For men requiring contraception a vasectomy can be undertaken. You will require an assessment and examination first. We will discuss the benefits and risks of the procedure and how it can be done under local or general anaesthetic.
Vasectomy is a reliable form of contraception but has a failure rate of 1 in every 1000-1500. Once undertaken it is not immediately effective, as there is a “washout” time for sperm after the operation.
Although vasectomy can be reversed, this is not a straightforward operation and not always successful: pregnancy rates only average around 35%. A consultation is usually preferred with your partner. It is important to be certain that you are both in good physical shape and that you understand the important pitfalls of such surgery. Other options will be discussed with you at your first consultation.
The vasectomy reversal is undertaken using a loupes technique. This allows up to x3.5 magnification, which makes placement of fine sutures into the tubes (2mm wide) much more accurate. The chance of obtaining sperm after the procedure is high (up to 90%). The true success of vasectomy reversal lies in the chance of a pregnancy; this is much lower at up to 50%. Many factors affect the outcome of a vasectomy reversal and these will be discussed with you before any decision is made.