Vasectomy

Vasectomy Clinic Gold Coast


Vasectomy - general information
Vasectomy is simple, safe and highly effective. It is performed at Chevron Advanced Medical by Dr Than Tun, who also performs circumcisions. Vasectomy does not affect a man's sexual drive, ability to have an erection or to ejaculate. The ejaculate will no longer contain sperm, but there will still be semen. It is generally preferable over surgical options for the woman, depending on your circumstances. Although there is a slight possibility that vasectomy can be reversed, please consider it as a permanent form of contraception. Discomfort following the procedure is often mild and easily relieved. Rest is advised for a few days and return to work is generally possible in a few days.


How to book:
You can book your no-scalpel vasectomy online with Dr Tun. There is no referral needed. Please make sure you have read the information below before booking.


Fees:
The fee is $700
(you will get a rebate of $270 from Medicare, resulting in an out of pocket expense of $430)


Before the procedure: preparing for your vasectomy
There are some simple things you can do to get ready before your appointment:

  1. Shave pubic hairs around the genital region, especially the area around the base of the penis. 
  2. Shower thoroughly and bring comfortable, supportive underwear. 
  3. Arrange for someone to drive you home. Whilst this is not a necessity, it is probably best for your comfort and safety. 
  4. If you are a new patient to the clinic, please arrive 5 minutes in advance to fill in a "new patient registration form" as well as a "consent form". 


During the procedure
Dr Tun performs a no-scalpel vasectomy. The procedure can last from 30 minutes to an hour. Here is what you can expect to happen during the procedure:

  1. Routine cleansing with antiseptic solution around the operation site. 
  2. Administration of local anaesthetic. This will sting as the anaesthetic penetrates the scrotal skin, which will then become numb quickly. 
  3. Sterile drapes will be placed over you to guard against infection. 
  4. A small puncture is made in the scrotum to create an opening. 
  5. Either the right or left vas deferens is lifted through this opening. You may feel a tugging sensation during this process. 
  6. The sheath around a section of the vas is removed. 
  7. The vas is then cut and a section of it is removed. 
  8. One end of the vas is tied shut outside the sheath. The other end of the vas is tied inside the sheath.
  9. The opposite vas deferens is then lifted through the scrotal opening and steps 5 to 8 are repeated.
  10. The puncture in the scrotum is so small that it heals by itself without the need for additional stitches. 


Afterwards: care following the vasectomy
The local anaesthetic will wear off after a couple of hours, after which you will start to feel some discomfort and pain. Do not take Aspirin as it may worsen bleeding. Here are a few tips to facilitate recovery time:

  1. Go directly home and rest. 
  2. Use pain killers. Panadol or Panadeine Forte is advised. Never use more than directed. 
  3. Keep your feet elevated. 
  4. Plan to stay off your feet as much as possible for 2 days and have a few beers. 
  5. Wear comfortable underwear/briefs that supports the scrotum (not boxers). 
  6. There is no need to apply ice to the area, unless the procedure was difficult. 
  7. If you have any concerns, book an appointment to see Dr Tun. 
  8. Your semen will be collected (usually at home) and sent for semen analysis 3 to 4 months following the vasectomy to ensure that no sperm remain. Until then, you will need to use some form of contraception (or abstinence) to prevent pregnancy. 


Risks and complications
Vasectomy is a low risk procedure comparable with other minor surgical operations. If you have any specific concerns or fears (either before or after the procedure), book an appointment to see Dr Tun. 


  • Allergic reaction - to local anaesthetic. Some men may experience itching and hives. If you are allergic to local anaesthetics, please inform the doctor. 
  • Bruising and bleeding - painless bleeding may occur following the vasectomy. This collects under the skin in the scrotum, which may appear bruised and swollen. As the scrotal skin is very thin, the bruising will appear worse than it actually is and is a normal reaction following a vasectomy. 
  • Infection - this is a general risk for all surgical procedures. To lower the risk, vasectomy is performed under sterile conditions in our treatment room. 
  • Postoperative pain - some degree of aches and pains in the scrotum is normal following a vasectomy. This discomfort should ease within 24 - 48 hours. 
  • Pregnancy - your partner may fall pregnant if you fail to abstain from sex without using alternate forms of birth control / contraception during the waiting period (usually 3 to 4 months) - until testing for live sperm is completed. 
  • Sperm granuloma - rarely, you may experience a dull ache in the testicle/s for an extended period of time following the vasectomy. If this condition occurs, it usually resolves by itself within 6 months without treatment.


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