Vasectomy

Introducing No-Scalpel Vasectomy, effective and safe permanent contraception for men

Hassle-free vasectomies with expert care

While men traditionally have limited options for contraception, Skin & Medical Northbridge is introducing a personalised surgery as a viable and permanent contraceptive option. If you are seeking a safe, simple, and affordable form of male contraception, your solution is here.

Conveniently situated in the heart of Northbridge and with the surgery performed on-site, our clinic prioritises accessibility for our patients without the need for costly hospital fees. Our commitment to providing this a fast and safe vasectomy surgery not only enhances availability that suits your time, but also makes this essential procedure more affordable and straightforward for individuals seeking a reliable form of permanent contraception. Trust Skin & Medical Northbridge for a central, accessible, and patient-friendly solution to male contraception.

Appointment and Bookings

Dr Domnic Sinagra will be performing the vasectomy surgery at Skin & Medical Northbridge. An initial consultation appointment is crucial to review the patient’s underlying medical history and to provide appropriate discussion opportunity and informed consent to the procedure.

For inquires and to schedule an initial appointment with Dr Dominic Sinagra, please call the surgery to speak to our friendly staff. The initial consultation is done at a clinic across the road from Skin & Medical Northbridge. Further details will be provided during booking.

There is no requirement to have a referral from your usual GP.

Book An Appointment

What is No-Scalpel Vasectomy (NSV)?

At Skin & Medical Northbridge, we advocate for the No-Scalpel Vasectomy (NSV) as the preferred and effective method for vasectomy. This procedure involves a distinct approach, aiming to make the process minimally invasive and more comfortable for our patients.

The NSV procedure begins with a single blunt incision in the scrotum skin, a notably smaller and less invasive entry point compared to traditional methods. This incision allows for the exposure, cutting, and sealing of both vas deferens—the tubes connecting the testicles to the penis and responsible for carrying sperm. Unlike traditional open vasectomy procedures, NSV is performed under local anaesthesia, ensuring patient comfort throughout the process.

Key differentiators of NSV from traditional methods include the absence of cutting tissues, eliminating the need for sutures in the skin. This approach significantly reduces the risk of postoperative complications, such as swelling, pain, bleeding, and infection. By prioritizing patient well-being and comfort, Skin & Medical Northbridge embraces the No-Scalpel Vasectomy as an innovative and patient-friendly solution for those seeking a reliable and minimally invasive form of permanent contraception.

Vasectomy services

While vasectomy is a generally safe and routine procedure, it is essential to be aware of potential risks and complications that may arise, though they are infrequent. At Skin & Medical Northbridge our commitment to patient well-being includes providing comprehensive information about potential post-vasectomy experiences. The use of the No-Scalpel Vasectomy (NSV) technique significantly reduces the risk of complications.

COMMON SIDE EFFECTS

Typically most men experience some discomfort or pain following the procedure, often accompanied by minor swelling or bruising at the incision site. Fortunately, these symptoms are usually self-limiting and resolve within 1 to 2 weeks, contributing to the overall well-tolerated nature of vasectomies.

UNCOMMON COMPLICATIONS

Wound Infection: A rare occurrence, presenting as tenderness and redness near the incision site. Typically responsive to antibiotic treatment, particularly for patients with specific medical conditions that may predispose them to infections.
Scrotal Hematoma or Bruising: Uncommon with the no-scalpel technique, occasionally linked to patient activities. Most bruises are self-limiting and not cause for concern.

RARE COMPLICATIONS

Sperm Granuloma: A scar tissue formation on the residual part of the vas deferens, usually requiring no active treatment.
Post Vasectomy Pain Syndrome (PVPS): A rare and chronic pain condition with an incidence rate below 1%. While often self-limiting, persistent cases may require referral to a urologist for management.
Congestive Epididymitis: Occurs when sperm accumulates at the edges of the vas deferens, causing discomfort, typically between 2 to 12 weeks post-vasectomy. Usually self-limiting or manageable with anti-inflammatory medications.

At Skin & Medical Northbridge, our emphasis on patient education ensures that individuals considering vasectomy are well-informed about potential outcomes, allowing for informed decision-making and peace of mind throughout the process.

The question of pain in the vasectomy procedure is subjective, as individual experiences can vary. At Skin & Medical Northbridge, we prioritize your comfort and provide insights into what to expect during and after the procedure.

LOCAL ANAESTHETIC INJECTION

To begin, a local anaesthetic injection is administered, typically causing a stinging sensation. This initial discomfort is a brief phase as we ensure the area is adequately numbed for the procedure. The use of local anaesthesia contributes to a pain-minimized experience.

NO SCALPEL, NO SUTURE TECHNIQUE
With the adoption of the No Scalpel, No Suture technique, the procedure is streamlined and efficient. Many individuals describe minimal discomfort, primarily experiencing sensations of pulling and pinching, rather than significant pain. The emphasis on a fast and straightforward approach contributes to reduced discomfort during the procedure.

OPTION FOR ADDITIONAL PAIN RELIEF
For those seeking extra pain relief, the option to use inhaled anaesthetic, such as penthrox, is available. This supplementary measure enhances pain management during the procedure, ensuring your experience aligns with your comfort preferences.

POST-PROCEDURE DISCOMFORT
Following the vasectomy, it’s common to experience some discomfort in the region for approximately 2 to 3 days. This discomfort is typically manageable and can be alleviated with appropriate rest and, if necessary, mild pain relief measures.

At Skin & Medical Northridge, our commitment to patient-centred care extends to ensuring your comfort at every stage of the vasectomy process. Open communication and personalized pain management options are integral components of our approach, promoting a positive and stress-free experience for each individual.

Understanding the intricacies of the vasectomy procedure is essential to alleviate any concerns. Here’s a step-by-step breakdown of what the process involves:

Administration of Local Anaesthetic: The journey begins with the application of local anaesthetic to the skin of the scrotum and the vas deferens. This ensures the area is numb, minimizing discomfort throughout the procedure.
No-Scalpel Incision: Employing the no-scalpel method, a small keyhole incision, approximately 5mm in size, is made into the scrotum. This technique reduces trauma to the tissue, promoting a quicker recovery.
Locating and Dividing Vas Deferens: Through the keyhole incision, the left or right vas deferens is carefully located. Using precision, the vas deferens is then divided and sealed with a hyfrecator, a medical instrument that aids in this process.
Sealing via Fascial Interposition: To enhance the permanence of the vasectomy, the remaining part of the vas deferens undergoes sealing through fascial interposition with surrounding tissues. This meticulous step ensures the effectiveness of the procedure.
Replication on Opposite Side: The same meticulous technique is replicated on the vas deferens of the opposite side. This symmetrical approach ensures comprehensive sterilization.
Application of Dressing: Post-procedure, a small dressing is applied to the skin. Remarkably, the no-scalpel technique eliminates the need for sutures, contributing to a more comfortable and streamlined recovery process.

Our commitment to using advanced techniques reflects our dedication to providing a safe, minimally invasive, and effective permanent contraception option for men.

While the vasectomy procedure marks a significant step towards sterilization, its immediate effectiveness requires clarification. Here’s what to expect:

Post-Procedure Period: Immediate effectiveness is not a feature of the vasectomy procedure. It typically takes approximately 20 ejaculations for the remaining sperm to be cleared from the vas deferens.
Confirming Sterility: To ascertain the success of the vasectomy, a crucial step involves providing a semen sample. This sample will undergo thorough assessment to confirm sterility. It is imperative to follow the post-vasectomy instructions provided by your healthcare provider for the sample collection.
Semen Analysis: The semen analysis aims to determine the absence of sperm, confirming that the vasectomy has achieved the desired effect. This comprehensive evaluation ensures the reliability of the procedure as a form of permanent contraception.
Ensuring Effectiveness: Until the semen analysis confirms sterility, it is essential to continue using alternative forms of contraception. Relying on other methods during this interim period safeguards against unintended pregnancies.
Follow-Up Consultation: After providing the semen sample, a follow-up consultation with your healthcare provider is scheduled. During this appointment, the results of the semen analysis are discussed, and further guidance is provided based on the outcome.

Understanding the timeline and steps involved in confirming the effectiveness of a vasectomy is crucial for individuals considering this permanent contraception option. At Skin & Medical Northbridge, we prioritize thoroughness and clear communication throughout the post-vasectomy process, ensuring our patients have a complete understanding of the procedure’s outcomes.

Vasectomy, with an efficacy surpassing 99.85%, stands as an exceptionally reliable contraception method. Notably, No-Scalpel Vasectomy (NSV) boasts a low failure rate, outperforming condoms, pills, and intrauterine devices. Semen analysis within the initial three months identifies most failures, allowing timely intervention. Though rare, spontaneous vas deferens reconnection underscores the need for ongoing awareness and follow-up care. Adherence to post-procedure protocols, regular consultations, and meticulous monitoring at Skin & Medical Northbridge ensure the enduring effectiveness of vasectomy, offering a lasting contraceptive solution with minimal instances of challenges.

Embarking on the path of vasectomy raises valid concerns about sexual function. It is crucial to understand that vasectomy does not impede orgasm or climax. Ejaculate, primarily comprising fluid from seminal vesicles, remains unaffected. The procedure brings no noticeable changes to ejaculation, ensuring a seamless transition for most men. Importantly, testosterone levels, libido, and erectile function remain unaltered, reaffirming that vasectomy doesn’t compromise broader aspects of sexual well-being. Skin & Medical Northbridge prioritizes comprehensive care, assuring patients of a seamless experience, including post-vasectomy sexual health.

Contemplating the permanence of vasectomy naturally prompts questions about reversibility. Indeed, vasectomy reversal is a possibility, encompassing both surgical procedures and reproductive therapy within in-vitro fertilization (IVF). It is essential to note that while reversal is an option, it comes with considerations. The procedure can be costly, and success is not guaranteed, emphasizing the importance of thoughtful decision-making before opting for vasectomy. At Skin & Medical Northbridge, we offer informed consultations to guide individuals through this significant aspect of reproductive health.