How does a vasectomy work?

Written in association with: Mr Moeketsi Mokete
Published: | Updated: 11/09/2024
Edited by: Conor Lynch

A vasectomy is a surgical procedure designed to provide permanent contraception for men. It is a popular choice for those who have decided not to have children or do not wish to have more. The procedure is simple, minimally invasive, and highly effective in preventing pregnancy.

 

Unlike other forms of contraception, vasectomy offers a long-term solution without the need for ongoing attention or use. Here to explain more is highly experienced consultant urologist, Mr Moeketsi Mokete

How does a vasectomy work?

During a vasectomy, the vas deferens; the tubes that carry sperm from the testicles to the urethra; are cut, tied, or sealed. This prevents sperm from mixing with semen, which is ejaculated during sexual activity. Without sperm in the semen, a man cannot father a child.

 

The procedure usually takes about 20 to 30 minutes and is typically performed under local anesthesia. Recovery is quick, with most men returning to normal activities within a few days. Although it’s a relatively simple surgery, it’s crucial to understand that a vasectomy should be considered permanent, as reversal is complicated and not always successful.

 

Effectiveness and considerations

A vasectomy is one of the most effective forms of birth control, with a success rate of over 99%. However, it’s important to note that it does not provide immediate protection against pregnancy. Sperm can remain in the vas deferens for several weeks or even months after the procedure. Therefore, another form of contraception should be used until a semen analysis confirms the absence of sperm.

 

Potential risks and benefits

The benefits of vasectomy include its permanence, cost-effectiveness, and the elimination of the need for other birth control methods. However, like any surgical procedure, it carries potential risks. These may include infection, bleeding, or chronic pain.

 

Some men also experience psychological effects related to the permanence of the decision. Despite these risks, vasectomy is a safe and reliable option for men seeking long-term contraception. It does not affect sexual function, hormone levels, or masculinity.

 

Before deciding on a vasectomy, it’s important to discuss the procedure thoroughly with a healthcare provider to ensure it aligns with your long-term reproductive goals.

By Mr Moeketsi Mokete
Urology

Mr Moeketsi Mokete is a consultant urological surgeon with practice in Preston. He has over 25 years of clinical experience.

Mr Mokete qualified from the University of Bristol in 1994 and completed his higher surgical training in the North-West of England. He started working as a consultant urologist in the NHS in 2006. A fellow of the Royal College of Surgeons of Edinburgh, Mr Mokete is on the GMC’s specialist register for urology and is also a member of various professional organisations, including The Endourological Society, The British Association of Urological Surgeons and the European Association of Urology. Mr Mokete is a trainer recognised by the GMC.

Currently, Mr Mokete privately practises at Ramsay Fulwood Hall Hospital. His NHS base is at Lancashire Teaching Hospitals.

Mr Mokete offers consultations for a wide range of common urological conditions, such as:

  • Adult circumcision
  • Benign prostatic hyperplasia
  • Bladder stones
  • Cystoscopy
  • Hydrocoele repair
  • Painful bladder syndrome
  • Prostate surgery
  • Removal of benign scrotal lumps
  • Ureteroscopy for renal and ureteric stones
  • Urethrotomy
  • Management of urinary tract infections
  • Vasectomy

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