No-Scalpel Vasectomy
No-Scalpel Vasectomy in Sydney (Epping) for Permanent Contraception
Overview
A no-scalpel vasectomy is a minor surgical procedure intended to provide permanent contraception by interrupting the tubes (vas deferens) that carry sperm. It is performed under local anaesthetic in selected patients. A consultation is required to confirm suitability, discuss alternatives, and ensure you understand that vasectomy should be considered permanent. Results vary and follow-up testing is essential before relying on the procedure for contraception.
Add volume to breasts
Reduce sagging
Lift and tighten
Reshape and contour
Before & After
The outcomes shown are only relevant for this patient and do not necessarily reflect the results other patients may experience, as results may vary due to many factors including the individual’s genetics, diet and exercise.
Breast Augmentation
Implant Size: 300cc – 450cc
Recovery Timeline: 1–2 weeks light
Tags: Breast Enhancement, Cosmetic Surgery
Breast Augmentation
Implant Size: 300cc – 450cc
Recovery Timeline: 1–2 weeks light
Tags: Breast Enhancement, Cosmetic Surgery
Breast Augmentation
Implant Size: 300cc – 450cc
Recovery Timeline: 1–2 weeks light
Tags: Breast Enhancement, Cosmetic Surgery
Breast Augmentation
Implant Size: 300cc – 450cc
Recovery Timeline: 1–2 weeks light
Tags: Breast Enhancement, Cosmetic Surgery
Breast Augmentation
Implant Size: 300cc – 450cc
Recovery Timeline: 1–2 weeks light
Tags: Breast Enhancement, Cosmetic Surgery
Breast Augmentation
Implant Size: 300cc – 450cc
Recovery Timeline: 1–2 weeks light
Tags: Breast Enhancement, Cosmetic Surgery
About This Procedure
In a no-scalpel vasectomy, a clinician uses a specialised instrument to create a small puncture in the scrotal skin rather than a traditional scalpel incision. Through that opening, the vas deferens are identified, divided and managed to prevent sperm from entering the semen.
At COSMEX, the procedure may be performed using an open-ended approach in selected cases. This means the lower (testicular) end of the divided tube may be left open while the upper (abdominal) end is sealed. Your doctor will explain which technique is recommended for you and why.
Your Consultation with Dr Lajevardi
Dr Sepehr Lajevardi is a highly skilled and experienced plastic surgeon, dedicated to providing exceptional results to each patient. He takes a caring approach, working with patients to create an individualised treatment plan that helps them feel confident in their outcomes. Book your appointment to receive professional care and guidance from Dr Lajevardi, and find out if breast augmentation surgery is right for you.
Key Benefits
Complete Men’s Health Guide
Get step-by-step insights, recovery tips, and expert recommendations for your Men’s Health. Download our free guide today.
Ideal Candidate
You should schedule a consultation if you meet any of the following criteria:
- Has breast implants and wants a clinical review or has new symptoms/concerns.
- Understands that further testing may be recommended depending on findings.
- Is willing to share implant details (type, date, prior surgery records if available).
You May Be a Good Candidate If
You may be a good candidate if you:
- You have noticed a change (shape, firmness, swelling, discomfort) or want routine review.
- You have your implant details or surgical history available where possible.
- You understand that assessment may lead to imaging/referral recommendations.
Who Should Not Undergo This Procedure
This procedure/treatment may not be appropriate if you:
- Emergency symptoms (e.g., severe pain, rapid swelling, fever) — seek urgent medical care.
- Expectation of a diagnosis without assessment and appropriate investigations.
- Unwillingness to proceed with recommended investigations if clinically indicated.
Surgical Techniques & Approaches
Technique selection is based on anatomy, medical history, and clinician preference. Options may include:
- No-scalpel access: A small puncture opening rather than a scalpel incision.
- Open-ended management (selected cases): The testicular end may be left open, with the abdominal end sealed.
- Fascial interposition (selected cases): A layer of tissue may be positioned between the divided ends to reduce the likelihood of reconnection.
Your doctor will explain the approach planned for you, what it involves, and the potential trade-offs.
Anaesthetic
This procedure is typically performed under local anaesthetic. You may feel brief stinging with the anaesthetic and then pressure or movement sensations during the procedure. If you have a history of fainting with needles or medical procedures, tell the team at the time of booking so we can discuss planning and support.
Suitability
A vasectomy may be considered for men who:
- Are confident they do not want biological children in the future
- Understand the procedure is intended to be permanent
- Are medically suitable for a local anaesthetic procedure
Vasectomy reversal is sometimes possible, but success is variable and it should not be relied on as a backup plan. If you are uncertain about future family plans, a vasectomy may not be appropriate at this time.
Expected Scarring & Incisions
A no-scalpel vasectomy usually involves a small puncture site rather than a long incision. Most patients have minimal visible scarring, however scarring varies and some people may develop more noticeable marks or areas of firmness as part of healing.
Risks & Considerations
All surgical procedures carry risks and outcomes vary between individuals. Your doctor will discuss your personal risk profile. Potential risks and complications may include:
- Bleeding or bruising, including haematoma (a collection of blood)
- Infection
- Pain or discomfort during recovery
- Sperm granuloma (a small inflammatory lump)
- Persistent testicular/scrotal pain (uncommon but possible)
- Failure or recanalisation (rare reconnection of the tubes), which is one reason follow-up testing is mandatory
A vasectomy does not provide protection against sexually transmitted infections (STIs).
Recovery Process
Timeline
Activity & Expectations
Following Weeks
Ongoing
Recovery & Aftercare
Recovery varies. Most people can return to light activities within a few days, but it is still a surgical procedure and it’s important to follow your clinician’s instructions.
Common guidance may include:
Rest and supportive underwear immediately after the procedure
Avoid heavy lifting, cycling, or high-impact exercise for a short period as advised
Avoid swimming/baths/spas until the puncture site has healed (timeframe varies)
Resume sexual activity only when comfortable and as advised
Important: You are not immediately sterile after vasectomy. You must continue contraception until semen testing confirms no sperm are present.
Follow-Up Testing
Follow-up semen analysis is a critical step. You should not rely on the vasectomy for contraception until you have been advised that your test results confirm clearance. The timing of testing and the number of samples required will be explained during your consultation and at discharge.
Fees & Inclusions
Fees are discussed during consultation and may vary depending on your clinical needs and what is included (e.g., consultation, procedure, and follow-up requirements). If Medicare rebates apply to your circumstances, these will be explained. Prices are subject to change and a deposit may be required to secure your booking.
Resources & Guides
A breast augmentation is a very customized procedure, and selecting an experienced surgeon is paramount. Dr. Lajevardi focuses on patient safety, naturally appearing results, and transparency throughout the process.
Patient Preparation Guide
Procedure Walkthroughs
Procedure Walkthroughs
Patient Preparation Guide
Frequently Asked Questions
Does a vasectomy affect testosterone, erections, or libido?
A vasectomy interrupts sperm transport. It does not directly alter testosterone production. Sexual function and experience can be influenced by many factors, and individual experiences vary.
Is a vasectomy effective immediately?
No. Contraception must continue until follow-up semen testing confirms clearance.
Does the procedure hurt?
Most people feel brief discomfort during the anaesthetic injection and then pressure or movement sensations. Pain tolerance varies.
Can I drive home afterwards?
Many patients are able to drive after a local anaesthetic procedure, but this depends on how you feel. If you are anxious, prone to fainting, or would prefer support, arranging a driver is recommended.
Important Safety Information
Any surgical or invasive procedure carries risks. Before proceeding, you should seek a second opinion from an appropriately qualified health practitioner. A consultation is required to determine suitability, explain risks and alternatives, and provide pre- and post-procedure instructions.
About the Practitioner
No-scalpel vasectomy at COSMEX is performed by Dr Nikolas Katelaris (AHPRA: MED0001789320). Qualifications, experience, and the most appropriate technique for you will be discussed during consultation.
