TORONTO VASECTOMY CLINICS
              No Needle       No Scalpel       OHIP Covered


Web Site Name


GENERAL QUESTIONS


DO I PAY ANY FEES?

No Needle, No Scalpel vasectomy and all related pre- and post-procedural care is fully covered by OHIP at any institution or private clinic in Ontario; you do not pay any fees. Click below to review the Ministry of Health website regarding insured services:

http://www.health.gov.on.ca/en/public/programs/ohip/cfma.aspx

http://www.health.gov.on.ca/en/public/publications/ohip/protecting_access.aspx

Should you request them, a nominal fee will be charged for non-OHIP services such as doctor's notes, chart copies and insurance forms.

At the Toronto Vasectomy Clinic we do not charge block fees.

Please note that if you do not show up for your appointment, or cancel with either less than 48 hours
notice, or less than 2 business days, you will be charged a $100 cancellation fee.


WHAT DO
I BRING TO MY INITIAL APPOINTMENT?

For your initial appointment, please bring your health card and a list of your current medications.  The doctor will discuss the procedure in detail, and answer any questions you may have.


HOW DO I PREPARE FOR MY PROCEDURE?

Your vasectomy will be booked after you have met the doctors for your initial consultation. Please refer to the "Before Your Vasectomy" section of the FAQ's for detailed instructions.


HOW MUCH WILL THIS HURT?

During your No Needle, No Scalpel vasectomy, you may experience the sensation of mild pressure, but most men do not feel any pain. Any unusual discomfort can be treated with more local anaesthetic (freezing). About 1% of men who receive local anaesthetic with the MadaJet® also require a small needle to inject additional freezing. This needle injection is performed in an area that has already been partially frozen, so the experience of the needle is diminished.

After a vasectomy, about half of men do not require any pain medication. Of those who do, a few doses of acetaminophen (Tylenol®), or ibuprofen (Advil®), generally alleviate any discomfort. Stronger medication is almost never required.


WHAT IF I HAVE POST OPERATIVE CONCERNS?

At the time of your vasectomy, your surgeon will review with you your post vasectomy care instructions. You will also receive a written instruction sheet, along with the cellphone number of the surgeon. You may contact the surgeon for any post operative concerns that you may have.


WHEN CAN I RETURN TO MY REGULAR ACTIVITIES?


Most men are able to return to driving and desk work the following day. For those whose work requires heavy lifting or strenuous activity, please see the detailed information provided in the "After Your Vasectomy" section of the FAQ's.


WHAT ABOUT SEX?

You may have sex five days after your vasectomy. You should be very gentle initially, and proceed according to your level of comfort. You may notice a small amount of blood in your first few ejaculations; do not be alarmed, as this is not uncommon.

Vasectomy does NOT AFFECT:

• sensation during sex and orgasm
• the amount or appearance of the semen
• sexual libido or sex drive
• your ability to have or maintain an erection
• your ejaculation
• your levels of male hormones (testosterone)



WHEN CAN WE STOP USING OUR REGULAR BIRTH CONTROL?

You must continue other forms of contraception until we tell you that laboratory testing has confirmed that your semen is free of sperm. Twelve weeks after your vasectomy AND after 20 ejaculations, you will need to submit a semen sample to the lab (see "After Your Vasectomy" section for details). Once the lab confirms that your semen is free of sperm, you will be seen once again in our clinic and be given these results. Only at this time may you dispense with other forms of contraception.

 
DOES VASECTOMY INCREASE MY RISK OF TESTICULAR OR PROSTATE CANCER?

Several large studies have addressed this question, and no increased risk of prostate or testicular cancer has been associated with vasectomy.

A widely publicized study from July 2014 reported an association between vasectomy and prostate cancer. The American Urology Association reviewed this study and performed a large analysis combining the data from this report along with all the previous studies that addressed this question. They found that the total evidence showed no relationship between vasectomy and prostate cancer. The link to the AUA statement is here:

http://www.auanet.org/press-media/vasectomy-with-prostate-cancer.cfm


DO I NEED TO WORRY ABOUT THE METAL CLIPS?

As described in the "About Vasectomy" page, clips are placed on the sheath surrounding each vas deferens, after it has been divided (fascial interposition method). These clips are made of titanium, which is an inert (non-reactive), and non-magnetic metal. Titanium is commonly used to make clips and surgical implants. These surgical clips do not cause increased pain or complications when used in vasectomy.  They will not set off metal detector alarms, nor would will they affect MRI (Magnetic Resonance Imaging) testing.


DOES A REVERSIBLE VASECTOMY EXIST?

Although there are operations to reverse vasectomy, these do not always restore fertility. As such, vasectomy should be considered a permanent form of birth control. Alternatives to vasectomy are currently in the animal experiment phase of development, and are not available for men at this time.