No-scalpel vasectomy*

The no-scalpel vasectomy is a modern alternative to the more traditional surgical vasectomy.

 

A vasectomy is the safest method of permanent birth control. We now offer a modern no-scalpel technique that is safe, effective and affordable. All procedures are performed by Dr Geoff Cashion, a highly experienced vasectomy specialist, who is available monthly at our Cairns and Rockhampton clinics.

More information

The no-scalpel vasectomy is a superior approach to the more traditional surgical vasectomy. Avoiding the use of any needles, the skin is first numbed using a special anaesthetic spray. Next, a very small single pin-point opening is made in the midline of the scrotum. Through this a pair of small grasping forceps is passed to reach each vas deferens. Each vas is then cut and cauterized, which essentially welds each end closed. The tiny skin opening is mostly left open to close spontaneously within 1-2 days.

Vasectomy is not immediately effective because there are still sperm "downstream" in the vas deferens. It takes a number of ejaculations over a period of at least 12 weeks to fully eliminate the sperm. Until samples demonstrate no remaining sperm, another form of birth control must be used and continued to prevent pregnancy. Vasectomies are almost 100 percent effective but there is a failure rate of about 1 in 2000 patients.

Preparing for your vasectomy

Please visit Dr Cashion’s website for a full list of instructions: www.vasectomyaustralia.com.au/preparation

*Content is taken directly from Dr Cashion’s website: www.vasectomyaustralia.com.au

FAQ

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What is a vasectomy?

A vasectomy is a simple procedure where the vas deferens (vas) the is cut to cause sterilisation in a male. The vas is a tube that carries sperm from the testicles, where it is made, to the penis. On the way, sperm is joined by semen so your ejaculate contains both sperm and semen. Sperm makes up a very small percentage (less than 5%). Because we are only stopping sperm being made, most men will not notice any change in the volume of their ejaculate after a vasectomy.

How long does the procedure take?

Most will take about 15-20 minutes.

What are the types of vasectomy?

There are a couple of ways to categorise the procedure methods: 1. Traditional Vs No-Scalpel The traditional method involves using a scalpel to make an incision on each side of the scrotum to access the vas. The No-scalpel method uses blunt dissection and usually only involves one hole being made through which the vas from both sides is accessed. The no-scalpel technique results in lower complication rates such as bruising and bleeding. 2. Open-ended Vs Closed-ended The open ended technique means that the end of the vas attached to the testicle is left open. Why does this matter? Well after a vasectomy the testicle is going to continue to make sperm and this sperm needs to go somewhere. By allowing it to be released into the scrotum we reduce the incidence of “congestion” or the feeling of pressure from sperm backing up (think of a kinked hose with the tap running). The closed-ended technique means the testicular end of the vas is clamped with a suture or a clip.

Can I drive home after my vasectomy?

Yes.

Is there any special preparation I need to do for my vasectomy?

Yes. Please read Preparing for your vasectomy above.

Can I get my vasectomy reversed?

If you are asking yourself this question, you should really think twice about getting a vasectomy. Yes, vasectomies can be reversed. But you should consider this procedure as permanent contraception. Reversals are not 100%, very expensive (north of $5000) and are not covered by Medicare.

What are the risks of having a vasectomy?

We do everything we can to reduce the rate of complications but all surgical procedures have risks you should be aware of. A full list of potential complications are outlined fully in your consent form. After your vasectomy most men will notice some level of: · Bruising: You may notice some bruising in the days after your vasectomy but this will usually disappear after about a week. · Mild pain and swelling: This commonly settles a few days after your procedure. Rare complications include: A scrotal haematoma: This is a large bruise within the scrotum. You can reduce your chance of getting a haematoma greatly by following our instructions regarding lifting heavy objects in the days after the procedure. If you work in a job that requires heavy lifting make sure you get some time off work or ask for light duties Infection: We try to reduce the chance of you getting an infection by adhering to strict infection control protocol. Most infections are mild and can be treated with oral antibiotics. Very Rare complication Post Vasectomy Pain Syndrome (PVPS): This is a rare but serious complication that can occur any time after a vasectomy. There is little agreement on what causes PVPS. In most cases pain will resolve eventually but in rare cases specialist review and even additional surgery or reversal may be required to resolve the problem.

When will I know the procedure has worked?

The procedure does not work immediately and you must consider yourself fertile until we tell you the vasectomy was a success. We request you do a semen analysis at 3 months to confirm you are sterile. This will give you plenty of time to "clean out the pipes"!

When I can go back to work?

It’s really important not to lift anything too heavy for the first week. If your job doesn't involved much heavy lifting you can often go straight back to work, but if you are in a job with a lot of lifting you may wish to take some time off or request light duties. Dr Cashion can provide a medical certificate if you want to stay home.

When can I start having sex again?

Most men can resume sexual activity after about one week.

Do I need a referral from my GP?

No. You can book directly through each of True’s clinics (see our https://www.true.org.au/Contact/our-locations>locations for more details).

How many days does it take to recover?

Some men recover quite quickly from vasectomy while others may take up to two weeks. The average time to feeling back to normal is about 7 days

Can I have my procedure done under sedation or a general anaesthetic?

At this stage we only offer vasectomy under local anaesthetic. For sedation or general anaesthetic we recommend you obtain a referral to a urologist or contact Marie Stopes Australia.

Do you do the "laser" vasectomy?

This term is mentioned quite a bit but the reality is laser vasectomy does not exist. Some vasectomists (including myself) use a hyfrecator to cut the vas which is what some may be thinking of. For more information on this topic https://www.theturekclinic.com/other-vasectomy-procedure-techniques-laser-vasectomy-types/>click here.

About Dr Cashion

Dr Geoff Cashion specialises in performing No Scalpel vasectomies at multiple locations across Queensland, NSW, Victoria and the ACT. He is available at each True clinic once per month. Dr Cashion was born in Brisbane and grew up in Rockhampton. After graduating in medicine from the University of Queensland in 2002 he spent many years working in emergency medicine and general practice. He completed training in No scalpel vasectomy under Dr Doug Stein in Florida with further training undertaken in Australia. Dr Cashion is a fellow of the Australian College of Rural and Remote Medicine (FACRRM) and the Royal College of Emergency Medicine (FRCEM), and is actively involved in teaching general practice registrars in his role as a General Practice Supervisor with James Cook University. When he is not working Geoff enjoys playing guitar, playing touch football and spending time with his wife and 2 young daughters.