The Norwich Vasectomy Clinic
The Norwich Vasectomy Clinic is a centrally located clinic accommodating patients within Norfolk. If you have any queries, please contact the practice.
Who Should Consider a Vasectomy?
Vasectomy is the name given to the operation performed on a male which results in permanent and irreversible sterility.
These three points are essential to understand because if you don’t want permanent and irreversible sterility then a vasectomy is not for you. You should make an appointment with your GP to discuss the other forms of contraception available.
Requesting Your Appointment
To request an appointment, please visit our Consulting Room.
Some men find the whole prospect of a vasectomy terrifying. This is a very reasonable view. Most men, up until their vasectomy operation, have spent their whole lives judiciously guarding their genitals from any kinds of hazards and trauma.
However, forearmed is forewarned. If you are in any way worried about the operation then we would like you to contact us beforehand and either speak to the surgeon on the phone, or even come and see him for a chat and look around the operating theatre.
That way you can ask him any questions you like and he should be able to allay all of your fears. He has done so many of these operations that there will be no question he is not able to answer for you.
Preparing For The Operation
On the night before your vasectomy shave and trim your pubic hair. Use scissors, warm soapy water and most important, a safety razor.
The aim of the trim and shave is to stop pubic hair getting into the operating area and more importantly the incision. This will help prevent infection.
This will usually include hair around the base of your penis and hair that is on your scrotum but next to your thighs. You need only trim your hair to about 1 cm.
Shave the front of your scrotum and penis with a safety razor. On the morning of your operation, have a shower. No talcum powder please. Also please wear two supportive pairs of underpants or a pair of swimming trunks (not boxer shorts), as you will use these to keep the dressing in place after the operation.
The ‘no touch, no scalpel vasectomy’ operation involves 2 essential parts:
- Identifying the sperm carrying tubes (vas deferentia) that run from the testicles to the base of the bladder.
- Blocking the tubes (vas deferentia).
Sperms are manufactured by the testicles. They travel along the vas tubes and are stored in little sacs called the seminal vesicles, near the prostate. From there, in ordinary circumstances, sperm are discharged during ejaculation with fluid from the prostate gland out of the penis.
In this operation, the vas tubes are completely numbed using local anaesthetic. Then a small 1cm cut is made in the middle of the skin on the front of the scrotum (ball-sac). Each tube is then identified and pulled through this hole, and then divided in half. Throughout the operation the surgeon will only touch your ‘insides’ with the sterilised equipment, and will use ‘electrical pen’ rather than a scalpel to do all the cutting. This is why the operation is called a ‘no touch, no scalpel vasectomy’. Due to this, post-operative complications from this procedure are very low.
The surgeon will explain everything as he goes along and afterwards you will receive a drink before being allowed to go home. Please bear in mind that some people feel a little woozy afterwards and it can be very helpful to have a friend or relative who can drive you home if necessary.
The whole procedure, including counselling, is estimated to take about an hour.
Before the operation you will receive counselling from our vasectomy nurse to make sure you understand everything about the operation, including the details of the procedure, and all the potential hazards and complications. This is important because we want to make sure that once you know and understand all this information, you will then be in a position to give us your informed, signed consent to proceed.
The operation itself should only take about 20 minutes. Only the doctor is present, however your wife or partner can be present if you wish.
Please bring a soothing piece of music of your choice if you would like to.
Post Operation Information
Our advice would be to take the rest of the day off work and treat the next day at least as a rest day. If your operation is on a Thursday then we would recommend that you should restart an office job the following Monday and a manual job (i.e. electrician or plumber) the following Wednesday.
Post-operative discomfort levels vary enormously, so you must proceed thereafter as you think fit.
Any post-operative pain that you get shouldn’t be anything more than that which two paracetamol (500mg) four times per day should relieve. If the pain is anything more than that, and especially if it is worsening as time goes on, then we would like you to get help using our online form.
When Am I Sterile?
16 weeks after the operation, hopefully you will have clocked up at least 50 or more ejaculations. This is about three to four per week and our ‘love log’ should help you keep tabs on things. At this time, you will receive through the post a sample container together with instruction on how to do the sample and what to do with it afterwards.
This sample will tell you if the operation has been a success or not.
Every year we have several couples who decide not to do this.
Of these, once every two to three years we then have couples returning to us for a re-op after an unwanted pregnancy. We highly recommend that you do the sample.
How long is the waiting list?
Once we have received the referral from your GP, your details are added to our waiting list and appointments are then issued in referral date order. The waiting times can vary so feel free to contact the practice for current wait times.
Private appointments are available at a time chosen by you.
What costs are involved?
There is no cost if you are referred by an NHS GP. The cost for a private appointment is currently £350.
Where will the procedure take place?
The procedure is carried out at the practice by Dr Cooke on Mondays and Thursdays.
How long does the procedure take?
Firstly, you have a consultation with a nurse for approximately 20 minutes, where they will go through the procedure and answer any questions you may have. The operation itself is approximately 20-30 minutes.
How long will I need off work?
This depends very much upon the type of work you do, for example, if you are office based you should be able to return to work within three to four days. A more manual/labour intensive worker may require five to six days with no strenuous work for approximately two weeks.
When will I be able to resume sex?
Basically, it is down to the individual and their recovery.
Is the procedure reversible?
This vasectomy operation is designed to produce permanent and irreversible sterilisation.
I Have Made My Decision – What Do I Do Next?
Request an appointment to see your own GP, they will discuss with you the pros and cons of this type of permanent contraception.