Planning, Preparation, Your Visit, Aftercare, Your Test
AM I SUITABLE FOR AN ‘ALL IN ONE’ VISIT?
We offer an ‘all-ine-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.
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. We don’t want you to 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 $363, see 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 Dick Beatty has not yet been able not to complete a procedure because a 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 please ring us at least 1 day prior to the procedure so that we can give you a different arrival time which will be 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 a separate 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 clinic of whom around half come into the procedure room.
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’) prior to 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 that 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 and defer a 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’ but avoid boxer shorts.
If you’re coming from home then It makes sense to wear shoes you can slip on and off but whatever you have is just fine.
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?
Blood thinners include Warfarin, Plavix, Pradaxa, and Xarelto. You may be taking a blood thinner for a defined period of time – for example 12 months after some types of coronary stents, or for a few months after a blood clot. Under these circumstances, why not just postpone your vasectomy under after you are off them? Dr Dick Beatty asks you to continue blood thinners as normal. No Scalpel Vasectomy is a low bleeding risk procedure, and these medications are prescribed for a very good reason. Having said that, the pre-vasectomy consultation will identify any issues that may require the vasectomy to be postponed.
Anti-inflammatory medications have a mild blood-thinning effect. Brands include Ibuprofen, Nurofen, Voltaren, Diclofenac and are best stopped 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 a big deal.
Low dose aspirin is also not a big deal but you may consider stopping low dose aspirin if you take it as a general preventative. 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 re-imbursed 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.
We want you to have a good time!
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 be ready to leave the clinic 10-15 minutes after the procedure.
You can drive home but take it easy! 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.
As a general rule we advise men who are driving home:
- To wait at least 30 minutes before getting into the car.
- To make 100% sure you feel fine before getting behind the wheel.
- Please drive carefully & in the left hand lane.
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.
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 afterward 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.
Both bleeding around the dressing and bruising are caused by small superficial bleeds at the surface of the wound. This type of bleeding is almost always insignificant, and rarely associated with internal bleeding.
Haematoma refers to internal bleeding and occurs after 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 is gradually absorbed. A severe haematoma can take 3 months to resolve.
I’VE NOTICED BLOOD IN SEMEN
Blood in the semen is frankly alarming. However, a little blood in the semen on a few occasions 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.
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 prefer to see their 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 some time off work, or be on modified duties. Ask the doctor for a medical Certificate.
How do I do the sample?
Well, you did ask! Now let’s get serious for a moment …
You get the snip done for a reason and you must make sure it has worked.
- You are given a pot and request form before you leave the clinic.
- You do the sample at home after 14 weeks.
- Ring your local pathology collection centre before you do your sample. The sample is tested fresh – within 2 hrs of you doing the sample.
You want to avoid a small sample because a volume <1ml may need to be repeated. Abstain for a couple of days beforehand, and make sure you catch the whole sample.You must give advance notice to the Pathology Collection centre that your sample is coming! Your sample may otherwise not be accepted.
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 when
QML have the greatest 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 chose 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 massively 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 chosing but you must check that the collection centre accept seminal fluid samples.
QML Pathology accept samples anytimg during their office hrs 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. For example, the July 2019 courier times are:
- Capalaba 11.50am or 2.30pm
- Beenleigh 2.20pm
- Logan Central at 11.50am
- Browns Plains at 12.45pm.
You must check the up to date times by a phone call to your collection centre. 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?
We advise that you do your test 14 weeks after the procedure.
Around 85% of men are all-clear 12 weeks after the procedure. In other words, there is a 15% chance you’ll have to repeat the test if you do the sample after just 12 weeks.
Some studies show that only half of men do a test.
Doing the test at 14 weeks will give you the best chance of that all-important clearance ‘good to go’ the first time around.
You may want to get the test done a little earlier at 12 weeks although there is more of a chance that you’ll need to repeat the test.
But can you do the test early?
Over 25 ejaculations are required to ‘clear through’ the swimmers, and some guys want to do their test after a few weeks! The outcome of the test is time based as well as number of ejaculations, although some guys are all clear after just 8 weeks.
You can always do the test early if you feel like it, as long as you don’t mind repeating the test again later! Bear in mind that pathology companies have started to introduce a small out of pocket expense for the test.
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!
HOW DO I GET MY RESULTS?
We will send you the results promptly via a text. Please contact the clinic if you have not received your result within 3 working days.
WHAT HAPPENS IF THE SAMPLE IS NOT CLEAR?
You won’t feel like you’ve won the jack pot. However, 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 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. International guidelines and world experts are absolutely clear that you are all clear (100%) if there are <100,000 non-motile sperm per ml. However, it is important that the sample is analysed fresh.
Last Reviewed / Modified: 6/6/2019
First Published: 5/2/2015