North Shore Vasectomy is North Vancouver’s first and only dedicated vasectomy service. The procedure is performed by our experienced Vasectomy Physician Dr Aaron Goldstein Our clinic is located at the stylish new facilities at iHealthMD located at Unit 403-1200 Lonsdale. Our goal is to be the Gold Standard Vasectomy Provider on the Shore known for excellent service, overall experience and minimal disruption to your home and work-life.
Benefits of Vasectomy
- Simple office-based procedure that can be performed with only minimal discomfort in about 40 minutes total clinic time.
- Affordable family planning – Children cost hundreds of thousands of dollars whereas a vasectomy will cost you a few hundred dollars
- Free your sex life – Forget expensive refills for contraceptive pills. No awkward condom moments (if you don’t need STI protection). Offer your partner freedom from her contraceptive burden. Allow her to be free of ingested hormones and IUD devices.
- Crazy effective contraception – The most effective contraception available to men or women Greater than 99.9% effective when successfully confirmed on semen sample
- Minimal downtime – Most men are able to return to work the following day after their procedure.
- Sexual Function Intact – No adverse effects on your sexual function. Erections, sex drive and testosterone levels are not affected by vasectomy. You will still ejaculate fluid but it will not contain sperm.
- Comfortable Private Experience – Beautiful facilities at our IHealthMD 1200 Lonsdale location
At the end of your procedure there is a tiny small puncture wound in the scrotum. This small wound is dressed with a simple ointment and a few pieces of gauze. It will seal up and heal within a week or so. And that’s it, you’re done!
Risks of Vasectomy
- Bruising within the skin of the scrotum is the most common minor complication of vasectomy. It usually onsets a day or two after the the procedure and then usually fades over the next week or so.
- Bleeding within the scrotum (1/80) may form a tender swelling which you will notice as a lump. This is a blood clot and it will be tender and annoying. Over several weeks this will reduce in size until completely resorbed by the body. Your return to activities may be delayed with this problem.
- Scrotal Haematoma (1/1000) is caused by a major arterial bleed in which the scrotum balloons to the size of an orange. The scrotum is very tender, purple and tense. You should call Dr Goldstein immediately should this occur. You may require admission to hospital for surgical drainage but in actual fact most large haematomas eventually settle on their own. A large haematoma can cause significant downtime of several weeks to a few months.
- Infection (1/80) which may require treatment with antibiotics. Very rarely infection may require admission to hospital for IV antibiotics and surgical drainage.
- Epididymitis (1/50) is a minor discomfort due to inflammation of the tubes where they connect to the testis. It usually resolves with simple pain killers, rest and ice.
- Sperm Granuloma (1/200) is a lump that develops at the site where the tube. They are sometimes painful but usually resolve with time.
- Post Vasectomy Pain Syndrome (1/3,000) – A rare phenomenon where a nerve has been injured causing shooting pains throughout the scrotum. It can be a long-term problem or even rarely, permanent. It may require consultation with a urologist and another surgical procedure.
- Technical Failure (1/1,000) – This is why you must submit a semen sample. Even in the hands of the best surgeon, the procedure can sometimes fail. If you have live sperm in your semen sample at the 3-month mark you may require a redo procedure.
- Delayed Failure (1/3,000) – Some men defy all odds and manage a pregnancy even after submitting a clear semen sample showing no sperm seen. Go figure.
- Feeling Faint (1/100) – Occasionally we have men get a bit woozy in clinic during their procedure. Should you become unwell during your procedure please do notify Dr Goldstein immediately so we can take necessary action.
- Psychological Problems (1/10,000) – You may come to regret the decision to have a vasectomy. We sincerely hope you do not.
Preparing for your vasectomy
In the 48-hours prior to surgery take every step to look after your wellbeing and take sensible precautions so you do not miss your procedure. These include:
- disclose your medical history and allergies to Dr Goldstein.
- make sure you have read this website and all information provided to you.
- You will need to organize the day off work.
- Since our vasectomy procedure is minimally invasive, most men choose to drive home following vasectomy. However you may wish to organize your transport and for someone to pick you up after surgery.
- Plan to arrive 30-minutes before your procedure and please do not be late.
- Also bring an extra pair of well fitted jocks (“speedo style”) which you will wear for support after your surgery.
- Trim your scrotum and the base of your penis with an electric trimmer. If you usually wet shave the area you may do so but we do not recommend trying to wet shave for the first time on the day prior to your vasectomy!
- Avoid blood thinning medication like warfarin, aspirin, apixaban, rivaroxaban or clopidogrel. If you are taking regular blood thinners you will need to discuss this with Dr Aaron Goldstein before booking your procedure.
- Take it easy at home for the rest of the day. The anaesthesia will slowly wear off and you may start to feel a bit of discomfort in the testes, the abdomen or groin. This is entirely expected and normal. It should resolve over the next 14-days .
- Wear the supportive jocks you brought with you. Over the next 3-4 hours we suggest you use an ice pack or a bag of frozen peas and apply this to the scrotum for 20-minute intervals to keep swelling, bruising and discomfort to a minimum.
- Leave the gauze dressing on for 24-hours. The next day you may remove these and have a shower. Gently wash the wound site. Over the next few days check your wound for discharge, it should be starting to seal over by now.
- Return to sexual activity and non-contact sports after one week. We generally recommend waiting 2-weeks after procedure to return to cycling, running, swimming or contact sports.
- In the post vasectomy period use condoms or another method of contraception for a minimum of three months until we have evidence your No Scalpel Vasectomy was successful. Remember you must submit a semen sample to Lifelabs three months following your surgery. Please do not forget. Contact our clinic if you lose your Lifelabs requisition and we will organise a replacement.
- Men working desk jobs can return to work the day following their procedure. If you work in a physically demanding job use your common sense and take some time off if you can. Dr Goldstein is more than happy to provide a free medical certificate if required to help you secure some time off work. Discuss with Dr Goldstein if you are unsure about your situation.