No-scalpel vasectomy
Performed through a single small puncture under local anaesthesia in about twenty minutes, with fascial interposition and cautery for maximum reliability. General anaesthesia is available for those who prefer it.
Cared for by Dr William Akakpo
Vasectomy is the most reliable form of male contraception: a short procedure that interrupts the vas deferens so that sperm no longer reaches the ejaculate. It does not change erections, orgasm, testosterone or the appearance of the ejaculate. It should be considered permanent — but when circumstances change, microsurgical reversal can restore the passage of sperm, with patency rates of 90% or more when performed by a microsurgeon within the first years after the vasectomy.
Performed through a single small puncture under local anaesthesia in about twenty minutes, with fascial interposition and cautery for maximum reliability. General anaesthesia is available for those who prefer it.
The two ends of the vas are rejoined under the operating microscope with two layers of very fine sutures. Patency is restored in the large majority of cases and pregnancy rates depend mainly on the interval and the partner's age.
When no sperm is found in the vasal fluid during reversal, a technically demanding connection is made directly to the epididymis. The decision is taken during surgery, so the surgeon must be able to perform both procedures.
Sperm can be frozen at the time of vasectomy or reversal as an additional safeguard, in coordination with the fertility laboratory.
Microsurgical reversal is often successful, but no reversal can be guaranteed. A vasectomy should only be chosen if the decision feels definitive today.
No. Hormone levels, erections, orgasm and ejaculate volume are unchanged — only the sperm, a very small fraction of the volume, is absent.
There is no strict limit; success declines gradually with time, but good results are still achieved fifteen years or more after the original procedure.