FAQ's

Northern Medical Frequently Asked Questions

Administrative

Why are you so much cheaper than the big private hospitals? Will I get the same level of service?

We are able to offer our vasectomy service at a lower price than the private hospitals because we are a smaller, leaner operation, with fewer overheads and no obligation to pay multiple layers of managers as well as the shareholders.

 

The standard of our surgery, the equipment we use, and the premises we work from are all top-class.

No, you cannot. We need to have a pre-operative consultation with all patients to ensure that the procedure is right for them. This can be by phone or video call, at a time to suit you. There is no charge for our Vasectomy Discovery Calls.
We insist on a cooling off period of at least ten days in between your counselling appointment and your procedure. This is to ensure that you have fully considered all the information we have discussed, and that you are making the right choice for yourself.

We ask for full payment (£100) for your counselling appointment, made online at the time of booking.

 

We also ask for payment for your procedure in advance. A deposit of £150 is payable to reserve a slot on the operating list, with the balance payable at least a week in advance. If the balance is not paid by this time, your procedure will be cancelled.

We advise patients to arrange for a lift, or to take public transport. However, we are aware that some patients do choose to drive themselves to and from their appointment. This is better for those with automatic vehicles and short journeys.
Sorry, no. We apply this rule universally, without exception.

The vasectomy procedure

How does the procedure work?

The whole operation is done through one tiny hole in the skin of the scrotum.

 

The vas deferens is the tube that carries the sperm from the testicles into the body. During the procedure, a section of the vas is cut out from both sides, and the cut ends are sealed up with heat, and then a surgical tie. Finally, the cut ends are buried away from each other to further reduce the risk of them ever rejoining. This technique is called fascial interposition.

Yes, we use the no-scalpel vasectomy technique. The entire procedure is performed through a very small puncture in the skin of the scrotum. This technique is associated with less pain and improved outcomes to the old-fashioned technique.
This is the part of the procedure that worries people most but it is very well tolerated by the majority of patients. We use a very fine needle into the skin of the scrotum, this feels like a small scratch only. After the skin has been numbed, we then anaesthetise the tubes inside the scrotum for a pain-free procedure.

You will not be in pain during the procedure. We aim for it to be entirely pain-free, and will top-up the local anaesthetic during the procedure if there is the slightest sign that you are feeling anything.

 

The vast majority of men are comfortable and relaxed enough during the procedure that they are happy to keep chatting to our nurses and surgeon.

Yes, we use the fascial interposition technique during all of our vasectomies. This involves burying the cut and sealed ends of the vas away from each other, so that there is a physical barrier between them to further reduce the risk of them ever rejoining.
You will have a single stitch in the skin of your scrotum. We use a dissolving suture which should drop out after one to two weeks. If it has not dropped out after two weeks, then you may wish to have it removed.
We prefer you not to wear headphones so that the surgical team are able to communicate with you easily. However, we always have the radio on, and are open to station requests!
Many of our patients attend with their partner, but most of our come into the treatment room on their own for the procedure, as space is limited. However we can make adjustments to allow a partner in for people who are particularly anxious about their vasectomy.

Before your vasectomy

How should I prepare for my vasectomy?
Please shower on the morning of your vasectomy. It is fine to eat and drink as normal before your procedure.
There is no need to remove any hair if you do not wish to. However, trimming or shaving the hair from your scrotum can prevent the hairs getting caught in the stitches, which can be a minor cause of discomfort during the procedure. If you do wish to shave the skin, it is best that this is done a couple of days in advance to reduce the risk of infection.
Yes you can.
Please bring a spare set of clean and tight-fitting underwear to put on after your procedure and some paracetamol and ibuprofen to take before you leave.

After your vasectomy

What should I do to make sure I am comfortable after the procedure?
Most men will be comfortable enough taking regular paracetamol four times a day, topping up with some ibuprofen if needed. It is helpful to wear supportive underwear for a week or so, and it may also be helpful to apply an icepack or bag of frozen peas to the scrotum if it is aching in the days after surgery.
It depends on what you do for your job. People with office-based jobs or who work from home are usually able to resume work the following day. People with more manual jobs may need 2 or 3 days off work. Most people are able to resume normal levels of physical activity after a week.
Most people are able to resume normal levels of physical activity after a week. Be guided by how comfortable you feel.
You are able to resume sexual activity after a week, so long as you feel comfortable to do so.

Your semen sample should be submitted no sooner than 12 weeks after your procedure. If it is received before this time, the result will not be valid and will need to be repeated for which there will be an additional charge.

 

There is no upper time limit to when the sample can be submitted, but you should continue to use contraception until you have a clear result.

We advise a mimimum of 30 ejaculations before submitting your semen sample, to clear old sperm from the tubes. The more times you have ejaculated, the more chance of the sample being clear of sperm and not requiring to be repeated.

First of all, at least 12 weeks and 30 ejaculations need to have passed since your vasectomy.

 

You then need to abstain from ejaculating for at least two days before you produce your semen sample, but that period of abstinence must be no longer than 7 days.

Yes. Vasectomy has no influence on your sexual function. You will have normal erections and normal ejaculation, there will just be no sperm in your semen.
Yes, you will. This is not affected in any way by the surgery.

Is vasectomy the right choice for me?

Can vasectomies always be reversed?
No, vasectomy reversal is not always successful, so you should be sure of your decision before committing to a vasectomy,

There are two types of failure: early and late failure.

 

Early failure is when the tubes reconnect soon after the procedure, and is always detected by the post-vasectomy semen sample. The chance of this is less than 1% (0.5%).

 

Late failure is very rate, the chance is less than 0.05%

Figures for this vary, but the chance of having significant long-term pain is likely to be less than 1 in 500.
Probably not. We know from scientific studies that the chance of decisional regret is higher in men under 30 with no children. Please book a consultation if you wish to discuss your individual circumstances.

Possibly not, dependent on your circumstances. There is a higher chance of decisional regret for men under 25, even if they have had children.

 

Please book a consultation if you wish to discuss your individual circumstances.

Unfortunately having an inguinoscrotal hernia is a contra-indication to having a vasectomy under local anaesthetic.
Not without stopping your medication and we will need to consider the risk/benefit profile of this. Please discuss this with your GP or book a consultation with us.