services - Vasectomy

Vasectomy

Vasectomy is an excellent method of birth control that millions of men adopt world-wide. Vasectomy is considered a permanent method of birth control. It involves the blocking the tube that carries sperm from the testicle to the semen (i.e. vas deferens). This results in a normal ejaculate with the same volume as prior to the vasectomy; however, with the absence of sperm which are needed to fertilize an egg and make a woman pregnant.

How effective is a Vasectomy?

Vasectomy is a highly effective method for male birth control. Early failure rates, defined as finding any living moving sperm in the semen post-procedure within the first 3-6 months is 0.3-9%. However, beyond this period the late failure rate where sperm returns to the semen after observing it’s absence post-procedure (i.e. post-op azoospermia) ranges between 0.04% and 0.08% in the literature.

What is involved in a Vasectomy?

Using the No-scalpel vasectomy technique, the procedure is performed in an office setting, in the absence of unusual circumstances.  Freezing is given to minimize discomfort. With the no-scalpel technique, a small puncture in the scrotum is made and the procedure is performed through the puncture. The sperm-carrying tube (i.e. vas deferens) is isolated, cut or transected, and blocked or obstructed using one or several techniques including cauterization, clip or tie, and fascial interposition. Typically, no sutures are required and the patient is able to go home not long after. The no-scalpel vasectomy technique has been shown to significantly reduce the risk of infection, bleeding, procedural discomfort and post-procedure discomfort compared to conventional techniques.

What is required following a Vasectomy?

Men are kept in the clinic for 15-20 minutes following the procedure for observation. Men are required to use contraception following their vasectomy until their surgeon has confirmed that no sperm are present in their post-vasectomy semen analysis. Failure to do so may result in an unwanted pregnancy. This post-vasectomy semen analysis is typically performed between 3 and 6 months post-vasectomy; it is carefully evaluated for the presence of sperm. Only once the surgeon has reviewed the results and confirmed that no sperm are present (i.e. no motile sperm or less than 100,000 non-motile sperm) can the couple stop using other contraceptive methods safely.

 

How long is the Vasectomy waitlist?

Dr. Flannigan’s waitlist for vasectomies has grown to nearly 6 months.  If you would like to arrange your vasectomy within 1-2 weeks, consider Pollock Clinics who perform the majority of no-scalpel, no-needle vasectomies in British Columbia.

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