Vasectomy is a permanent form of birth control that is simple, safe, and effective.
The procedure involves the division of the right and left vas deferens tubes, each of which delivers sperm from the testes into the semen. Vasectomy is usually performed in the doctor's office under local anaesthetic. After a vasectomy, the sperm remaining in each vas deferens is cleared out over time; during this time pregnancy can still occur. Most men will clear this sperm after three months and at least twenty ejaculations, at which time they will send a semen sample for analysis. Once the laboratory confirms that there is no sperm in your semen, you will not be able to make your partner pregnant.
Photos © 2012 Advanced Meditech International, Inc. By permission.
Advantages of Vasectomy
• Vasectomy is a one time, low risk procedure, which is safe and effective
• Vasectomy is the most reliable method of birth control, including all forms of female birth control
• Vasectomy is covered by OHIP
• It eliminates the ongoing expense of other, non permanent birth control methods
• It relieves your worries of unplanned pregnancy
• A vasectomy does not protect men from the risks of sexually transmitted infections/diseases (STIs, STDs) during unprotected sex
Traditionally, vasectomy requires the use of a scalpel to cut the skin of the scrotum over the right and the left vas deferens tube. Each vas is then divided and sealed, using various methods depending on the surgeon. The two incisions are then closed with stitches.
Before the incisions are made, the skin is 'frozen' using local anaesthetic, which is delivered using a needle placed into the scrotal skin over each vas.
No Scalpel Vasectomy
At the Toronto Vasectomy Clinic, we perform vasectomies using the No Needle, No Scalpel method.
The No Scalpel Vasectomy method eliminates the need for a cut in the skin. Instead, a special instrument with a pointed tip (a hemostat) is used to create a tiny opening in the skin to gain access to the vas deferens. The vas on each side is then disrupted in four ways:
1. The vas is divided.
2. The two ends are separated.
3. The prostatic end is sealed with cautery.
4. The tissue of the vas sheath is closed over the prostatic end of the vas to create a barrier between the two cut ends; this is the fascial interposition method.
5. The testicular end of the vas is left open.
This method is known as the open-ended, fascial interposition technique. It is one of the evidence-based best practices as recommended by the American Urological Association.
The opening in the scrotal skin is so small, that it seals on its own without the need for stitches.
The No Needle method eliminates the need for a needle to freeze the skin. Instead, the local anaesthetic is delivered using a special instrument called the MadaJet®. The MadaJet® freezes the skin and underlying vas by using a high pressure spray rather than a needle.
The No Needle, No Scalpel Vasectomy is fully covered by OHIP.
Advantages of No Needle,
No Scalpel Vasectomy
• No needle poke is required
• Less post vasectomy pain
• A single, small skin opening is required, eliminating the need for stitches
• Lower risk for post vasectomy bleeding complications
• Lower risk of post vasectomy infection
• Quicker return to sexual activity
Photo © 2012 Advanced Meditech International, Inc. By permission.
Vasectomy should be considered a permanent form of birth control. Although vasectomy reversal surgery can be performed, the success of this procedure is not guaranteed, and decreases with time lapsed after the initial vasectomy. Therefore, before undertaking vasectomy, you should consider it to be an irreversible and permanent form of birth control.
Because individual circumstances can change, some men choose to take advantage of sperm storage prior to undergoing a vasectomy. There are such facilities available in the Greater Toronto Area.
We must emphasize...
1. Laboratory analysis at twelve weeks is required to confirm that your vasectomy has been successful. Until you do a semen test and make a follow up appointment to receive the results, you must continue using another form of birth control.
2. Vasectomy should be considered permanent.
3. Vasectomy does not protect against sexually transmitted infections/diseases (STIs, STDs).
More information can be found in the American Urological Association Vasectomy Guideline: