Vasectomy is a simple, office-based surgical procedure for effective male contraception. A man who is having a vasectomy will no longer be able to father children. Ideal candidates are men who have completed their families and want to enjoy a free sex life without the worry of an unforeseen or unwanted pregnancy. The surgery is also suitable for single men or separated men under the right circumstances.
Vasectomy is the dissection (or “cutting”) of the vas deferens on both sides of the scrotum. These are the tubes that supply sperm from the testes to base of the glands at the base of the penis where it mixes with fluids from the seminal vesicles and prostate to form semen. Think of vasectomy as a “plumbing fix” where the tubes are cut and the supply of sperm to the semen is interrupted. The sperm are still made by the testies but they swim into a “dead end” and are naturally absorbed by the body. After vasectomy men will ejaculate normally but without sperm in their semen. The surgery is usually very well tolerated with minimal if any downtime.https://northshorevasectomy.info/wp-content/uploads/2021/01/Seeking-Freedom-USA.mp4
North Shore Vasectomy is North Vancouver’s first and only dedicated vasectomy service. The procedure is performed by our experienced Vasectomy Physician. Our clinic is located at the stylish new facilities 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.
Our experienced physician Dr Aaron M Goldstein runs an exclusive service with surgery available on Tuesdays and Fridays by routine one-stop appointment. Other days are available on enquiry. The surgery is performed in clinic under local anaesthesia and time in clinic is about 40 minutes from signing your consent, to prep, to surgery to finish.
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
No Scalpel Open-Ended vasectomy is the Gold Standard procedure used around the world and that is exactly what we do at North Shore Vasectomy. After you have signed your consent paperwork you will be shown to our comfortable procedure room with its one-way glass window views of Lonsdale Avenue and the North Shore Mountains. No bridges to cross and no traffic to deal with. Just relax! The procedure starts with an brief examination and, if required, we will trim the area with an electric trimmer. We then inject the scrotum with a small amount of local anaesthetic using an almost microscopic sized needle. This stings just slightly as it goes in, but then effectively numbs the area within a few minutes. Then the worst is over! With accuracy and precision Dr Aaron Goldstein will pierce one tiny hole in the scrotum and isolate each vas through the scrotal skin . Each tube is then isolated further and at this point you might feel some gentle tugging and pulling only. The Vas is then gently divided and cauterised leaving the end closest to the testis open (“open-ended vasectomy”). This is important to allow sperm to flow and drain from the testes into the scrotum. It is done to minimise your chance of post-vasectomy pain syndrome. Dr Goldstein always performs fascial interposition when performing your procedure to reduce the risk of a failed procedure.
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
We work hard and strive to ensure that every one of our patients enjoys an exceptional standard of care at North Shore Vasectomy. However it is our duty to always discuss the benefits AND risks of surgery:
- 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.
Please note this is general information only. Please book an appointment with Dr Goldstein to discuss your particular situation.
The great thing about North Shore Vasectomy is the ease and convenience of the service. Please first obtain a referral from your family doctor, walk-in doctor or Telehealth medical service. Address referrals to Dr Aaron Goldstein MSP 34828. Once we have received your referral we will send you a weblink to our patient registration form. Fill this in and once and we have received your information our friendly staff will phone you to book your date. If you are unsure about vasectomy for any reason you are encouraged to explore this website in full. You may also wish to book a consult to meet Dr Goldstein to discuss your concerns, ask questions and seek professional advice to decide if vasectomy is right for you.
Cost – No-Scalpel Vasectomy is covered by the MSP.
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.
Great! You underwent Gold Standard No Scalpel Vasectomy on the North Shore. Now what? Well for one thing you now get to go home, relax and watch Netflix! Following surgery:
- 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.
If at any time following your procedure you experience rapid or excessive swelling, pain or severe bruising, please ring North Shore Vasectomy via the IHealthMD clinic immediately. If our clinic is closed after hours you may ring the North Shore Vasectomy hotline to speak with Dr Aaron Goldstein directly about your concern.