Cosmetic Procedures

Currently, we classify non skin cancer procedures as 'cosmetic procedures'.  These include removal of skin tags, harmless moles, epidermoid cysts and more. 

Vasectomy

So you don't want any more children, ever? Vasectomy may be the answer for you. Come in and discuss your contraception preferences with our doctor. Our clinic is situated at Ridgehaven in the north eastern suburbs of Adelaide.

1. General Information

2. The Operation

3. Instructions to Patients

4. Anxiety Management

5. Sterility

6. After the Operation

7. Pain During and After the Operation

8. The Fees

                                _______________________________

1. General Information

Vasectomy is the surgical procedure for permanent male sterilisation. 

During ejaculation, sperm is combined with other fluids to make up the ejaculate. The volume made up by the sperm is only 1% and so there is no noticeable change in the volume of ejaculate. Some weeks after vasectomy the reserve of sperm in the seminal vesicles will gradually deplete and then infertility is achieved. The doctor will provide pathology forms for sample testing to be done 8 weeks after the procedure.  It takes this long for the reservoir of sperm to deplete.

Sex drive remains unaltered as the levels of male hormone (testosterone ) are unaffected by the operation as this hormone is carried by the blood stream directly from the testis. Vasectomy reliability is very good and the late failure rate ( tubes spontaneously rejoining) is about 1 in 1000.

Reversal of Vasectomy - You should consider vasectomy as not reversible as we cannot guarantee that an individual can undergo reversal succesfully.  In general, reversal is successful in the first 10 years after vasectomy but the success rate drops off after that. The cost of reversal is several thousand dollars.  Our clinic does not perform reversal procedures.  You should ask your GP for a referral to see an appropriate surgeon.

Using IVF techniques one sperm obtained by testicular biopsy can be injected into an egg to achieve pregnancy but again, there is a cost involved in this treatment.

 2. The Operation

At our practice the patient is awake throughout the procedure. Pain relief is via local anaesthetic.  We use the "no scalpel" method(nsv). This method gives a smaller skin puncture and therefore less complications.  Two to three centimeters of tube are removed from each side. The top ends of the tubes are cauterized and the bottom ends are left open.

 3. Instructions to Patients

You should plan 3 days off work for recovery time. Should you have a complication such as excessive bruising, you may need several weeks to recover. 

You can save the doctor time by shaving your scrotum prior to the operation.

You may drive yourself to and from the clinic unless you are having medication for sedation - in which case you need a driver.  Partners/spouses are welcome to stay and  sit in for the procedure if they wish.

Please don't take aspirin, anti inflammatories or fish oil in the week prior to your procedure as these can increase bruising. 

 4. Anxiety Control

 If you are likely to suffer excessive anxiety during the operation we are happy to provide sedation via tablet. This needs to be discussed at your first visit.

 5. Sterility

Please consider yourself fertile until proven otherwise after testing.  Most men only require one semen test at 8 weeks post operatively.  You will be supplied with some pathology forms and yellow top specimen bottles at the time of your first visit. Please speak directly with the doctor to discuss your test results.

 6. After the Operation

It is prudent to rest for the first 24 hours and then take things quietly for the next two days. Some pain over these 3 days is not unusual and you may use simple analgesia such as paracetamol or codeine for pain relief.

Bruising
Some visible bruising visible under the skin is not uncommon but please report any excessive bruising. Showering and normal bathing is fine. 

Normality / Activity
You should avoid strenuous physical activity for 2 days or longer if you are uncomfortable. You may resume normal sexual activity after 2 days if you are pain free. 

7. Pain During and After the Operation

Men generally tolerate the operation very well and state that they were surprised how little pain they suffered.

8. The Fees

The initial consultation costs $90 of which medicare card holders will receive a rebate of $37.60.

The procedure itself costs $600 of which medicare cardholders will receive a rebate of $195.40

After rebates have been received, the total out of pocket expense is approximately $460.

A $100 deposit is payable at the time of making a procedure appointment.  Should the patient wish to reschedule or cancel their procedure appointment, 2 full working days notice is required or the deposit will be forfeited.