Vasectomy

Dr. John Boyle is a member of the Primary Care Surgical Association

Vasectomy is a safe, convenient and effective permanent method of contraception, which is suitable for men who are sure that they or they and their partners do not want any or any more children.

No Scalpel Vasectomy

This is generally a safe and simple procedure. Local anaesthetic is injected under the skin at either side of the scrotum. This freezes the procedure area. It can be a little uncomfortable for about twenty seconds until the anaesthetic takes effect. A small cut is made either side of the tube (Vas) which carries sperm from the testicles to the penis. Instead of a scalpel – a special type of forceps is used. A small portion of the tube is removed and the ends tied. In some cases, a small electrical needle is passed down the centre of the tube and seals off the flow of sperm. This causes no additional discomfort. A stitch closes the wound on each side. These dissolve themselves in 7-10 days. It is important that you have breakfast as normal before you attend. Please wear underpants not boxer shorts.

Counselling Appointment

If you wish to proceed, an appointment should be made for counselling with Dr. John Boyle. It may be helpful if your partner attends with you. During this appointment all aspects of the procedure will be discussed, including the failure rate and known complications. You will be asked to sign a consent form, either at this visit or when you attend for the procedure. The appointment usually lasts 10 – 15 minutes.

Shaving

It is important that the area is shaved the evening prior to attending. Please shave all hair off the scrotum and around the base of the penis. Failure to do this may prevent the procedure being carried out.

After the Procedure

There will be some discomfort for the following 48 hours. Almost all patients get quite a bit of bruising and some swelling. Keeping the scrotum well supported for a few days afterwards can reduce this. While the majority of patients would probably be able to return to work the following day, it would be more beneficial to your recovery if work was avoided for the day or two afterwards. The stitches will dissolve themselves. The area should be keep clean and dry. A bath with added salt can help healing.

Specimens

The clinic will give you a specimen container after the procedure. The specimen should be collected by either incomplete intercourse and withdrawal or by masturbation directly into the container. A clear specimen is required. If this specimen show the presence of sperm, a further container will be sent to you for a specimen. It is important to continue using contraception until we have informed you of the success of your vasectomy. Regular intercourse will help to clear the tubes of sperm.

Completion

Once we have received a sample free from sperm, we will inform you and your GP of the vasectomy success. Once you have received this written confirmation, it will not be necessary to use further contraception.

The initial risk that the operation has not worked is 1 in 100 cases (this would be picked up by the samples you hand in). If this occurs the operation would need to be repeated. In the first few years after the all clear the chance of failure is 1 in a 1000. Up to 10 years the chance of failure after the all clear is 1 in 5000.

Aftercare

  • Rest, keeping your legs raised, for as long as possible during the first 24 hours.
  • Ice packs/frozen peas on the genital area can be helpful in reducing swelling (do not apply directly to the skin e.g. wrap in a tea towel). Use good supporting underwear or cycle shorts etc. (not boxers) for 2 -3 days.
  • Use simple painkillers or anti-inflammatory such as paracetamol or ibuprofen as long as there is no medical reason not to take them.
  • Baths (with a cupful of salt) can be started the following day and continue for at least a week. This keeps the area clean, aids healing and helps dissolve the stitches.
  • If possible, it is best not to go to work the following day. Most people return to work within 2 -3 days and can have intercourse or exercise within a week, although this depends on bruising, swelling or what job you do.
  • Frequent ejaculations (At least 2/week) are necessary to clear the tubes of old sperm. Remember there will be no change in colour, consistency or amount of seminal fluid. However, it is not uncommon to notice some blood in the urine or seminal fluid for 1 – 2 weeks following your vasectomy. If this persists, please see your GP.
  • Stitches still present after 3 weeks can easily be removed by the practice nurse.
Common Problems After A Vasectomy
  • Bruising – This is very common. It can be dark in colour and can appear away from the wound site.
  • Swelling – Occurs in almost everyone. Resting, ice packs and snug fitting underwear can help.
  • Bleeding - If there is bleeding from the wound, press gently for 5 – 10 minutes. If this does not settle the bleeding, contact your GP.
  • Haematoma - There is a 1 % risk of this occurring. This is when bleeding collects and forms a lump. If the swelling is very large then immediate medical attention should be sought. Around 0.04% of vasectomies can result in a major complication. Removal of the blood is necessary only if very large. All cases should be checked within a few days as antibiotics are sometimes needed and/or anti-inflammatory drugs. Seeing your GP is appropriate.
  • Infection – If the wound continues to ooze after a few days or there is an increase in redness and or pain around the wound, an infection may have occurred. This can be easily treated with antibiotics. Contact your GP for treatment.
  • Pain - Some men have pain that can last for a few months after the operation. Continued use of supporting underwear and anti-inflammatory drugs can help until it settles.
  • It is always recommended that you self examine your testicles on a regular basis looking for lumps as testicular cancer can develop in younger men. There has been no proven link between having a vasectomy and your risk of cancer.
Download & Print VASECTOMY AFTERCARE SHEET

How Much Does A Vasectomy Cost?

The total cost for a no-scalpel vasectomy for private patients is €450. The breakdown is €50 for the counselling and €400 for the vasectomy (including all aftercare and semen sampling)

Medical Card

If you have a valid medical card for the Mid West area there is no charge for the vasectomy (including all aftercare and semen sampling) . However there is a €50 euro charge for the counselling.

Private Medical Insurance

Unfortunately the procedure isn’t covered by insurance companies.

Medical Card Cost

If you have a valid medical card for the Mid-West area there is no charge for the vasectomy (including all aftercare and semen sampling). However there is a €50 euro charge for the counselling.

Downloads

The vasectomy counselling form is for GPs referring a patient.

The sheets below contain information for patients on what to do before and after your vasectomy.

Testimonials

I had a local anaesthetic vasectomy carried out by Dr John Boyle back in 2013. I was aware that he had considerable experience at doing local anaesthetic vasectomy hence why I chose him to carry out my procedure. 

He was extremely professional in his dealings with me as were his clinic staff who made me very relaxed when I arrived on the day of my surgery. I found the whole experience very straightforward and experienced minimal discomfort during the procedure. 

I had no post-operative complications although I was counselled at length about what to look out for and I followed this advice carefully. I was able to post in my post-operative sample four months after the procedure which confirmed the success of the procedure. 

I would have no hesitation in recommending Dr John Boyle to any man considering a local anaesthetic vasectomy.

Vivian

I had my vasectomy in February 2017. Not anything as bad as what I had thought it would be. 

I was numbed up prior to surgery, There wasn't any pain as such during the procedure. Just an uncomfortable sensation of pulling and tugging on one side only. 

The first day was fine as I did as directed and stayed in bed to rest. The second day was ok too - I was up and about with very little discomfort unless bending was involved. Third day was when pain started to kick in and I used a couple of ice-packs which did the job in cooling down the area. You can expect to experience some bruising but that is perfectly normal. As a scale I would rate the pain at its most uncomfortable for me as a 4/10. 

Throughout the whole surgery from initial consultation to the actual procedure itself I was made feel very comfortable by both Doctor and the Nurse involved. 

I personally couldn't recommend the service provided here highly enough.

Patrick

Married with three boys, youngest three years of age, I decided to do the brave and decisive thing and have a vasectomy. My wife had done the "heavy lifting" when it came to family planning issues up to then. Now it was my turn. 

Being a doctor made it easier as I knew it was a relatively straight-forward procedure. John had a very reassuring attitude and put me at ease. The operation only took 20-25 minutes I think but it went very quick as I chatted to John and the nurse during the procedure. The anaesthetic worked really well and I felt great leaving after the surgery. I even went into town and browsed in a book shop before heading home to take it easy for the rest of the day. 

I did have a slight ache in the groin for three to four days I think but I returned to work the day after the procedure. The joys of being self employed! 

Now, seven years later I have to say it was definitely the right thing for us and provided us with great peace of mind. 

Pat

Referrals

We welcome referrals from GPs. For more information, please see our referral page.

The vasectomy counselling form below is for GPs referring a patient.

Queries or Problems

If you have any queries or problems either before or after your vasectomy, please contact us at the clinic on (01) 514 3161. Please note that for confidentiality results are not discussed over the phone.