Non Scalpel Vasectomy (NHS Service)

Facts about Vasectomy

Vasectomy should be considered as a form of permanent male contraception.

It is a safe and simple procedure commonly performed under local anaesthetic. As in all surgical procedures, there exists the potential for complications which are explained in the consent form and you will have ample opportunity to discuss it in detail when you attend for your initial consultation with the surgeon.

Technically it is reversible at a later date; however, it is a far more complex procedure and results are often unsatisfactory. One needs to be very sure about their family situation before deciding vasectomy is the right form of contraception for the individual concerned. A reversal operation is not currently available on the NHS and is expensive.

Sperms are produced in the testes and carried along the tubes, called the vas deferens (one vas for each testis). It mixes with the seminal fluid near the prostate and is ejaculated through the penis during intercourse. Each vas (tube) gets divided separately during vasectomy to stop the sperms reaching the seminal fluid and the penis. After this operation the ejaculate contains only seminal fluid and no sperm.

One cannot give up the usual contraceptive measures immediately after vasectomy as there are already formed sperms in the tubes. Semen needs to be tested a few weeks after the procedure to ensure semen is completely free of sperms. Until that point alternative contraceptive methods have to be used. We will again explain you how to go about arranging this in detail in due course.

Vasectomy does not affect male sex drive at all. Sex drive is regulated by a sex hormone called testosterone which continues to be released into the blood directly from the testes. By negating the risk of accidental pregnancy sex is likely to be more relaxed and enjoyable for the couple after this procedure. In essence, male masculinity remains 100% intact.

Vasectomy does not affect the amount of semen (also called seminal fluid) ejaculated during intercourse or masturbation as over 95% of what is ejaculated is made up seminal fluid from the seminal glands. Vasectomy simply prevents the sperm (also called the spermatozoa) from joining the seminal fluid and thus prevents pregnancy.

You do not need your spouse’s/partner’s consent to have this procedure; however it is good to discuss this with your spouse/partner. The final decision is yours.

Thinking about vasectomy? Things you need to consider

  • Are you sure you want a permanent form of contraception?
  • Is there an alternative form of contraception which might suite you as a couple better?
  • Is your family complete?
  • Are you in a stable relationship?
  • Would you consider having a family in the case of a new relationship? How would you feel if you had a vasectomy and your new partner wanted to have children?

Your request may be turned down for vasectomy in case

  • You are very young and have no children.
  • Your current relationship is not stable.
  • You are under stress or suffering from depression.
  • You are thinking of having a vasectomy reversal in case you change your mind.

What is No Scalpel Vasectomy (NSV)?

This is a specialised advanced keyhole surgical technique first invented by a Chinese surgeon. In terms of outcome NSV is as safe and effective as a conventional vasectomy. However the amount of side effects following this procedure is significantly less as compared to conventional vasectomy and this has led to its increased popularity throughout the world and is, in fact, now considered to be the gold standard.

NSV is a procedure which does not use a scalpel to make an incision in the scrotum. Specially designed fine instruments are used to bring the tubes out through a single midline keyhole in the scrotal skin before they are divided separately and heat sealed. The advantages of this procedure compared with the conventional scalpel method are:

  • No stitches at any stage of the procedure including the skin.
  • It is a keyhole procedure which is less invasive and involves less tissue handling, which in turn results in reduced complications, for example pain, bleeding, haematoma (clot in the scrotum), and infections.
  • Shorter operating time
  • Quicker recovery

Our surgeon and his team are specially trained for this method of vasectomy.

Please speak to your usual doctor in order to be referred to this service (this service is now available to practices who are near to Melton Mowbray as well)

We are the only practice serving the market town of Melton Mowbray in Leicester to offer the Non Scalpel Vasectomy.”

Making an appointment

You will need to make an appointment to see your GP in order that you can be referred through the “choose and book” process to our surgeon.

Once we receive your request for vasectomy, we will send you an information pack which contains amongst others information about vasectomy in general, some questionnaire about your family and your health (any issues you could clarify later on as well when you come to see the surgeon for the initial consultation) and the consent form detailing potential complications relating to this procedure. Again the surgeon will be going through this with you when you will attend for your initial consultation.



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