A vasectomy is a quick and simple procedure that usually takes up to 30 minutes to perform and you should be able to go home the same day.
A vasectomy can be performed at:
- your local GP surgery
- a hospital as a day-patient appointment
- a private clinic
There are two types of vasectomy. The most widely used type of vasectomy (conventional vasectomy) involves making two small incisions in the scrotum (the pouch of skin that surrounds your testicles). The other type, called a no-scalpel vasectomy, uses a newer technique. Your GP will discuss with you which is best for you.
Conventional vasectomy
During a conventional vasectomy, the skin of your scrotum will first be numbed with local anaesthetic. Two small incisions, about 1cm long, are made on each side of your scrotum.
The incisions allow your surgeon to access tubes that carry sperm out of your testicles. These are known as vas deferens. Each tube will be cut and a small section removed. The ends of the tubes are then closed, either by tying them or sealing them using a diathermy (an instrument that heats to a very high temperature).
The incisions are stitched, usually using dissolvable stitches, which will disappear naturally within about a week.
No-scalpel vasectomy
A no-scalpel vasectomy is more commonly available through private clinics, but many GPs are now being trained to carry out the procedure. During this procedure, your surgeon will feel the vas deferens underneath the skin of your scrotum and then hold them in place using a small clamp.
A special instrument is then used to make a tiny puncture hole in the skin of the scrotum. A small pair of forceps is used to open up the hole, allowing the surgeon to access the vas deferens without the need for an incision. The tubes are then closed in the same way as in a conventional vasectomy, either by being tied or sealed.
During a no-scalpel vasectomy, there will be little bleeding and no stitches. The procedure is also thought to be less painful, and less likely to cause complications.
Anaesthetic
Most vasectomies are carried out under local anaesthetic. This means only your scrotum and testicles will be numbed and you will be awake for the procedure. You will not feel any pain, although it may feel slightly uncomfortable.
In rare cases, a general anaesthetic may be required. This means you will be asleep during the procedure. A general anaesthetic may be used if you are allergic to local anaesthetic or have a history of fainting easily. However, most people will only need a local anaesthetic.
Choosing your doctor
You can request a male doctor, but in some cases this may mean you have to wait longer. Your GP may be able to offer you options of where the vasectomy can be carried out. The operation is also available privately.
