Before Booking, Preparation, On The Day, Aftercare
Before Booking, Preparation, On The Day, Aftercare
What do you need to know?
Traditionally, men are asked to make a separate appointment for the consultation, and then make an appointment at a later date for the procedure.
We offer ‘on-the-day Vasectomy’ that combines the consultation with the procedure. We find this suits our clients, most of whom are fathers who have busy lives!
The majority of guys can simply make the appointment online. This appointment automatically combines the consultation with the vasectomy.
However, we ask you to make an appointment for a consultation-only if you answer “yes” to any of the following questions:
Simple Planning & Preparation
Absolutely! Your partner is welcome to attend the consultation and/or the procedure itself. She won’t see any of the action from her vantage point!
Please bring your:
You are welcome to:
Please shave or clip the front and side of scrotum (‘the sac’) prior to the procedure. There is no need to shave behind the scrotum.
You may use an electric trimmer any time before you come to the clinic. You may clip anytime from 2-3 days prior to the vasectomy up to the morning before. Please have a shower before you attend the clinic.
For wet shaving:
shave the day before the procedure. If you have forgotten to shave the day before then just shave that morning!
Try to shave slightly away from the skin to reduce cuts or abrasions. Stubble is fine.
Please wear supportive underwear such as ‘Y fronts’ and avoid boxer shorts!
We pride ourselves on being on time.
The best way for you to be relaxed is to arrive in good time. Please plan to arrive 10 minutes prior to your appointment time. Guys who need a sedative will be given a separate arrival time.
The vast majority of guys do not need any sedative at all.
Remember that Dr Beatty and the team are expert at putting you at ease.
Who might benefit from a sedative?
Does this sound like you? You may still book online. However, please ring us at least 1 day prior to the procedure so that we can give you a different arrival time. You will then be offered a sedative tablet after seeing Dr Beatty. The tablet takes around 30 minutes to work. You’ll need someone to drive you home.
Please do not take any anti-inflammatory medications (Ibuprofen, Nurofen, Voltaren, Diclofenac) for at least two days before the vasectomy. If you take some accidentally, please mention it to Dr Beatty on the day, but it’s not a big deal.
It is generally advisable not to stop low dose aspirin for established medical conditions such as Heart Disease.
Other types of ‘blood thinners’ such as Plavix, Pradaxa, Xarelto tend to be more of a problem than aspirin. Dr Beatty will need advice from your cardiologist or GP to ascertain whether blood thinners can be temporarily stopped for five days prior to your vasectomy.
What To Expect
Vasectomy is a big deal for our clients. Allow yourself to lie back, enjoy some down-time, and let us do the hard work.
Here are some pointers on what to expect on the day.
Hi, welcome to the vasectomy clinic! Free Onsite Parking is available at all of our locations.
You are asked to complete the questionnaire. This will take you around 5 minutes.
Dr Beatty will welcome you into the consulting room.
Dr Beatty will discuss with you
You are then invited to sign the consent form.
You are taken by Dr Beatty to the procedure room, and introduced to the nursing staff.
You are 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. A hot water bottle is applied over your trousers or shorts whilst The team finalise the preparation for your no scalpel vasectomy.
Dr Beatty will wash you down with warm antiseptic prior to covering the area with a drape. You are lying on the couch with your legs together. Your privacy is prioritised throughout the procedure. Only the front of the scrotum can be seen by the doctor.
A special ultra-fine needle is used – you’re hardly (if at all) feel the needle itself but may feel some slight discomfort as the local anaesthetic ‘goes in.’ We do everything to minimise or eliminate discomfort.
Try to distract yourself. We want you to have a good time!
You are in the procedure room for around half an hour.
Dr Beatty will let you know when you are ready to leave the clinic. You will leave the clinic 15 to 30 minutes after the procedure.
As a general rule we advise men who are driving home:
There is nothing specifically that excludes driving home after a vasectomy after a rest – any more than driving home after a tooth extraction or blood donation.
But it is possible to feel faint even 30 minutes later. There is no good evidence as to what this risk is 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.
Please be prepared for the possibility that you won’t be suitable for a no scalpel 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 really unlucky and Dr Beatty can’t go ahead with the no scalpel method. You will then be referred to a hospital facility for consideration of vasectomy when you are put asleep. Under this scenario there is a small consultation. The $100 deposit will be returned to you.
First few days to The All Clear. Please make sure you do your test afterwards!
You are encouraged to contact Dr Beatty with any issues. His mobile number is given to you at the appointment. Please text the doctor if you have any concerns at all and he will ring you back as soon as possible.
Most aftercare issues can be sorted out over the phone. Please note that most of his time spent in Brisbane so guys living at the Gold Coast may need to travel for any face-to-face aftercare appointments, or see their own GP.
Lie up on the couch when you get home.
The anaesthetic wears off after 3 hours. Pain relief is not routinely required but you can take paracetamol.
Continue with supportive underwear during the day for 1 week.
Some bleeding around the dressing may occur in the 1st few hours. Apply 20 minutes of firm pressure followed by an ice pack for 20 minutes over a towel. Finally, apply a fresh dressing. Any bleeding should have stopped by the following morning.
Bruising may be noticed for a few days. Bruising rarely lasts for 2 weeks.
Haematoma refers to internal bleeding and occurs after fewer than 1% of Vasectomies. The scrotum becomes swollen. Bleeding will stop at some stage and the blood is gradually absorbed into the body. A severe haematoma can take 3 months to resolve.
You can usually go back to a non-physical job a day or two after the procedure.
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 1 week off work, or be on modified duties. Ask Dr Beatty for a medical Certificate.
Good question! A week is the perfect answer although five days should be fine.
The pathology sample bottle and form is given to you after your vasectomy.
Dr Beatty advises you to get your test done 16 weeks afterwards. why is this?
At 12 weeks post vasectomy, only 80% of men are all-clear. In other words, there is a 20% chance you’ll have to repeat the test if you do it after just 12 weeks.
Some studies show that only half of men do a test.
Doing the test at 16 weeks will maximise the chance of an all-clear result the first time around!
Please be in the 65% of men who does a post vasectomy sample. You got a vasectomy for a reason, and you need to be 100% sure it’s worked!
We will send you an email or text. Please contact the clinic if you have not received your result within one week of the test.
Above all, don’t worry. It is rare not to get the all-clear eventually. There are two scenarios.
Non-Motile sperm are sperm that don’t move. It takes around 25 ejaculations to clear out the old sperm. This isn’t set in stone! Occasionally, a few new non-motile sperm persist. ‘Special Clearance’ is given seven months after the vasectomy when there are fewer than 100,000 non-motile sperm per ml. The risk of pregnancy is then zero. You can certainly consider your vasectomy to be 100% successful if you fall under the category of ‘special clearance.’ Most vasectomy doctors feel that the term ‘special clearance’ is misleading. You can’t get your partner pregnant, so it’s not that special!
Swimmers, though, are more of a concern. Repeat samples are always required in these cases. When motile sperm persist, the vasectomy is a failure. This is due to the ends of the tube re-connecting (recanalisation). The failure rate is 1 in 300. This is disappointing even though you can marvel at how a tube that is completely divided and sealed may grow back. The good news is that you did your test and the vasectomy can be repeated at no extra cost.
The bottom line is this. It’s not a worry to have a few non-motile sperm in your post vasectomy sample. It is a bit of a hassle however, to repeat the sample 7 months after your vasectomy to get the all clear.