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 firstname.lastname@example.org, or text us at 613-214-7330 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 ($25)
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 ($25)
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.