Action
Vas deferens cut and tied via forceps through skin or 2 x 1cm cuts in scrotum.
Done under local anaesthetic
Takes about 20 minutes
Treatment course
Single operation
Side effects
Failure (1 in 2000) Bleeding, bruising, infection Swollen scrotum for a few days Sperm granulomas may form if leaks Chronic testicular pain (1-3%)
CI
May consider children in future
Comments
May take up to 3 months for remaining sperm to be used up
Sperm sample at 8 weeks, then 2-4 weeks later (both must be -)
Can have sex (with condom) whenever pt feels ready
Positives vs negatives
+ long term
- irreversible, surgical risks