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Bilateral Vasectomy

This webpage will give you information about bilateral vasectomy. If you have any questions, you should ask your GP or other relevant health professional.

What is a vasectomy?

A vasectomy is meant to be a permanent method of male contraception. It involves cutting both the tubes (vas) that carry sperm from your testicles. This prevents sperm from mixing with semen and reaching your penis (see figure 1).

 

Before a vasectomy


a - Before a vasectomy

After a bilateral vasectomy

 

b - After a bilateral vasectomy

 

So a vasectomy should stop your partner getting pregnant.

What are the benefits of surgery?

As a vasectomy is meant to be permanent, you or your partner should no longer need to use another form of contraception.

Are there any alternatives to surgery?

There are two common methods of contraception for women, which have a similarly low failure rate compared to a vasectomy.

 

  • A coil or IUCD.
  • Hormone implants.

Other methods of contraception include the oral contraceptive pill and female sterilisation. For men, the only safe form of contraception, other than a vasectomy, is to use a condom.

What does the operation involve?

A vasectomy is performed under a local or general anaesthetic. Your surgeon will make two cuts on each side of your scrotum or just a single cut in the middle of your scrotum. They will cut the tubes that carry sperm from each testicle to your penis and then close the ends.

What complications can happen?

1 General complications of any operation

  • Pain
  • Bleeding
  • Infection in the surgical wound or in the scrotum

2 Specific complications of this operation

  • Becoming fertile again
  • Long-term pain in the testicles
  • Congestive epididymitis
  • Sperm granuloma

How soon will I recover?

You should be able to go home the same day. Your testicles will probably ache for the first few days. You should be able to return to work after a couple of days. However, if your work involves strenuous physical activity, you may need to stay off work for about a week.

 

About three months after the operation your doctor will ask you to give two samples of your semen a few weeks apart. The samples will be tested to find out if there are any sperm left.

Summary

A vasectomy is an operation to cut the tubes that carry sperm from your testicles. It is a permanent and effective method of male contraception.

Acknowledgements

Author: Mr John Lemberger FRCS


Illustrations: Hannah Ravenscroft RM

 

This document is intended for information purposes only and should not replace advice that your relevant health professional would give you.

 

Copyright © 2008 EIDO Healthcare Limited

 

The operation and treatment information on this website is produced by EIDO Healthcare Ltd and is licensed by Ramsay Health Care UK.

 

The intellectual property rights to the information belong exclusively to EIDO Healthcare Limited.

 

You may not copy, print out, download or otherwise reproduce any of the information other than for your personal, non-commercial use.

 

The information should not replace advice that your relevant health professional would give you.

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Registered office: 1 Hassett Street, Bedford, Bedfordshire, MK40 1HA