Wear supportive underwear to support the scrotum.
You don’t need to starve because the operation is carried out under local anaesthetic. You may have a light meal.
Feel free to bring a personal music player which you may use during the procedure. We want you to feel as relaxed as possible.
When you arrive, our counsellor will take your registration details and give you the initial counselling. After further discussion with the doctor performing the procedure, you will be asked to sign a consent form. Feel free to ask any questions that you may have at any stage.
The operation will take about 30-40 minutes. We will keep you fully informed at all times.
We will provide you with a specimen jar for the semen analysis. We will also ask you to complete a questionnaire relating to the service you have received.
Once we are happy that you are well enough to leave, and when you feel ready, you will be discharged.
We would advise you to arrange someone to give you a lift home.
By the time you get home the anaesthetic will be wearing off and you may experience a mild ache or pain, possibly worse on one side. This is a normal reaction after the procedure and you can take pain killers like paracetamol.
Allow 24 hours for the wound to seal before having a shower and avoid having a bath for 2 days. It is best to avoid alcohol on the day of operation.
The next day you should feel quite well and be able to engage in some light domestic duties although you may continue to experience some discomfort.
After two days you may notice some discolouration of the scrotum due to bruising. This is normal and gets better in a week.
If you notice any increasing swelling or pain or you have any concerns you can contact us or your GP.
If your job is non-manual and involves light duties you can return to work within a day or two. If it is heavy, manual work it is better to wait for a week.
The decision as to when you return to work is yours - essentially whenever you feel ready to do so.
Usually within 7-10 days to allow for the soft tissue to heal and for you and your partner to feel comfortable.
It will take time to clear the sperm from rest of the vas. It may take up to 25 ejaculations to clear the sperm.
You should continue to use another form of contraception until you receive notice from us confirming that the procedure has been successful.
The sample needs to be sent 16 weeks after the operation. Stop having sex 3-4 days before collecting the semen sample in the specimen jar directly by masturbation.
Complete the form with the date and time of when the specimen was taken. Securely close the lid, place it in the envelope provided. Please post it on Monday or Tuesday morning so that it can reach the laboratory the next day.
We will write to you to confirm the result.
If there are non motile (dead) sperm in the specimen you will need to submit a further specimen at monthly intervals until there are no sperm or only a few non-motile (dead) sperm present.
If the specimen shows motile (live) sperm, due to the tube rejoining, you will need to have the vasectomy repeated.
If you fail to submit the semen specimen for analysis, we will not be able to confirm your sterility and you will therefore need to rely on an alternative form of contraception.
We like to know what our patients think of the service we are providing in order to be able to improve the service. To this end, we ask our patients to complete a questionnaire before being discharged.