Assessment and scheduling: After you have been referred to us by your GP an appointment should be made for consult with one of our surgeons. We will take a history and examine you before explaining important points of the procedure. This is completed by completion of paper-work including a consent form and booking for the time and place of the procedure.
In many cases it is safe to perform this procedure under a local anaesthetic (numb but awake), though in many situations a general anaesthetic (asleep) can arranged. You should feel comfortable in telling your surgeon if there is a particular reason for why you would prefer one or the other.
This is a day procedure so you will go home half an hour afterwards with clear instructions on what to do and look out for. Your surgeon will check in with you via Telehealth at one week and four months afterwards but you should call if any problems at other times. You can not consider yourself sterile until confirmed at the four month review.
- After interview and preparation in the procedure room, local anaesthetic is placed in skin and around the vas deferens (this can cause some queasiness in the abdomen).
- A small incision is made in the skin over the vas deferens and then it is delivered outside.
- The vas deferens is divided with a 1cm segment sent for histopathology confirmation and both ends are folded onto themselves.
- A type of glue dressing is placed on the skin but no stitches usually.
- The procedure is then repeated on the other side.
During the case you will feel some pulling but nothing sharp and no pain. You will also hear some buzzing and smell a little burning. We will place a square of absorbent gauze on the scrotum with tape then get you to pull up your briefs and pants.