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Non Scalpel Vasectomy

Deciding to have a vasectomy

You should only have a vasectomy if you are certain that you do not want to have any more children. If you have any doubts, you should consider an alternative method of contraception until you are completely sure.

It is not advisable to make your decision about having a vasectomy following a c

  • A persistent hard 'cord' in the line of the vein.
  • Brown staining of the skin in the line of the vein.
  • Rarely, ulceration of the skin at the injection site.
  • Failure of the injection to obliterate the vein.
  • Venous matting-where very small veins appear at the site of the injection; this cannot be predicted but is uncommon.

However only a minority of people experience the above mentioned problems after injection.

After the Treatment

For the first 24 hours when you are not walking, rest as much as possible sitting with your feet elevated above the level of your hips. Take a few short walks and try to avoid standing still for any length of time.

After 48 hours you should remove the bandage and cottonwool pads and replace the stocking. This should be worn at all times during the day but can be removed in bed and when taking a bath or shower.

You may drive once the bandages and pads have been removed.

Wear the stocking until the leg is completely comfortable on standing - this is usually 3 to 4 weeks. The pressure provided by this bandage is what makes the injection successful

risis, or a big change in your life - for example, if your partner has just had a baby, or if they have just terminated their pregnancy.

If you have a partner, before deciding to have a vasectomy, you should discuss it with them. If possible, it is best for you to both agree to the procedure before you proceed. However, it is not a legal requirement to get your partner's permission in order to have a vasectomy.

Dr Umeadi is a well experienced vasectomy surgeon with very good outcome rate comparable to anywhere in the world.

Non Scalpel Vasectomy

This vasectomy technique originated in China but has recently been popularised in North America. It has become very popular in the UK. Its popularity is more to do with the fact that there is no cut to the skin and no stitches required. This leads to lower complication rates and quicker recovery time.

How it's done

During this procedure, the surgeon will feel the vas deferens underneath the skin of your scrotum, and then hold it in place using a small clamp. He will use a special instrument to make a tiny puncture hole in the skin of the scrotum and widen the hole. This will allow access to the tubes (vas deferens) without the need for an incision. he will then cut the tube removing about 10mm of it, and seal the ends of the tube by cauterisation. At this time Dr Umeadi usually puts a second hood over the downstream part of the tube. This is called fascial interposition and acts as an internal wall to ensure that the two ends of the tube never rejoin. Finally the skin is dressed using a sticky tape.

Aftercare

16 weeks after the procedure you will need to produce a sample of semen which will be checked for sperm. Until you do a sterile semen sample you are advised to continue using extra contraception. Once you do a semen sample which contains no sperm the vasectomy is declared successful; you are now sterile.

Risks of the operation

As with any operation or cut to the skin, there is a small risk of a bleeding or bruising and wound infection. Rarely, sperm may leak into the scrotum and form a swelling called granuloma.

A small number of men have a dull ache in the scrotum for a few months after the operation. This usually settles over time. Although vasectomy is the most effective contraception for men there remains a very low (1:2000 chance) chance that the vasectomy may fail.

The Non Scalpel Vasectomy procedure is thought to be less painful than traditional technique, and less likely to cause complications. Dr Umeadi`s complication rate is as low as the best centres in the world.

Infant Plastibell© Circumcision

Male Circumcision is the operation to remove the foreskin of the penis. Circumcision may be carried out for medical reasons, cultural or religious reasons.

Circumcision remains a controversial topic, as opinions are divided about whether it should be carried out in children. In the NHS circumcision is not available unless it is for medical indication. Between 10% and 16% of males in the United Kingdom (Great Britain) are circumcised. In the USA newborn circumcision is routine and over 100 million boys and men are circumcised, encompassing about 70% of the total male population.

The Plastibell® technique for circumcision is a simple method with low complication rates. DR Umeadi is experienced in the circumcision operation and is a Fellow of the Royal College of Surgeons of Edinburgh (FRCSEd)

The Steps to circumcision in the Cleggs Lane Medical Practice:

  1. Contact us to book appointment if your baby is 0-6months old
  2. Both parents must consent before the operation can proceed. If one of the parents is not available arrangement can be made to get consent beforehand.
  3. your baby will get a local anaesthetic injection to numb the pain before the operation.
  4. Parents stay in the waiting room during circumcision, but may be allowed to stay with baby on request.
  5. After circumcision the baby is observed for 30mins before discharge.

The operation

The Plastibell® circumcision lasts about 15 minutes. It is virtually pain free, as Dr Umeadi will give local anaesthetic to block your baby`s pain. Dr Umeadi will take time to explain the operation to you and to get consent before proceeding with the operation.

After care

After circumcision you can take your baby to the recovery room for a feed. Dr Umeadi will review your baby before you go home. During this time you will receive instructions about care of your baby's penis.

The Plastibell® usually falls off in 7-10 days. Dr Umeadi will be available 24 hrs a day should you need further advice after the operation.

Links

www.nhs.uk/Conditions/Circumcision/Pages/Introduction.aspx

www.circlist.com/considering/consider.html#indications

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