The total cost of a vasectomy is €500. This is the total inclusive cost including the semen analysis.
Most men say the procedure is “pretty much painless”, once the anaesthetic has worked what you feel is movement, not pain. Afterwards most men describe a 2 or 3 out of 10 in terms of discomfort that is easily managed with ibuprofen and most are fully recovered in 3-5 days after the vasectomy. Obviously individual recoveries vary and some men will describe longer and shorter recovery times.
Almost, it’s more than 99.9% effective. However, you still have a small chance of a pregnancy after having a successful vasectomy. This is as good as it gets though as no other form of contraception is as effective as a vasectomy, including coils and tubal ligation and a vasectomy is the only method of contraception for men, except using condoms which are not very effective. Condoms have a failure rate of 3/100 at best, the pill has a failure rate of 1/100 at best while the coil and tubal ligation have failure rates of 1/1000. This leaves vasectomy as the most effective form of contraception available today with a failure rate of approx. 1/1500 to 1/2000.
The vasectomy takes approximately 15 minutes or less to do. You are at the clinic for 30-40 minutes as we do the consultation before the vasectomy and give time to explain everything involved and answer any questions you may have about the vasectomy.
Any vasectomy may be potentially reversed. Reversals don’t always work though so you should treat a vasectomy as permanent. Reversals may be 90% effective if done within the first 3-4 years after a vasectomy.
No, there is no association between a vasectomy and loss of libido/sexual dysfunction. You continue to produce testosterone, the male sex hormone, as before. Psychological issues after a vasectomy are uncommon but they may impact your libido. Some men report a more enjoyable sex life following vasectomy as they are less likely to cause a pregnancy.
Your body will continue to produce sperm after having a vasectomy. After a vasectomy your body will reabsorb sperm. This happens by a process of inflammation that most men are never aware of. 5% experience some inflammations symptoms in the early months and normally a course of ibuprofen treats it successfully.
It’s essentially “keyhole surgery” for your vasectomy. With a no-scalpel vasectomy we make a small opening, 5-8mm in length, on the front of the scrotum. This is typically healed in 1-2 days without the need for stitches. It is a less invasive way of accessing the vas deferens giving a quicker recovery and lower complication rates.
No-scalpel vasectomy was invented in the late 1970’s in China and started to become popular in the USA in the early 1990’s. It is currently the recommended gold standard for Vasectomy as recommended by the American Urology Association. It is the most minimally invasive way of performing a vasectomy.
With a traditional vasectomy a quarter inch cut is normally made on each side of the scrotum and some experienced scalpel vasectomists may only make one incision in the middle of your scrotum. A no-scalpel vasectomy is done be creating a small cut/tear measuring 5-8mm in length on the front of the scrotum. This doesn’t require stitches and is will offer a much quicker recovery.
An open-ended vasectomy is one where the tubes coming out of the testicle are left open rather than sealing it shut or clipping it. This keeps pressure off the testicles as they continue to make sperm. Several studies have suggested that this will minimise the risk of future pain developing as a result of “back pressure”. Open ended vasectomies are nothing new and have been in practice for quite some time.
We use a spray applicator to deliver the anaesthetic in to the vas deferens and skin. This means we do not have to use a needle and it is significantly much more comfortable than a needle being inserted in your scrotum. It also numbs the area much quicker and less anaesthetic is needed.
A common myth exists about laser vasectomy. It would be great if it existed but it doesn’t. Lasers cannot pass through skin without burning it, so to do a “laser vasectomy” we would still have to make an opening on the front of your scrotum to access the tubes and using a laser to burn your tubes would be no more effective than using cautery and stitches/clips.
Best advice here is no sports for 1 week. You may feel like you can return to sport earlier, we have seen men go mountain biking the next day with no problem (although not recommended) and marathons completed a week after the vasectomy, but plan to give it 1 week. You may delay your recovery for longer by returning to sports too soon.
You can resume sexual activity after 2-3 days once it’s not causing you any discomfort or tenderness.
What we advise is to choose a day that suits you for work. If it is office work you can return the same day but ideally the next day. If your work is physical then we recommended taking for 2-3 days off.
You must do a semen sample to prove the vasectomy is effective. This can be done after 12 weeks and you should have ejaculated at least 25 times between the vasectomy and when you do the sample. The vasectomy may be effective before that time but the current recommendations are to allow 12 weeks before the sample is checked. One sample is normally sufficient and it is sent to our lab partners in the Rotunda hospital by post. If no sperm are present or small numbers of dead/non-motile sperm are present then the vasectomy is effective. Approximately 1-2% of men will need to do a fresh sample to prove that any persisting sperm are dead sperm.
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