VASECTOMY:
Gentle Technique , No Scalpel , No Suture
$493 ( Medicare Rebate $203; GAP fee $ 290 )
What is a vasectomy?

Vasectomy is a dependable method of birth control for men who think they will never want any or any more children.

Vasectomy developed as a means of contraception in the early 20th century and been very popular (500,000 procedures per year) since the 1950’s.

During the procedure migration of sperm is blocked from testis to seminal vesicle by separating a tube, which is called Vas.

Most of the fluid ejaculated (approximately 98% of the semen) is actually produced by the prostate gland, the seminal vesicles. This means that when you ejaculate after a vasectomy the semen is gradually depleted of sperm so that eventually it will be free of sperm although the volume of the ejaculate is not noticeably changed.

Vasectomy is a simple 20 min procedure performed under local anaesthetic. Although this procedure is simple, it requires a high degree of surgical skills and training. After a short recovery at the doctor’s office the patient is sent home to rest. Because the procedure is minimally invasive, many vasectomy patients find that they can resume their typical sexual behaviour within one week of the procedure and do so with little or no discomfort.

There are several methods in which a vasectomy can be performed with, the most advance method being the, No scalpel vasectomy with fascial transposition and Open End technique.

My Vasectomy Clinics is one the most popular clinics for vasectomy procedures in Brisbane. If you are looking for a professional vasectomy doctor in South Brisbane our clinic is on top of the list.

Our experienced Doctors, our convenient location in a shopping centre with ample car parking make it an ideal place for your vasectomy procedure in Logan and Brisbane South.

Our Vasectomy doctors has advance skills in skin surgery and they perform vasectomy procedures on a daily basis.

How common is vasectomy

Each year, about 30,000 Australian men undergo a vasectomy procedure. Making it, about one in four men over the age of 40 having had a vasectomy.

Different techniques for vasectomy

Conventional vasectomy is done by using a scalpel. One or two 1/2-inch scrotal incisions are made to gain access to the vas tubes. These incisions are later closed with sutures, which remain in place for about 5 days until they dissolve or are removed.

In the no-scalpel Vasectomy, a sharpened instrument is used to pierce the skin over the vas deferens which creates a single tiny access-opening on the front side of the scrotum to perform the procedure through a single tiny access-opening on the front side of the scrotum. The tiny skin slit usually seals within hours, so no stitches are needed.

Our preferred method is the, No-scalpel Vasectomy with Fascial transposition and open end technique.

This means after separating the Vas tube the free ends will be out of alignments by keeping lower end open and outside the sheath of the Vas.

This method has higher success rate, less risk of infection, bleeding and it has a faster recovery time.

Advantage of vasectomy
  • Low one-time expense with a rebate from Medicare
  • More reliable than any other form of contraception including tubal ligation.
  • Eliminates risks associated with birth control pills or shots and the, ‘Intra Uterine Device (IUD)’.
  • Vasectomy reversals are less costly and more successful than tubal ligation reversals.
Risks of vasectomy

Generally serious side effects are rare.

Pain - Pain after the procedure is mild and resolve with rest and simple painkillers

Chronic post vasectomy pain has been reported in 1 in 2000 cases.

Infection - risk of infection is very low and manageable with antibiotic.

Scrotal hematoma Some people may experience scrotal hematoma (blood clot inside the scrotum).

Sperm granuloma - Is a pea-sized sometimes tender lump on the vas tube at the vasectomy site, almost never requiring treatment. Some consider sperm granulomas beneficial, as they may increase the likelihood of success in the likelihood of a vasectomy reversal. Pain caused by a granuloma responds to a simple painkiller. In the case of the granuloma causing recurrent pain it can be removed by simple procedure.

Reaction – In some instances people can have a reaction to the suture material.

Recanalization may occur in 1in 1000 cases

Allergic reaction to local anesthetics is rare.

Link between vasectomy and Prostate cancer and heart attack

There have been media reports in the past about the link between Vasectomy and heart attack and Prostate cancer and testosterone deficiency.

Although this does not mean that does not have any effect of health, these effects have not been supported by multiple studies in many countries.

Limitation of vasectomy
  • Not 100% reversible*
  • You must use other forms of birth-control until you are sperm-free.
  • A vasectomy does not prevent transmission of sexually transmitted infections (STI’s).
What happens after a vasectomy procedure?
  • No change in semen
  • No change in sex drive
  • No change in climax sensation
  • No change in the testes or scrotum
  • No change in erections

The portions of the vas tubes within the pelvis still contain live sperm until they are all released.

It takes around 12 weeks to release all of the sperm. A confirmation test (Semen Analysis) needs to be conducted at 12 weeks post vasectomy to confirm a successful procedure.

How quickly does it works?

It can take a few months after a vasectomy for the sperm to clear out of your ducts. Over this period, we recommend you ejaculate about 20 times (through masturbation or intercourse) to help ‘clear the tubes’ from remaining sperm. After three months, you’ll have a semen test to check that there are no live sperm in your semen. About 80% of men will have no sperm present. For the others, more tests are done every three months until they are clear. It’s important to use another method of contraception until your doctor says there are no live sperm in your semen.

When Can I return to work?

It all depends on the nature of your job. If you work in an office and your job is not involved in heavy lifting and straining you can resume work after 48 hours.

For other physical job which involves heavy lifting and straining we recommend between 5-7 days before you resume full duties.

Young men with fewer than 2 children

If you are less than 30 years old and you have had fewer than 2 children, please consider the following points before having a vasectomy:

If you are a man in your 20’s and have a few children you may need to be careful about your decision.

Vasectomy should be considered a permanent and non-reversible procedure. You may regret it in the future if your reversal is unsuccessful.

Your partner may change their mind based on their stage of their life and your current relationship may end up divorce and your new partner may wish to have a child.

The philosophy of you and your partner with respect to abortion should be considered. If you are both not philosophically opposed to abortion, you have some back-up should other forms of contraception fail. Having a vasectomy now may not seem as critical to avoid an unintended pregnancy. But keep in mind that if she gets pregnant, the choice is hers.

It may affect your future relationship/s as it may not make sense to your partner ‘Why’ a man would ever have permanently tie their tubes. But with sperm storage things may change.

Since the vasectomy is a permanent procedure, we encourage you to discuss your decision to undergo a vasectomy procedure with your parents. Having a vasectomy is still your decision, but at least you granted them the respect of allowing them to render an opinion.

FAQ
Is it reliable?

While vasectomy is a safe and effective procedure, you need to consider following things:

you will not be sterile immediately; it takes a minimum of 12 weeks for the sperm stored in the seminal vesicle (which is above the site of the vasectomy) to be cleared from the system.

  • You will not be immediately sterile; it takes a minimum of 12 weeks for the sperm stored in the seminal vesicle (which is above the site of the vasectomy) to be cleared from the system. You need to have a sperm count after 12 weeks in a pathology centre to ensure there is no remaining sperm. Approximately, 10 % of patients may require repeat tests until its proven no sperm left.
  • Failure rate of the vasectomy procedure is 1 in 1000 cases compared to women undergoing tubal ligation in which, there is a failure rate of, 1 in 250 cases.
Is it painful?

While the vasectomy procedure is performed in the most sensitive part of body, its not considered a very painful procedure. A vasectomy is slightly uncomfortable but not very painful.

A tiny needle is used to numb a very small area.

Minimal pain 2/20 for a few days which is well managed by Panadol. Persistent pain after Vasectomy is rare.

Is it reversible?

Vasectomy is generally considered a permanent and irreversible as reversal has variable success rate. If you are thinking of a reversal at the beginning then vasectomy may not be the best choice for you.

Success rate of the vasectomy reversal will decline 5 years after your vasectomy procedure.

Does it affect sexual function

Vasectomy does not affect sexual function or performance as it has no effect semen or testosterone production.

Can the procedure fail?

Even after an initial negative sperm count, in about one in 500 men, sperm will reappear months or even years later. We believe that in some men, new passages form allowing the sperm to ‘bypass’ the vasectomy site. The risk of pregnancy after a vasectomy is small with approximately only 1 in 2000 cases of pregnancy is reported.

Instruction before vasectomy procedure

Prior to your vasectomy procedure (preferably a few hours before the procedure), it is recommended to have a shower and have the entire scrotum and pubic region and underside of penis with razor blade or other method to be absolutely hair free. This reduces the risk of infection and makes the procedure easier to conduct.

Use no powder or deodorant in the genital area on the day of your procedure.

It is recommended to wear a scrotal support and have them on for 2-3 days as this reduces the risk of post-operative discomfort and bleeding.

Eat before your procedure, a normal breakfast or lunch. Nervous men who do not eat beforehand are more likely to become lightheaded during or after their vasectomy procedure.

It is recommended to arrange someone to drive you home following your procedure. If you have taken a sedative prior to your procedure you should not be driving home. You do want to risk your own safety or that of others by driving so, it is important you organise a friend or family member to drive you home post your vasectomy procedure.

Patients should plan to recline at home for 24 hours their procedure.

If you are taking Aspirin, any forms of blood thinners, anti-inflammatory drugs such as Ibuprofen (Nurofen), Diclofenac (Voltaren) or any other similar drugs you need to notify us prior to your vasectomy procedure. Certain herbal, natural extract and vitamins can also have blood thinning effects therefore, we prefer you stop taking them before to your procedure. Some examples of these are olive leaf extract, Fish oil, Vitamin E, ginkgo.

Instruction after vasectomy procedure

Spend a quiet evening at home, reclining in bed or on the sofa and minimize any activities. Some men have no pain at all after vasectomy while many experiencing a mild discomfort that does not require pain killer. Sometimes you might experience discomfort is in the groins or abdomen.

Avoid aspirin or any anti-inflammatory drugs such as Ibuprofen or Diclofenac for 3 days after the vasectomy procedure and only take paracetamol for pain and discomfort. For Pain beyond 3 days, especially if accompanied by some swelling of the vasectomy sites ibuprofen and naproxen are good choices. Some men will have more discomfort or tenderness 3-5 days after the vasectomy than they do for the first few days after their vasectomies. That is part of natural healing process and is usually not a reason for concern.

No need for ice packs, unless you really enjoy having ice on your scrotum.

You may remove the scrotal support and take a daily shower starting the morning after the procedure. Replace the scrotal support and wear it whenever you are up and around for the next 2 days.

No sports, yard work, swimming, or heavy lifting for at least 3 days and after that you must wear your scrotal support during those activities. On the day after the procedure, you may walk and drive as much as you like. If have a sedentary job you can resume working the next day.

When the pain is gone and tenderness is minimal, you may return to the gym or to running, but on the first day back, do only half of your usual workout: half the weight, half the reps, half the speed, half the distance, etc. If pain does not return, you may do your regular workout the next day.

When you no longer have any pain or tenderness, you may ejaculate. Its recommended to wait for 7 days before you ejaculate.

Since no incision is made, follow-up visit is not required. You will be given a mobile phone number to contact our doctors if you experience undue discomfort or have any concerns after your vasectomy procedure.

It is normal to have some discoloration of the skin (black and blue) around the puncture site a day or two after the vasectomy. Some men will develop considerable discoloration of the scrotum about 4 days after the vasectomy. Blood from the deep vasectomy site comes to the surface as a purplish-blue mark, gets darker and spreads out like an oil slick, then gradually dissipates.

Some men (about one in 20) will develop swelling and discomfort on one side, sometimes on both sides, starting anytime from 3 days to 3 months following their vasectomy procedure. This usually represents an exaggerated form of the normal inflammatory response necessary for sperm resorption and recycling. It is effectively managed with a 5-7 day course of ibuprofen.

We will give you a pathology referral to have your semen tested twelve weeks after your vasectomy, to be sure that it no longer contains sperm and it is thereby safe to stop other forms of contraception.

About our vasectomist

DR MOHSEN AMOLI

MD, FRACGP, PGDip Dermatology(UK), Cert Advance skin surgery(UQ)

  • Over 10 years of experience in skin and cutaneous surgery.
  • 15-20 minute procedures using local anesthetic with minimal pain.
  • No Scalpel, No stitches, virtually PAIN FREE.
  • We use the most advanced technique called, ‘No Scalpel Vasectomy with Fascial Transposition and Open End’.
  • Multiple training by the most reputable surgeons in the world to adapt the most advanced technique in the field.

Dr Mohsen Amoli has over 10 years of experience in surgical fields. Over the last 10 years he has performed more than 20,000 skin and vasectomy procedures.

He network closely with leading Vasectomists and Urologists around the world to bring you the most gentle techniques making your vasectomy virtually pain-free, simple and safe.

Dr Amoli is able to perform various methods of vasectomy but prefer the open-ended technique with fascial transposition, which eliminates the pain caused by back pressure of the traditional method. Our friendly staff and experienced theatre nurse are here to answer any questions you may have.

Vasectomy counseling video
Fees: Vasectomy Consult is Bulk-Billed
  • Vasectomy procedure : $493
  • Rebate From Medicare : $203
  • Net Cost (GAP Fee) : $290
  • vasectomy procedure + consult: $569
  • Rebate From Medicare : $279
  • Net Cost (GAP Fee) : $290
Booking For Your Procedure:
  • If you need further information please submit your query or call 1800 170 170
  • Option -1 : You can always come for a consult first and book for the procedure another day.
  • Option -2 : If you would like to have your consult and procedure on the same day and you are certain to have the procedure done please fill and submit your online registration form and pay booking fee online and call 1800 170 170 to make a booking.

Please fill and submit your online registration form and call 1800 170 170 to make a booking.

A booking fee of $100 (payable by Visa or MasterCard or bank transfer) is required. The booking fee is fully refundable until 2 calendar days prior to the appointed vasectomy date and non-refundable thereafter for cancellation.
Please call 132011 and choose option#3 to update your Bank details with Medicare.