Hornsby Clinic - Central Office Location
Convenient clinic location offering vasectomy under local anaesthetic, consults and aftercare including telehealth. Pre-vasectomy consult and procedure can be done on the same day. Drive yourself to and from the clinic.
NO SCALPEL OPEN ENDED VASECTOMY
Safe and Effective
Minimally Invasive
The no scalpel open ended technique is gold standard for vasectomy.
Comfortable
Most men report minimal discomfort with no scalpal vasectomy.
Effective
Vasectomy is the most effective method of permanent contraception.
Meet Your Vasectomy Doctor
MBBS, Master of Surgery, FRACGP
Dr Katelaris has performed more than 2000 vasectomies.
Dr Katelaris has extensive training and experience in surgical assessment and procedures that are completed with meticulous technique. Dr Katelaris trained in General Surgery and Urology for 4 years at teaching hospitals in Sydney, Albury and Tweed Heads. He conducted original research at the University of Melbourne for which he was awarded a Master of Surgery in 2019. He undertook further training in vasectomy perfecting the “Li Technique”.
For your convenience, Dr Katelaris is now offering no scalpel vasectomy in clinic or at one of our day hospital locations.
The clinic based procedure is done under local anaesthetic so you can drive yourself to and from the clinic.
Sydney Vasectomy Doctor has partnered with day hospitals to offer patients the option of using their private health insurance (if eligible) and the option of having either local anaesthetic alone or IV sedation.
The modern, minimally invasive technique is safe, comfortable and effective with minimal downtime.
Book your no scalpel, open ended vasectomy today!
Hornsby (Clinic) Location
Convenient locations across Sydney and Central Coast
Book your appointment at our Hornsby Clinic:
- Book Online
- 1300 184 822
- info@sydneyvasectomydoctor.com.au
Sydney Vasectomy Doctor - Hornsby Clinic
The no-scalpel vasectomy method takes approximately 10-15 minutes to complete.
Clinic & Day Hospital Locations
We offer no scalpel open ended vasectomy at several locations from the Central Coast to the CBD.
The procedure is performed through a small keyhole split in the midline of the scrotum.
Eligible patients can use their private health insurance and opt for IV sedation at our Day Hospital locations.
Before
See our procedure information. Make sure vasectomy is right for you. Send an enquiry if there are any questions or concerns.
During
No scalpel vasectomy completed in 10-15 minutes.
After
Local anaesthetic will last from 1-3 hours Most men will feel back to normal within 5-7 days.
Request a No-Obligation Free Phone Call
Send us an enquiry via the form to arrange a phone call – we are happy to discuss the procedure and answer any questions to help you decide if vasectomy is right for you.
Schedule Free Call
Frequently Asked Questions
What is a vasectomy?
Vasectomy is the most reliable form of contraception. It is safe, quick and effective. The recovery is quick with minimal downtime from work.
Vasectomy is for men or couples who have completed their family or don’t want children. The vast majority of men are suitable for a no scalpel vasectomy, including if you have had prior scrotal surgery.
The no scalpel, open ended procedure is a minimally invasive modern technique. An open ended vasectomy means that the testicular end of the vas is left open to reduce post procedure congestion or pain. Modern vasectomy is done through a single small split (~5mm) in the midline of the scrotum. Each vas deferens (left and right) will be cut and the prostatic (upper) ends sealed to block the passage of sperm from the testis to the ejaculatory duct. A small piece of tissue known as fascia will be sutured in between the two ends to reduce the risk of them re-joining. Please see our procedure page for more information.
What are some common concerns about vasectomy?
There are several myths out there regarding vasectomy. You can be reassured about the following:
1. There is no evidence that vasectomy has any impact on testosterone production, erections or sexual function. Men often report that sexual function improves after vasectomy.
2. Vasectomy is not linked with testicular or prostate cancer.
3. You will still ejaculate after a vasectomy. Most of your ejaculate is made up of fluids from the prostate and seminal vesicles. Sperm only makes up 2-5% of the ejaculate. You will still produce sperm after a vasectomy – it is simply reabsorbed within the scrotum.
Do I need a pre-consult?
Most men can have the consult and procedure on the same day. It is important that you read through all the information to make sure that vasectomy is right for you. In several cases a pre-consult must be done ahead of time either on the phone or at our Hornsby clinic:
- If you are under the age of 30 with no children
- If you take any blood thinning medications such as aspirin.
- If you are required to take immunosuppressants, have poorly controlled diabetes or have any major medical condition
- You have any concerns whether vasectomy is the right option for you
If you are unsure please submit an enquiry. We are happy to discuss your concerns.
Should I have my vasectomy with local anaesthetic or IV sedation?
At Sydney Vasectomy Doctor we offer both options.
1. Local anaesthetic vasectomy is available at all of our locations.
2. IV sedation is available at our day hospital locations. You may choose to have IV sedation if you are anxious about your vasectomy. Some men are more sensitive to examination than others and may also choose to have sedation.
How much does vasectomy cost?
The cost of vasectomy depends on your choice of location (Clinic or Day Hospital), health insurance status and whether you would like to have IV sedation.
1. Hornsby Clinic – vasectomy at our Hornsby Clinic costs $890, with a medicare rebate of $222. There is no IV sedation available at this location and you cannot use your private health insurance.
2. Day Hospital with local anaesthetic – you will need to pay your health insurance excess (typically $0-500) in addition a fixed gap of $400 to Sydney Vasectomy Doctor. You need to check directly with your health fund regarding your eligibility and excess.
3. Day Hospital with IV sedation – there is a an additional $200 fixed gap which is paid directly to the anaesthetist. You will still need to pay the fixed gap of $400 and your health insurance excess as detailed above.
Please see our Fees page for further information. If you don’t have insurance but want to self fund at one of our day hospitals, please submit an enquiry so we can provide you with a quote.
4. Vasectomy pre-consults and vasectomy related aftercare with Dr Katelaris are bulk billed. These can be arranged via phone or in clinic.
How long does the procedure take?
The average procedure time is 10-15 minutes. The total time commitment varies slightly depending on your choice of location and whether you want IV sedation.
1. Local anaesthetic vasectomy – offered at Hornsby Clinic and all Day Hospital locations. Please allow approximately 1 hour at the clinic. At the hospital locations you may be required to attend slightly earlier to allow for the hospital admission process.
2. IV sedation vasectomy – only available at Day Hospital locations. Please allow approximately 4 hours at the Day Hospital. You must have a lift home with a responsible adult. You should not drive for 24 hours following any IV sedation procedure.
How many days does it take to recover?
Men recover at different rates after vasectomy. Most men will feel back to normal within 5-7 days.
Can I drive home after my vasectomy?
1. Men undergoing vasectomy under local anaesthetic can drive themselves to and from the appointment. Some men may experience mild lightheadedness following the procedure. In this case we will observe you at the clinic until you are well. We recommended having something further to eat and drink. You must feel completely alert and well prior to driving.
2. Men undergoing vasectomy under IV sedation must not drive for a minimum of 24 hours following the procedure. You must have a lift home from the day hospital with a responsible adult.
When can I go back to work?
When can I start having sex again?
Most men can resume sexual activity after about 7 days.
When will I know the procedure has worked?
You must use alternative contraception until your doctor has confirmed a negative semen analysis 3 months after your procedure. This will confirm there are no sperm remaining in your ejaculate. This test is known as a post vasectomy semen analysis. The referral and instructions regarding how to perform post vasectomy semen analysis will be provided on the day. You should only do your post vasectomy semen analysis after 3 months. It is best that a minimum of 30 ejaculations have been performed prior to doing post vasectomy semen analysis.
What are the risks of having a vasectomy?
Complications are very rare following this procedure but it is important to be aware of the possible risks:
1. Haematoma
A haematoma is a very rare complication (less than 0.5%) after this type of vasectomy. It occurs due to the accumulation of blood in the scrotum. Small haematomas can be observed and will get better over 6 weeks. In the extremely rare case of sudden, massive scrotal swelling you should be assessed at the nearest Emergency Department
2. Infection
Surgical site infection is rare after vasectomy (approximately 1%). Infection usually presents between day 3-5 post procedure. Signs include scrotal redness, discharge from the scrotal split and pain. Contact the clinic if you experience these signs as prompt antibiotics are required. In the extremely rare case that you develop systemic signs such as fever or vomiting, please attend your nearest Emergency Department.
3. Pain syndrome (post vasectomy congestion)
Some men will experience a low grade, dull aching pain in the scrotum that extends beyond the expected post procedural period. Most men will incrementally improve over 3-6 months and the discomfort does not generally limit activities. Scrotal supports and simple analgesia may be used as needed. In very rare cases men will still report discomfort after 12 months and in some cases a further procedure may be required to manage the pain.
4. Sperm granuloma
A sperm granuloma is a pea size lump that is above and separate to the testis. It can occur at any time after a vasectomy. It is simply an accumulation of sperm cells. Granulomas can cause some discomfort but they are not dangerous. They will usually resolve spontaneously within 6-12 weeks.
What should I do to recover after my vasectomy?
Post procedure discomfort is normal and can include aching in the testes, groins and lower abdomen. We generally recommend the following simple measures:
1. Wear tight underpants for scrotal support such as:
– 2 pairs of elasticated underwear
– Single pair with a compression garment or bike shorts
2. Cold therapy – an ice pack 20 minutes on, 20 minutes off may help with minor bruising and swelling
3. Regular paracetamol is recommended for 1-2 days post procedure
4. Avoid straining, strenuous activity, swimming and sex
More detailed advice will be discussed on the day.
Can I get my vasectomy reversed?
Vasectomy should be considered irreversible, however reversal can be successfully performed in up to 70% of cases within 8 years of the initial procedure. Reversal is more invasive and expensive than vasectomy. If you are seeking a vasectomy reversal please submit an enquiry – we can provide you with some recommendations and general advice.
How old do I need to be to have a vasectomy?
Do I need a referral from my GP?
A referral from your GP is always appreciated, however, no referral is required. You can book directly with Sydney Vasectomy Doctor.