| mon.: | 8 am - 8 pm |
| tue.: | 8 am - 8 pm |
| wed.: | 8 am - 8 pm |
| thu.: | 8 am - 8 pm |
| fri.: | 8 am - 8 pm |
| sat.: | Closed |
| sun.: | Closed |
The most effective method of male contraception is vasectomy. The name vasectomy comes from the Latin word "vas", meaning vessel, and the Greek word "ectomy", meaning to cut. This is a very apt name, because in practice, during a vasectomy, the spermatic cord is cut and tied.
At Vedi Clinic Warsaw, vasectomy is a form of permanent contraception, which is a microsurgical urological procedure that involves cutting and tying the spermatic cords to break their continuity. The vasectomy procedure consists of two parts. First, a urologist or surgeon interviews the patient, analyzes blood test results (focusing mainly on blood clotting), performs a physical examination, and provides appropriate medical documents for review and signing. Then, in an outpatient setting, using local anesthesia, the vasectomy is performed.
At Vedi Clinic Warsaw, there are two techniques for vasectomy: one using a scalpel and surgical incision or the more commonly used vasectomy without a scalpel (WBS technique). The WBS method involves a small delamination of the scrotal skin just above the vas deferens, which can be felt through it, using a special preparator. When the doctor gains access to the vas deferens, he cuts it and then ties it. The procedure is completed after the delamination of the scrotal skin is connected with a single suture or tissue glue. See the price of the vasectomy Warsaw.
Some men may fear that a vasectomy will negatively affect the quality of their sexual relations. However, there is no need to be afraid of this form of male contraception. Erection, ejaculation and the appearance of the ejaculate remain unchanged after the procedure. This is because sperm constitutes a negligible part of the volume of semen, so their absence does not affect the color or consistency of the semen in any way. Additionally, a vasectomy has no effect on the patient's hormonal balance, so sexual drive, facial hair or, for example, voice tone also remain unchanged.
| Qualifying consultation | 350 PLN |
| Online qualifying consultation | 350 PLN |
| Vasectomy without a scalpel | 2 400 PLN |
The procedure is performed by a urologist or general surgeon. This procedure is performed under infiltration anesthesia of the spermatic cord and scrotal skin. Is a scalpel necessary? No, it is not. The WBS method (vasectomy without a scalpel) involves a small separation of the scrotal skin above the spermatic cord that can be felt through it, using a special dissector. After gaining access to the spermatic cord, it is cut; the method preferred by our specialists is double ligation of the abdominal part of the spermatic cord, while the testicular stump remains open to prevent any possible discomfort associated with sperm accumulation in the testicles and epididymis. The procedure is completed by anastomosis of the separated scrotal skin with a single suture or tissue glue. The final method used to perform spermatic cord ligation – in terms of anesthesia, incision or skin separation – depends on the patient's anatomical conditions. A procedure performed on both sides results in infertility. The procedure lasts about 15–30 minutes and does not require hospitalization.
Why is vasectomy considered one of the most effective methods of contraception? First, the effectiveness of vasectomy has been confirmed in clinical trials. Additionally, by tying the spermatic cords, their patency is blocked and the transport of sperm to the semen is interrupted. Due to the fact that sperm is needed to fertilize the egg, vasectomy is considered an effective method of male contraception.
The effectiveness of a vasectomy is estimated at 99%. The effectiveness of a vasectomy can be assessed after just a few weeks. Immediately after the procedure, it is recommended to stop having sex for about 7 days. Then, for a few months, it is recommended to use another form of contraception, such as a condom, because the ejaculate may still contain some sperm. During a check-up, the urologist will conduct a sperm morphology test to determine the presence of live sperm in the ejaculate. If the result is negative, the couple can stop using other contraceptives and enjoy normal sexual activity.
Before the procedure, the doctor will conduct a consultation visit, which will allow the patient to qualify for the procedure. It consists of collecting an interview and a physical examination. If the doctor considers it necessary, he may also order laboratory tests. Before the procedure, the pubic area should be shaved and careful hygiene should be maintained.
The patient does not have to stay in the facility after the procedure. The procedure does not affect the ability to drive, so you can arrive and return safely by car. The dressing at home should be removed before going to bed and the area washed with soap and water or a gentle disinfectant, e.g. Octanisept. There is no need to re-dress. In case of pain, it is advisable to take over-the-counter painkillers, e.g. paracetamol or ibuprofen. You should not be too careful, but very intensive exercise, such as training in the gym or cycling for several hours, should be postponed for up to 7 days after the procedure. It is also advisable to wear tight-fitting underwear. There are no specific guidelines for sexual activity in the post-procedure period, but ejaculation that is reddish-brown in color is absolutely normal. Of course, other contraceptive methods should be used until a test confirming the loss of live and motile sperm in the ejaculate is performed.
If blood-tinged fluid leaks from the wound, gently rinse with Octanisept. Bruising around the scrotum and base should not be a cause for concern, it may persist for several days after the procedure. However, the appearance of a palpable, painful lump in the scrotum 1-2 days after the procedure should be consulted with the operating physician, as it may be a hematoma. Alarming symptoms include purulent discharge and an increase in body temperature >37.5 °C, these are signs of infection, so it is important to report it to your physician quickly.
The incidence of complications such as hematomas or infections ranges from 1 to 2% among men. Chronic scrotal pain associated with a negative impact on quality of life after vasectomy occurs in about 1-2% of men. In available studies, bacterial epididymitis after vasectomy was rare, with rates of up to 1.5%. It is estimated that the chance of pregnancy after vasectomy is 1 in 2 000 for men who experienced low sperm motility after the procedure.
In most cases, there is no need to use strong prescription painkillers. Popular painkillers such as paracetamol, pyralgine or ibuprofen, available without any problems in most stores and pharmacies, will probably be sufficient. Alternatively, you can apply Altacet gel to the skin to relieve local discomfort. If the pain is very severe and does not go away with over-the-counter medications at the correct dosage, you should contact your doctor.
For some time after the procedure, other methods of contraception should be used. The period between vasectomy and sperm atrophy or the occurrence of few immotile sperm can vary from weeks to months depending on many factors such as frequency of ejaculation, patient age, surgical technique and differences in the anatomy of the spermatic cord or seminal vesicles. A semen analysis is performed to confirm sperm atrophy, which may need to be repeated to assess the effectiveness of the procedure. The first test is usually performed 6-8 weeks after the procedure, and the next one at 12 weeks after the procedure if there is any doubt about the first result.
Vasectomy should be considered unsuccessful if semen analysis shows motile sperm six months after the procedure. Patients whose postoperative semen analysis does not meet the required criteria should expect a repeat procedure to ensure occlusion of the vas deferens.
As mentioned earlier, vasectomy aims to deprive the ejaculate of male reproductive cells capable of fertilization. However, a man still retains the ability to ejaculate, thus the possibility of transmitting venereal diseases such as syphilis, gonorrhea, HIV or HBV. It is therefore recommended for men who are carriers of sexually transmitted diseases to use barrier methods such as condoms. Of course, the risk of acquiring these diseases by a man after vasectomy does not change either.
The total cost of the procedure consists of 2 services:
Thanks to cooperation with the institution granting medical loans MediRaty, it is possible to carry out the procedure without unnecessary delay with the possibility of paying in installments. More information about payments can be found in our price list.
