your activity – a little more each day. Some men with desk jobs are back to work the next day, others need to take a full week off.

Will the vasectomy work right away?

No. You’ll need to wait at least 3 months before checking to see if you have a zero sperm count – only the lab can say for sure! I will give you testing supplies on the day of your procedure. Use other birth control until your test shows zero sperm.

Will it affect my sex life?

The nerves and blood vessels that make your erections have nothing to do with the vas. It is impossible for the procedure to affect your erections. The testosterone (male hormone) that your testicles produce has nothing to do with the vas. It is impossible for the procedure to affect your level of testosterone or your maleness. Most men are happier about their sex life after the procedure – and are less worried about contraception.

Vasectomy does not prevent sexually transmitted infections.

Do I need a referral?

Yes, the Ontario Health Insurance Plan (OHIP) requires a referral. Get your family doctor to fax a simple referral to me at 613-777-4999. If your family doctor is not available, you can get a walk-in clinic doctor to do the referral.

How soon can I get in?

Soon! I run clinics on Wednesdays and Fridays and I like to keep appointments available within 2-3 weeks. Email us at kingston.vasectomy@gmail.com, text us at 613-214-7330, or call the us at 613-546-1858 ext. 118,  to find a time that suits your schedule.

Does it cost anything?

Ontario’s provincial health plan covers the entire cost of the consultation and procedure. You can choose to pay for two additional options:

Skin Glue ($20)

I can apply medical cyanoacrylate glue at the end of the procedure to close the small opening instantly – making it waterproof and allowing you to have a shower right away. Without the glue, you simply have to keep the area dry for 2 days.

Athletic supporter + cool pack ($20)

This athletic supporter (Large, Medium, or Small) does a great job supporting your scrotum. The perfectly-sized gel pack is a great way to keep things cool.