Vasectomies

A true open-ended vasectomy should take at least 25 minutes to perform.

This procedure involves two tiny incisions to access the vas tubes. The tubes are then cut, and the testicular end is left opened and unsealed, with both ends of the tubes separated by layers of tissue within the scrotal sac by fine suturing. Sperm continues to be produced after the vasectomy so this fluid travels from the testicle up the vas deferens where it then flows out of the vas and into the tissues. The body reabsorbs this naturally. The testicular vas and the vas that leads to the prostate is reconstructed in a separate compartment to minimise the risk of failure.

As a result of this technique:

1. A Reduced incidence of Post Vasectomy Pain (congestion) Syndrome, sperm do not suddenly build up in the testicle so the development of an inflammatory cascade, blow out and scarring of the fine epididymal tubules is avoided.
   • Sperm flow is directed and absorbed under the skin rather than left to clog up the tubules.
   • An open-ended vasectomised patient is unlikely to be aware that they have had a vasectomy unlike the closed ended vasectomy patients that often experience some form of aching and tenderness.
2. Maximise potential of a successful future reversal if circumstances change.
   • The nature of this technique prevents the build-up of sperm and the associated congestion (post vasectomy pain syndrome), a lower rate of postoperative pain, and a better potential for a vasectomy reversal in the future.
3. Maintain normal function of the male reproductive organs.
4. Maximise success of sterility by using a carefully considered reconstructive procedure.
5. Preserve lymphatics, nerves and veins.

After your vasectomy surgery, you will be numb in that area for approximately 1-2 hours due to the local anaesthetic. We recommend applying cold packs to the area and rest for the remainder of the day.  You may prefer to wear tighter underwear for support.

Over the next few days, you may have minimal or no swelling or pain.  Panadol or Panadeine work well here. Keep away from anti-inflammatories – e.g. Nurofen for four (4) days after the procedure. We recommend taking at least 2 days off work to ensure a smooth recovery unless you have a desk job. After this time, you may return to work, however, you must avoid heavy lifting and strenuous activity for a week post-surgery. You will be able to resume sexual activity as soon as you feel comfortable to do so – usually around a week after surgery.

A vasectomy is partly covered by Medicare and the Medicare safety net may reimburse up to 85% of the procedure cost. The estimated Medicare rebate is $245.

It is important to note that sperm storage is not covered by Medicare, and this factor should be taken into consideration before undertaking this surgical procedure.

For patients who are technically difficult (experienced previous surgery or injury) or who want to be completely unaware of the procedure, twilight sedation is available in our purpose-built hospital in Miami, Gold Coast, offering private health rebates.

At Metrocentre, we use local anaesthetic. This means that most men can drive to and from the procedure. Many of our patients report that they experience little to no discomfort during and after the procedure.

If I am nervous or experience anxiety, can I receive additional anaesthesia?

In conjunction with local anaesthetic, we can additionally offer inhaled relaxant medication for men who are nervous about the procedure or more sensitive to pain. This can help you relax and feel more comfortable during the procedure. It is important to note that recovery time takes a little longer if this medication is used and you will not be able to drive for the rest of the day.

For patients who are technically difficult (experience previous surgery or injury) or who want to be completely unaware of the procedure, twilight sedation is available in our purpose-built hospital in Miami, Gold Coast, offering private health rebates.

If you are considering undertaking a vasectomy, at Metrocentre our highly experienced team are more than happy to consult with you directly, without a referral. 

We can even conduct our consultations & procedures within the same day!  We will send you all the information prior to your appointment, so you can understand all the information at hand.  A separate consultation is recommended for those who have not had children, are not sure about the procedure or have significant past medical or surgical histories that are relevant to the scrotum.

At Metrocentre we have performed many successful vasectomy reversal procedures.

Although we do still view a vasectomy as a permanent procedure, there are higher success rates for a reversal with an open-ended vasectomy.

You may also wish to organise the storage of sperm before having your vasectomy procedure. At Metrocentre we are happy to help you organise this. Please advise our team in advance.