Vasectomy Service

An affordable and permanent method of family planning for men. Female sterilisation currently outnumbers male vasectomy by a factor of 5, this is despite the procedure been less invasive with a lower recovery time and complication rate. We perform the procedure using the non-scalpel technique. It’s advantages are:

  • Less Discomfort
  • One small opening in the skin instead of two incisions
  • No stitches
  • Faster procedure
  • Quicker recovery and less downtime
  • Lower complication rates – such as bleeding and infection
  • Preferred method internationally
  • Carried out here in the surgery, with 24 hour post operative support where required.

Non-committal pre-counselling service for those considering the procedure. Free to GMS patients and Patients who have a Doctor Visit Card-Private Fees €425. The above fees include full pre counselling, the procedure itself and post operative follow up and interpretation of semen analysis.

Vasectomy Booklet

Answers to some of your common concerns in relation to Vasectomy

How Can I Be Sure I Want a Vasectomy?

Be absolutely sure you don’t want to father a child under any circumstances. Talk to your partner; it’s essential to make the decision together. Consider other kinds of birth control as well. A vasectomy might not be right for you if you are very young, your current relationship is not stable, you are having the vasectomy just to please your partner, or if you are under a lot of stress.

What is Different about a No-Scalpel Vasectomy?

No-scalpel vasectomy is different from a conventional vasectomy in the way the doctor gets to the tubes. This makes the procedure much less painful.

In a conventional vasectomy (not performed at Lakeshore Medical Centre), after the scrotum has been numbed with a local anaesthetic the doctor makes one or two small cuts in the skin with a scalpel and lifts out each tube in turn, cutting and blocking it so the sperm cannot reach the semen. Then the doctor stitches the cuts closed.

In a no-scalpel vasectomy, the doctor feels for the tubes under the skin and holds them in place with a small clamp. Instead of making two incisions, the doctor makes one tiny opening with a special instrument so the tubes can be reached. The tubes are then blocked using a cautery method. There is very little bleeding with the no-scalpel technique. No stitches are needed to close the tiny opening, which heals quickly.

The no-scalpel vasectomy was invented by a Chinese surgeon, and is used throughout China. It was introduced in the United States in 1988, and Dr. Gallagher trained in Tollgate surgery, London in 2013 to perform the procedure. He trained in Essex under the guidance of Dr. Laurel Spooner who is past president of the Association of Surgeons in Primary Care. He currently holds accreditation for the procedure through the ASPC.

Does No-Scalpel Vasectomy Work?

Yes. It is estimated that after a vasectomy there is less than a 1 in 2,000 chance that a man’s partner will become pregnant.

How Long Will the No-Scalpel Vasectomy Procedure Take?

Your appointment includes a consultation at which we explain the procedure and answer your questions. Your partner does not have to attend with you but it may be helpful if she does. On average the procedure takes about 15 minutes but you will be at the surgery about 45 minutes in all. You should bring someone with you to drive you home afterwards.

Will It Hurt?

Before the day of your vasectomy we can give you a mild sedative, to be taken an hour and a half beforehand, to relax you.  Most men choose not to have this, however if this is something you feel you would like please make enquiries before your appointment date. When the local anaesthetic is injected into the skin of the scrotum, you will feel some discomfort, but as soon as it takes effect, you should feel no pain. Afterwards you may be sore for a couple of days, and you might want to take a mild painkiller. But the discomfort is usually much less with no-scalpel technique, as there is less injury to the tissues. Also, there are no stitches. You will be provided with complete instructions about what to do after surgery.

How Soon Can I Go Back to Work?

You should take it easy for at least 48 hours after your vasectomy. If your job doesn’t involve heavy work, you can then go back. If it does you should take a full week off.

Will I Be Sterile Right Away?

No. After a vasectomy, there are always some active sperm remaining. It takes about 20 ejaculations to clear them. You and your partner should use another form of birth control until a sample of your semen has been tested 16 weeks after your operation and confirmed free of sperm.  Both of these figures are important to have an accurate post operative sample. At the time of your appointment we will provide you with a sample pot and information regarding obtaining a Post Vasectomy Semen Test.   It is very important that you take this test and that you wait for the results before stopping using the other method of birth control.

When Can I Start Having Sex Again?

After one week, but remember to use some other kind of birth control until you have received the letter to say that you are sterile.