No-scalpel Vasectomy Clinic, Dr Vishen Ramkisson tells us more

Dr Vishen Ramkisson tells us more about the no-scalpel vasectomy clinic now available at One Hatfield Hospital. 

One Hatfield Hospital is very pleased to welcome Dr Vishen Ramkisson to the team.  Dr Ramkisson is a local GP who specialises in no-scalpel vasectomy and has been offering this procedure in Hertfordshire for over 10 years.

Vasectomy is the common name for male sterilisation. It’s a popular method of family planning chosen by millions of men worldwide. It is regarded as safe and effective, and offers a permanent solution to contraceptive needs.

We asked Dr Ramkisson to tell us a little more about the procedure and address some of the questions he is commonly asked by his patients.

Can we start with the basics and ask you to briefly explain how a vasectomy works?

A vasectomy is a simple procedure whereby the sperm-carrying tubes (called vas deferens) are sealed to prevent sperm entering the fluid which a man ejaculates. It is one of the most effective methods of contraception that exists today. After a vasectomy the testicles will continue to produce sperm as normal, but the sperm can’t enter the tubes and is simply absorbed into the body. Patients will still form an ejaculate after a vasectomy, but it will not contain sperm.

What is the no-scalpel technique?

The no-scalpel vasectomy technique is superior to the cut-and-tie technique as it offers faster recovery. A fast acting local anaesthetic is given before the procedure, which numbs the area.  A small incision is then made in the scrotum to locate and heat seal the vas deferens (sperm carrying tubes). The incision is very small and no scalpel is needed except in very few cases. Dissolvable stitches are used to close the incision. The small incision is then protected via a dressing and the procedure is complete. The operation is usually completed in around 20 minutes.

What is the recovery time like?

The incision is tiny and only a few dissolvable stitches are placed. It will be protected by a simple dressing to keep on for 48 hours. Most men will experience a bruised or achy feeling for a few days so tight underwear for 7 days and an anti-inflammatory pain killer will help. Most men take a couple of days off work to rest, or longer if their job is physical. Heavy lifting and contact sports should be avoided for a couple of weeks.

Are there any risks?

It’s a very common and safe procedure but it is always worth arming yourself with all the facts to be aware of what is absolutely normal and what the possible complications are so you can act quickly. Infection can occur after any kind of surgery, so it’s important to keep the area clean and dry. If you try and do too strenuous an activity too soon a small blood vessel can pop and could cause a blood collection in the operative area, but these will usually calm down on their own.

Is ejaculation still possible?

Yes. A vasectomy simply stops sperm entering your ejaculate and acts as a male contraceptive. A patients’ ejaculate will appear just the same as normal.

How can patients be sure the procedure has worked?

Patients receive a sperm test after 16 weeks and will be notified of the results. Until confirmation of a clear test result you must use effective contraception. Most men have no sperm in their semen at 16 weeks but the time taken does vary and another test will be booked if necessary.

Is reversal possible following the no-scalpel technique?

The decision to opt for a vasectomy remains a highly personal one in which the potential risks and benefits must be considered, including the possibility that you may change your mind. Vasectomy reversal is possible but success is not guaranteed and depends largely on how long ago it was done so it is much better to consider it as a permanent procedure.