Planning, Preparation, Your Visit & Aftercare
Planning, Preparation, Your Visit & Aftercare
Dr Dick Beatty can of course only be in one place at one time and fridays do get booked up. Some guys like to ‘run with it’ and may wish for a sooner appointment for their procedure on a week day Brisbane Bayside.
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 who have busy lives.
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. A small proportion of men are not suitable to proceed immediately to the procedure.
However, we ask you to make an appointment for a consultation-only if you answer “yes” to any of the following questions:
For a consultation-only simply follow this booking link.
Absolutely! Have a good breakfast to help keep up your energy levels.
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.
Your partner is very welcome to attend the consultation and/or the procedure itself. We find that around 25% of guys come with their partner to the clinic of whom around half come into the procedure room.
Please bring your Medicare card to allow us to process your medicare rebate for the vasectomy.
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.
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 15 minutes prior to your appointment time to give enough time to check the pre-procedure information and do the forms.
The very occasional guy who needs a sedative will be given a separate arrival time.
The vast majority of guys do not need any sedative at all.
Remember that Dr Dick Beatty is expert at putting you at ease.
Men who feel very anxious about getting ‘The snip’ may request a sedative tablet. A sedative tablet is offered after the consultation. The tablet takes around 30 minutes to work. 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 60 minutes prior to the appointment. You will need someone to drive you home.
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.
Full-blown ‘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.
Vasectomy is a big deal for our clients. Allow yourself to lie back, enjoy some down-time, and let us do the hard graft.
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.
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.
Dr Beatty will discuss with you
You are invited to sign the consent form.
You are taken by Dr Beatty to the procedure room.
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.
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.
We’ll let you know when you are ready to leave the clinic! You will be able to leave the clinic soon 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 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.
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 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 some time off work, or be on modified duties. Ask the doctor for a medical Certificate.
Good question – 5 days is fine.
The pathology sample bottle and form is given to you after your vasectomy.
Dr Beatty advises you to get your test done 14 to 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! You may want to get the test done a little earlier at 14 weeks although there is more of a chance that you’ll need to repeat 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!
We will send you a text. Please contact the clinic if you have not received your result within 3 working days of getting the test done.
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.