Scalpel-Free Vasectomy Consultations & Appointments at St Andrews Medical Centre

With over 35 years of experience, Dr Tom Conaghan performs quick, safe and reliable vasectomy procedures from St Andrews Medical Centre. 

With no referral required, Dr Conaghan uses the scalpel-free (or no-scalpel vasectomy technique using Li instruments to perform safe and effective vasectomies.

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Vasectomy Consultation

Before the vasectomy procedure, a consultation is required to discuss and explain any potential complications and to answer any questions. 

Dr Conaghan will examine the patient to ensure no anatomical abnormalities are present and a consent form and information sheet are provided.

If necessary, the consultation and procedure can be booked on the same day.

Vasectomy Recovery

Following the procedure, you can drive yourself home, unless you’ve opted for pre-operative sedation with Diazepam. Most normal activity can be resumed the following day but strenuous activity and intercourse should be avoided for 5-7 days.

Vasectomy for Contraception & Reversals

A vasectomy is a quick, safe procedure with a high level of reliability. With a failure rate of less than 1 per 10,000 cases, vasectomies have one of the lowest failure rates for all contraception methods. 

A vasectomy needs to be regarded as a permanent procedure. If a man decides to have further children after a vasectomy, reversal operations can be performed but the rate of successful pregnancies is low due to the development of Anti-sperm antibodies that appear after a vasectomy.

What is Involved in a Vasectomy Procedure

Vasectomies involve cutting each Vas Deferens so the sperm cannot reach the Seminal Vesicles. Sperm is still produced but is absorbed by the body. There is no change in the volume of the ejaculant and no effect on sexual function.

The operation involves an incision of less than 5mm under local anaesthetic in the upper front section of the Scrotum. A small section of the tube is removed and sent to the laboratory to confirm that the Vas Deferens has been cut. 

There is some internal stitching but no skin stitches because the incision is so small, so no stitches need subsequent removal. The procedure time is less than 20 minutes. 

The local anaesthetic to the skin will cause brief discomfort but works very quickly. During the procedure, there are only sensations of touch and pressure.


Potential Complications

The rate of complications is low (less than 4%)

Within the first few days, the main complications are:

  1. Bruising or Haematoma formation is rare but can be significant. It can be painful and may take weeks to disappear. Some degree of minor swelling is common but painless.
  2. Wound Infection can occur as with any operation.It is uncommon and easily treated.

Potential Longer-Term Complications

  1. Post Vasectomy Pain syndrome is a very rare and poorly understood condition when a man experiences ongoing discomfort some months after a Vasectomy.
    Thankfully most cases resolve after simple measures such as conventional analgesics.
  2. Sperm Granuloma/Cyst at the end of the tube where the Sperm exits.
    These are rare, usually small, and painless. Treatment is rarely necessary.
  3. Vasectomy Failure can be Primary(due to an operative failure so sterilisation is never achieved),or Secondary (When Sterilisation is proven on testing but at a later date live sperm  reappear because the tubes spontaneously rejoin or an alternative pathway develops). This happens in less than 1 in 1,000 cases.

FAQs

  1. Do vasectomies interfere with sexual function?
    Vasectomy does NOT interfere with sexual function and is not associated with an increased risk of Cancer of the Testis, Prostate, or other health risks.
  2. Is a follow up appointment necessary?
    A follow-up Semen test is needed 3 months after the operation to confirm that there are no Sperm coming through.
    This is required because there are already at least 20 ejaculations are stored in the seminal vesicles so the man is still fertile until these are cleared.
    Until that test is clear alternative contraception must be used.