Men select vasectomy as the preferred choice of contraception for one of these reasons:
- Contraception with the lowest failure rate.
- ‘Snip and Let Slip’ – there is no pill to forget, and no device to insert every few years.
- The wish to share the ‘burden’ of contraception with your partner indicated by your partner who says that she is ‘over hormones.’
- The wish to take control of contraception perhaps because you do not want to rely on a partner remembering to use contraception.
The saying ‘A stitch in time saves nine’ has a certain ring to it when you think of traditional vasectomy.
HOW SUCCESSFUL IS THE SNIP?
Men often say to us that they want to ‘tick that box’ to prevent any future pregnancy.
The vas deferens (tube) does rarely re-join (recanalisation). The risk of vasectomy failure is around 1 in 300, and highest in the first three months of the procedure. You must get a post vasectomy semen test to get the all-clear.
Late Failure refers to a pregnancy after getting the all clear from the post vasectomy sample. Thankfully, this is rare at less than 1 in 2,000. Vasectomy ‘failure rate’ describes the lifelong risk of pregnancy whereas the failure rate of other methods of contraception are given over a 12 month period. Vasectomy is remarkably effective.
Get the post vasectomy semen test done, and in the unlikely event of a failure then something can be done about it.
WHAT ARE THE POSSIBLE SIDE EFFECTS?
Vasectomy can, like any medical procedure, have side effects. These risks are small and are minimised with No Scalpel Vasectomy. Vasectomy is widely regarded as the best form of permanent contraception.
Bleeding. A little pin-point bleeding from the skin may occur after the procedure which can be stopped by pinching the skin together firmly for 15 minutes. Post Vasectomy Haematoma describes internal bleeding that is sufficient to lead to scrotal pain and swelling. Haematoma occurs in fewer than 1% of men and will go away on its own, although a large haematoma may take several months to resolve.
Reduce strenuous activity after the procedure to reduce the risk of haematoma.
Infection. The rate of an infection is 1-2% of cases.
Pain. The procedure itself is basically painless thanks to the advent of No Scalpel Vasectomy and Anaesthesia using The very finest needle available.
There was some media concern in 2013 that Vasectomy may slightly increase the risk of prostate cancer. The American Association of Urology have provided a reassuring statement in 2014 following a detailed analysis. They state that ‘vasectomy is not a risk factor for prostate cancer or for high grade prostate cancer. It is not necessary for physicians to routinely discuss prostate cancer in their preoperative counseling of vasectomy patients.’
There is further strong reassurance about vasectomy and prostate cancer in a Urology journal. The article was published in 2016 and is called ‘Vasectomy and prostate cancer risk: a historical synopsis of undulating false causality.’