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The Bermuda Practice Vasectomy Clinic.

Bermuda Practice Shakespeare House Health Centre Shakespeare Road Basingstoke RG24 9DT Tel: 0844 8800 498 This information leaflet has been designed to guide you through your visit to us for your vasectomy and through the immediate post operative period. We can be contacted on the above number before and after your procedure.

Patients Guide to Having a Vasectomy A vasectomy is a safe simple procedure that is becoming more popular as men take more responsibility for contraception when they are happy that their family is complete. We suggest you consider your circumstances and talk to your partner beforehand and that your partner talks to your GP about other forms of contraception prior to you booking in for your procedure.

The failure rate of a vasectomy procedure is less than 1 in 2000. It is not meant to be easily reversed.

Before your Vasectomy • • •

You should shave the front of your scrotum at least 1 day prior to the operation. Immediately before coming in for the operation you should wash the genital area with soap and water and keep warm. Remember to bring with you a clean pair of tight fitting underpants.

Your wife / partner is welcome to attend with you for any part or all of the consultation or the operation itself.

What Should I Expect on the Day? The vasectomy is performed under local anaesthetic which numbs the area. This means you will be fully awake at all times but you should not experience any pain during the procedure. The operation usually takes less than 15 minutes and is performed through a single keyhole incision in the front of the scrotum. You will also be asked to wait for 30 minutes after the procedure just to make sure that you are feeling fine. You should arrange to be collected from the surgery as we do not suggest you drive immediately after the operation.

What Should I expect after the Vasectomy? You are likely to experience some discomfort during the first few days and occasionally some swelling develops. It is sensible to relax at home for a few days before returning to work. We also advise you to refrain from heavy lifting or strenuous exercise for the next few weeks. You should wear tight fitting underpants day and night for about a week to give you support and minimise swelling. A small amount of bruising and swelling is normal. Ice packs may be used to help with any swelling and can be applied to the scrotum for 10-15 minutes every 1-2 hours. (But remember to put something like a tea towel between the ice pack and the skin)

The local anaesthetic wears off after about 60 minutes; Paracetamol should be sufficient to help you with any further discomfort. There are usually no stitches to remove, the keyhole incision will heal by itself, sometimes there is a small amount of blood stained discharge. You should only be concerned if this discharge is persistent or smelly. Some scar tissue will form; this may be felt as a slightly lumpy tender area this is quite normal. You will be required to give at least one semen sample 16 weeks after the procedure; we will then contact you with the results. This test is to check that there are no more live sperm in your sample. You occasionally may be required to do another test.

It is essential to use other forms of contraception and take precautions against pregnancy until we give you the all clear. Sexual intercourse can be resumed when you feel comfortable. You may also notice a blood stained discharge the first few times you ejaculate. Vasectomy has no effect on masculinity, sexual arousal or performance. Some men may develop chronic testicular discomfort following the procedure this is rarely severe or necessitating further operations or tests.

Advice and information. Your Surgeon will answer all your questions before the procedure. The following website is a very good resource for further information.

Vasectomy Clinic  

A short introduction booklet about your Vasectomy Procedure at Bermuda Practice

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