Planning, Preparation, Your Visit, Aftercare, Your Test
AM I SUITABLE FOR AN ‘ALL IN ONE’ VISIT?
We offer an ‘all-in-one’ experience that combines the consultation with the procedure. Our clients have busy lives. Traditionally, men are asked to make a separate appointment for the consultation, and then make an appointment at a later date for the procedure. Even a 3rd appointment is required for suture removal (No Scalpel Vasectomy requires no sutures).
The majority of guys can simply make a vasectomy appointment online. This appointment automatically combines the consultation with the vasectomy.
It goes without saying that the consultation is what it should be, and a small proportion of men are not suitable for a vasectomy.
It’s important to note that a small proportion of men are not suitable for a vasectomy, so we ask you to make an appointment for a consultation-only if you answer ‘yes’ to any of the following questions:
- You have any uncertainties about ‘getting the snip.’
- Your BMI is greater than 45. You can calculate your BMI here.
For a consultation-only simply follow this link to schedule a ‘vasectomy suitability check’ – these appointments are only available in Cleveland. Please note you won’t pay more for deciding to visit us in advance. Your combined out of pocket costs for a vasectomy suitability check and later vasectomy will be the same.
WHAT IS THE PRICE?
The ‘out of pocket’ price (after your medicare rebate) is $395. View pricing for a breakdown.
WHERE ARE YOU?
Fridays do get booked up. Some guys like to ‘go with it’ and may wish for a sooner appointment for their procedure on a week day Brisbane Bayside.
CAN I HAVE A SEDATIVE?
The majority of guys do not need any sedative at all. Feedback from guys after their ridiculously-fine-needle, No Scalpel Vasectomy, show a very high satisfaction rate. Dr Beatty hasn’t had any cases where he couldn’t complete a procedure because the guy was too anxious. It’s normal to be anxious. All clients are asked “how you are feeling?” prior to the procedure on a sliding scale from 0 to 10. The average score is 5.
The most powerful relaxant is banter – even if it’s one-way!
Men who feel very anxious about getting ‘the snip’ may request a sedative tablet. A sedative tablet is offered just after the consultation. The tablet takes around 30 minutes to work and you will need someone to drive you home. You may still book online but you need to call us at least 1 day prior to the procedure so we can give you a different arrival time – around 50 minutes prior to the appointment.
PLANNING YOUR TRIP
The best way for you to be relaxed is to arrive in good time!
Plan to arrive 15 minutes prior to your appointment time to give yourself enough time to check the pre-procedure information and do the forms.
We pride ourselves on being on time.
The occasional guy who requests a sedative will be given an earlier arrival time.
CAN I BRING MY PARTNER?
Your partner is very welcome to attend the consultation and/or the procedure itself. We find that around 20% of guys come with their partner to the to the clinic – and around half of those go into the room during the procedure.
SHOULD I EAT?
Have a good breakfast to help keep up your energy levels.
HOW DO I SHAVE OR CLIP?
Please shave or clip the front and side of scrotum (‘the sac’) before the procedure. There is no need to shave behind the scrotum.
The consensus from our vasectomy clients is that wet shaving has the edge over a beard trimmer, which tends to cause cuts.
However you do it, you can shave slightly away from the skin to reduce nicks. Stubble is fine!
TAKING A SHOWER
Have a shower before you attend the clinic.
You will need to keep the area dry after your vasectomy, so you won’t be able to shower until the following morning.
CHOOSING YOUR UNDIES!
This is the day to take stock of what underwear you are going to wear! Please wear supportive underwear such as ‘Y fronts’ and avoid boxer shorts.
WHAT SHOULD I BRING?
Please bring your Medicare card to allow us to process your Medicare rebate for the vasectomy.
SHOULD I STOP BLOOD THINNERS?
If you are taking blood thinners, such as Warfarin, Plavix, Pradaxa, and Xarelto, you might consider postponing your vasectomy until you are finished with the scripts. However, Dr Beatty can still perform a vasectomy if you are using blood thinners. No Scalpel Vasectomy is a low bleeding risk procedure, so if you’re taking meds, keep doing so. Just mention it during the consult and if there is a problem, we’ll discuss it at the time.
Anti-inflammatory medications, such as Ibuprofen, Nurofen, Voltaren, Diclofenac, have a mild blood-thinning effect and you should stop taking these at least two days before the vasectomy. If you take some accidentally, please mention it to the doctor on the day, but it’s not likely to be a big deal.
Low dose aspirin is also not a big deal, but you may consider holding off for a few days around the procedure. Never stop mini aspirin for established vascular disease.
ARRIVING AT THE CLINIC
Free Onsite Parking is available at all of our locations. Welcome to the Vasectomy Clinic!
On arrival, you are asked to fill out a form and look at some useful information. This will take around 15 minutes.
Dr Beatty will welcome you into the consulting room and will discuss with you
- The benefits of vasectomy
- The small risks of the procedure
You are invited to sign the consent form.
WHAT IF I AM NOT SUITABLE?
Please be prepared for the small possibility that you won’t be suitable for a vasectomy. This situation occurs less than 5% of the time but may explain why some vasectomy clinics insist that you make a separate appointment for the consultation.
Let’s say that you’re unlucky and cannot go ahead with the procedure. You would then be referred to a hospital facility for consideration of vasectomy under general anaesthetic.
What happens to the deposit payment if you are not suitable for the procedure? You are reimbursed the deposit and charged a smaller out-of-pocket expense to cover the consultation.
It’s time to hop onto the couch! You are first asked to slip off your belt & empty your pockets into a small box.
At this stage, you only need to remove your shoes before lying on the couch.
Dr Beatty will wash you down with warm antiseptic prior to covering the area with a drape. Only the front of the scrotum can be seen during the procedure. Your privacy is prioritised throughout the procedure.
A no-needle anaesthesia is used to spray the anaesthetic through your skin. There are times when fine needle anaesthesia is used to supplement no needle anaesthesia. The important thing is you won’t be knowing what’s going on. Just relax as best as you can as Dr Beatty does everything to minimise or eliminate discomfort completely.
You are in the procedure room for around half an hour.
WHEN CAN I LEAVE?
Steady on! You will be enjoying a drink afterwards. You will generally be ready to leave the clinic 15 minutes after the procedure.
You can drive home but take it easy! There is nothing specifically that excludes driving home after a vasectomy – any more than driving home after a tooth extraction or blood donation.
As a general rule we advise men who are driving home:
- To wait at least 20 minutes before getting into the car.
- To make 100% sure you feel fine before getting behind the wheel.
- To carefully & in the left hand lane.
But it is possible to feel faint whilst driving. There is no good evidence as to this risk but it’s certainly very small.
So the bottom line is that it is generally safe to drive home afterwards as long as you feel fine after the procedure and you don’t jump into the car straight away.
WHAT SHOULD I DO WHEN I GET HOME?
Lie up on the couch & relax when you get home.
The Anaesthetic wears off after 3 hours. Pain relief is not routinely required but you can take Ibuprofen (Nurofen) 400mg three times per day.
Continue with supportive underwear during the day for 1 week.
WHEN CAN I HAVE SEX AFTER THE PROCEDURE?
Great question – Ejaculation can start at least 48 hrs after the procedure, and sex from 5 days.
WHAT HAPPENS IF I GET SOME SWELLING OR BLEEDING?
Bleeding around the dressing may occur in the 1st 2-3 hrs. Apply 10 minutes of firm pressure followed by an ice pack (over a towel) for 20 minutes. Finally, apply a fresh dressing. Any bleeding should have stopped by then.
Bruising may be noticed for a few days. Bruising rarely lasts for more than 10 days. The bruising may occasionally look impressive but is itself harmless.
Both bleeding around the dressing and bruising are caused by bleeding from tiny blood vessels near the surface of the wound. This type of bleeding is almost always insignificant.
Haematoma, however, refers to internal bleeding and occurs in fewer than 1% of Vasectomies. The scrotum becomes swollen and painful. Haematoma typically occurs in the first 3-4 days of the procedure but rarely occurs on the same day as the procedure. ‘Taking it easy’ does help to reduce the risk of haematoma. Bleeding eventually stops, and the blood clot is gradually absorbed. A severe haematoma can take 3 months to resolve but may be painful.
The Vasectomist carefully audits his rate of haematoma that sits under 1 in 300 vasectomies.
I’VE NOTICED BLOOD IN MY SEMEN
Blood in the semen is frankly alarming. However, a little blood in the semen after the vasectomy is quite normal.
Please contact Dr Beatty if the blood is large in quantity, causes pain, or does not settle within a few weeks of the procedure.
CAN I CONTACT THE DOCTOR AFTERWARDS?
Dr Beatty’s mobile number is given to you after the procedure. Please text the doctor if you have any concerns at all and he will ring you back as soon as possible.
Thankfully, problems are unusual but you are encouraged to contact Dr Beatty with any issues.
The majority of aftercare issues are sorted out over the phone.
A follow up face-to-face appointment is rarely required. You may be asked to travel to Cleveland for the appointment, or prefer to see your own GP.
WHEN CAN I GO BACK TO WORK?
Non-physical work – return a day or two after the procedure.
Physical work – ideally take at least 3 days off.
It is possible to get a haematoma even a week after a vasectomy. For this reason, guys doing very manual work are advised to take a few days off to recover, or at least ask if you can be on modified duties. Ask Dr Beatty for a Medical Certificate.
How do I do the sample?
Time to get serious …
You get the snip done for a reason and you must make sure it has worked.
- You will be given a pot and request form before you leave the clinic.
- Phone your local pathology collection centre before you do your sample. The sample is tested fresh – the sample so make sure you do the test at a time when you can hand it in right away.
You must give advance notice to the Pathology Collection centre that the sample is coming! The sample may otherwise be turned away
DOING YOUR SAMPLE
- Plan your test 14 weeks after the vasectomy.
- Abstain from ejaculation for 2-5 days prior to the test.
- You (usually you!) collect the sample into a pot. Make sure you catch the whole sample!
- Write the time of collection on the pot.
- Go straight to the collection centre, do not pass Go!
COMMON REASONS FOR NEEDING TO REPEAT THE TEST :
- Small volume of semen. You normally ejaculate 2-6mls. A sample of < 1ml may need to be repeated. Abstaining, and collecting the whole sample will maximise chances of success.
- Not writing the time of the sample on the pot.
What is the cost of a test?
Ultimately, the Australian government is responsible for ensuring a cost-effective health care service. We want 100% of our men to get the test done. It is disappointing that there is a (small) out of pocket charge for post-vasectomy samples.
QML has the largest range of collection centres for post-vasectomy sample around Brisbane and The Gold Coast, and they seem to be the cheapest at $50. You may choose any pathology provider to perform your test although some providers charge >$75.
The cost of not getting a test may, if you are unlucky, be greater. You are also paying for peace of mind.
Where do I take the sample?
You can take the sample to any pathology collection centre of your choosing but you must check that the collection centre accepts seminal fluid samples.
QML Pathology accepts samples anytime during their office hours at the following regional locations:
Murarrie, Everton Park, St Andrew’s Private Hospital, Wesley Hospital, Morayfield, and North Lakes.
However, most QML collection centres accept fresh samples that arrive at the right time. As at July 2019 courier times are:
- Capalaba 11.50am or 2.30pm
- Beenleigh 2.20pm
- Logan Central at 11.50am
- Browns Plains at 12.45pm
Check the up-to-date times by giving your collection centre a call. You don’t want to go to the trouble of doing a sample and finding out that the collection centre won’t accept it.
Sullivan & Nicolaides accept samples at just two locations – Bowen Hills and Southport. You will not be able to drop off seminal fluid samples at a local SNP collection centre.
WHEN DO I DO THE TEST?
Plan to do your test 14 weeks after the procedure.
Check with your local collection centre for the best time to complete and hand in your sample.
HOW DO I GET MY RESULTS?
We will send you the results asap, via text. Please contact the clinic if you have not received your result within 3 working days.
Last Reviewed / Modified: 20/9/2020
First Published: 5/2/2015