Vasectomy - Your Treatment Explained

ICC Vasectomy clinic logo

Your GP can refer you to see a consultant surgeon at Cooden Medical Group about having a vasectomy. This booklet tells you all you need to know preparing for your appointment, what to expect on the day, and how to look after yourself following your vasectomy.

Please note that it is possible to have a vasectomy with Cooden Medical under the NHS.

If you have any questions - before or after your appointment please call a member of our team at The Cooden Clinic on 01424 846190

  • FAQs

    What is a Vasectomy?

    A vasectomy, or male sterilisation, is a quick and relatively painless procedure by which a small section of the tubes (vas deferens) that carry sperm from a man’s testicles to the penis are cut, blocked or sealed with heat. This is to prevent sperm from reaching the semen that is ejaculated from a man’s penis during sex.

    The procedure is normally carried out under local anaesthetic, which means you will be awake for your outpatient procedure, meaning that you will normally be able to return home shortly after the procedure. Vasectomy is considered a permanent or an irreversible procedure, because although the procedure can be reversed it may not be successful.

    What are the benefits of a vasectomy?

    A man may choose to have a vasectomy if he does not want more children or has decided not to have any at all. It may be chosen as a simpler, safer and more reliable alternative to female sterilisation. The consultant will ask about your circumstances, and provide information and counselling as to whether this is the appropriate option for you.

    The other main form of contraception for men is condoms.

    What are the possible side effects?

    Following a vasectomy, complications are rare, however, in some cases, a vasectomy can cause serious problems as outlined below.

    Significant bleeding (haematoma) inside the scrotum: this can cause the scrotum to become very swollen and painful. In severe cases further surgery may be required.

    Sperm granulomas: sperm can leak from the site where the tubes were cut and can collect in the surrounding tissues, forming hard lumps known as sperm granulomas. The groin or scrotum may become painful and swollen either immediately or a few months after the procedure. The lumps are not normally painful and can often be treated using anti-inflammatory medication which can be prescribed by a GP. If the granulomas are particularly large or painful they may require surgical removal.

    Infection: after a vasectomy there is the risk of developing an infection as a result of bacteria entering through the incision (cuts) made in the scrotum. It is important to keep the genital area clean and dry to minimise the risk of infection.

    Long-term testicular pain: some men get pain in one or both of their testicles after the vasectomy. It can happen immediately, a few months or a few years after the operation. The pain may be occasional, frequent and vary from a constant dull ache to episodes of sharp, intense pain. However, for most men, the pain is quite mild and further help is not required.

    Full feeling in the testicles: after a vasectomy some men may develop the feeling that their testicles are ‘fuller’ than normal. This is usually caused by the epididymis (coiled tube that rests on the back of each testicle, that helps to transport and store sperm) becoming filled with stored sperm. Any such feelings should pass naturally within a few weeks - a GP should be contacted if the feeling of fullness continues after this time.

    Fertility: in a very small number of cases the vas deferens reconnects over a period of time. This means that the vasectomy is no longer an effective form of contraception, however, it is rare for this to happen.

    What happens at the Cooden Clinic?

    You can expect to be at The Cooden Clinic for about one hour. When you arrive you will be greeted by our receptionist who will register your arrival. You may have had a telephone consultation prior to your appointment or you may be having a consultation on the day of your procedure. Either way, we will ensure that the vasectomy procedure is explained in as much detail as you need and we will answer any questions you may have. You will be advised about how to look after yourself following your vasectomy and given information regarding your semen samples. We will also ensure we have a thorough medical history.

    Your consultation is a chance for you to ask any questions at all, however small they may seem.

  • Before You Leave Home

    It’s a good idea to have a bath or shower and please shave or trim the area for improved comfort

    We also advise that you wear close fitting pants or swimming trunks rather than boxer shorts or a thong. This will offer you more support and be more comfortable after your procedure.

    We advise that you are accompanied home and do not drive yourself.

  • Your Procedure

    Your partner is most welcome to come with you to the clinic. Unfortunately it is not possible for companions, including partners and spouses to accompany you into the treatment area or be with you during the procedure. This is to ensure that the medical team are not distracted from your care.

    We understand that you may be feeling nervous and apprehensive. Our team members are there for you, so please let them know if you have any questions or worries, no matter what they are.

    Your vasectomy will be performed by an experienced doctor. A nurse will also accompany you throughout. You will have a pre-operative examination to ensure that the doctor can locate the vas deferens (sperm carrying tubes).

    You will have an anaesthetic injection to numb the area and the doctor will make a very small incision to detect and seal the sperm carrying tube (vas deferens). No stitches are needed. The procedure should take about 10 to 15 minutes.

    We cannot, however, make the procedure completely painless. The act of picking up the tubes cause a variable degree of discomfort. This may make you feel slightly sick, sweaty or light-headed.

    You will relax at the centre for about half an hour after the procedure and refreshments will be provided.

    Your nurse or doctor will have a chat with you before you leave, to make sure you feel well enough to go home and understand the aftercare information. You will also be given an aftercare information pack to take home with you.

  • Things To Note

    A vasectomy has no effect on sex drive and the ability to enjoy sex. You will still have erections and ejaculate normally. The only difference is that your semen does not contain sperm.

    A vasectomy does not protect against HIV infection and any other sexually transmitted infection. With any new partner you should protect yourself by using condoms.

    Please tell your surgeon (before your surgery) if you have any of the following:

    • An artificial heart valve
    • A coronary artery stent
    • A heart pacemaker or defibrillator
    • An artificial joint
    • An artificial blood-vessel graft
    • A neurosurgical shunt
    • Any other implanted foreign body
    • A regular prescription for blood thinning medication such as warfarin, aspirin or clopidogrel (Plavix®)
    • A previous or current MRSA infection
    • A high risk of variant-CJD (if you have had a corneal transplant, a neurosurgical dural transplant or injections of human-derived growth hormone).


  • The Cooden Medical Clinic offer private gastroenterology clinic with Dr Phillip Mayhead
  • 1 in 5 people will suffer with a gastro-intestinal disorder in their lives

Consultant: Dr Phil Mayhead MBBS MRCP MSc

Dr Phillip Mayhead qualified from Kings College, London in 1997 and spent two years working in Australia as a Medical Registrar in a small Country Hospital. The majority of his medical career has been spent caring for patients in the South East of England and Eastbourne has been his home for over 10 years.

Within gastroenterology, he has directed his career towards inflammatory bowel disease, dyspepsia, biliary and pancreatic disease and endoscopic therapy and is continuing to extend his skills into endoscopic ultrasound.

Dr Mayhead has an extensive experience in endoscopic procedures including; endoscopic retrograde cholangiopancreatography (ERCP) which is performed when bile or pancreatic ducts may become narrowed or blocked due to tumours, gallstones, scarring or inflammation.

  • Clinical Interests Include:

    • IBD - Inflammatory bowel disease
    • Biliary disease
    • Dyspepsia
    • Gastro-oesophageal reflux
    • IBS - Irritable bowel syndrome
    • Endoscopic therapy
    • Small bowel capsule endoscopy

    We are proud to have Dr Mayhead as a member of the consulting team here at The Cooden Medical Group. He delivers a personalised service to all patients from an initial consultation, through to investigation, diagnosis and on-going treatment.

  • General Consultation

    It is thought 1 in 5 people will suffer from a gastro-intestinal disorder at some point during their life with irritable bowel syndrome – please add in lower case as I have done (IBS) being the most common. This consultation will offer a general examination and consultation with Dr Mayhead. The chance to discuss your concerns with the opportunity for diagnosis and a follow-on treatment plan.

  • Other Services

    • Ultrasound of abdomen to include interpretation of image & GP letter
    • Blood testing

Cardiology & General Medicine

  • cardiology consultations can help diagnose issues and risks, such as palpitations and arrhythmias
  • The Cooden Medical Group offer individual, diagnostic tests for heart conditions

Dr Robert Gerber BSc, MB BS, MRCP, PhD

Dr Gerber is a Consultant Cardiologist at both Conquest Hospital Hastings and Eastbourne District General Hospital. He graduated from Guy's, King's and St Thomas' Medical School which is part of King's College London in 2000.

He was one of a select few that undertook the MB PhD programme after being awarded the University of London Carpenter prize and subsequently graduated with both academic and clinical qualifications.

Dr Gerber holds dual accreditation in Cardiology and General Internal Medicine on the GMC specialist register and was awarded membership of the Royal College of Physicians in 2003. He is also a member of the British Hypertension Society (BHS), the British Cardiovascular Intervention Society (BCIS) and the European Association of Percutaneous Coronary Intervention (EAPCI).

We are proud to work with Dr Gerber here at The Cooden Medical Group and as such offer the following treatments and packages on a consulting basis:

  • Healthy Heart Clinic (Age +45)

    This assessment is ideal for those training to get fit or training for a race or participating in sport and want the knowledge that their heart is up to exercise. This package includes the following treatments:

    • Questionnaire
    • Transthoracic echo
    • ECG
    • Physical examination
  • Well Person Clinic (Age +45)

    These packages are ideal for those who want reassurance that their heart is functioning normally and the knowledge that all the cardiovascular risk factors have been addressed. We offer the following three packages:

    • Package A: Consultation, ECG, transthoracic echo
    • Package B: Consultation, ECG, transthoracic echo, blood tests (lipids, glucose)
    • Package C: Consultation, ECG, transthoracic echo, blood tests (lipids, glucose), CT coronary calcium score
  • Palpitations and Arrhythmias

    If heart palpitations are bothering you we recommend you get them checked out. We can determine what is causing the symptoms and establish if they are related to an abnormal heart rhythm. In most cases we can help you avoid the trigger and no treatment will be necessary. However if not, we can discuss your results and recommend an on-going treatment plan for you. We offer the following three packages:

    • Package A: Consultation, 24hr tape (monitors for abnormal heart rhythm)
    • Package B: Consultation, 24hr tape, transthoracic echo
    • Package C: Consultation, 7 day monitor, transthoracic echo
  • High Blood Pressure

    High blood pressure should be taken seriously. If affects more than 1 billion people around the world and is the most common cause of cardiovascular disease such as stroke, heart attack and kidney failure. If you suffer from this disorder we can put your mind at ease by investigating the condition, establishing the causes and offering solutions for the best possible outcome. We offer the following three packages:

    • Package A: Consultation, 24hr blood pressure monitor
    • Package B: Consultation, 24hr blood pressure monitor, renal USS, blood tests
    • Package C: Consultation, 24hr blood pressure monitor, CT renal angiography, blood tests, renal denervation treatment
  • Individual Tests

    (these must be recommended by a consultant)

    Our individual diagnostic tests are clinically proven methods of identifying heart conditions associated with healthy vs. unhealthy, pathologic and heart function. Whatever your problem, we will be able to recommend the right treatment to ensure we find the best solution. Our tests include:

    • BP monitor
    • 24hr tape
    • Trans oesophageal echo
    • Transthoracic echo
    • Bubble echo
  • Procedures

    (Operator fee only, procedural costs covered by insurance or additional costs.)
    These procedures are not available on patient request, but by consultant recommendation only. Procedures include:

    • Angiogram
    • Angiogram and FFR
    • Angiogram and IVUS (intravascular ultrasound)
    • Permanent pacemaker
    • Pacemaker box change
    • PCI ICD

General Surgery

  • general surgery will involve an initial consultation with the surgeon
  • The Cooden Medical Group offer private general surgery
  • The Cooden Medical Group offer minor day surgery

Consultant Surgeon: Mr Andrew Sandison MA MB BS FRCS

Mr Sandison qualified from the University of London in 1987. He is a general and vascular surgeon who trained at Guy's Hospital and King's College Hospital. His areas of clinical expertise include:

  • General surgery
  • Vascular surgery
  • Bariatric surgery
  • Paediatric surgery
  • Pancreatic cancer
  • Sarcoma
  • Transplant
  • General Surgery Consultation

    During your initial consultation, your specialist consultant will review your symptoms and provide you with a recommended treatment plan.

  • Minor Day Surgery

    Minor surgery for toe nails and skin lesions present a low risk of complications and fast recovery time. Patients can go home the same day and will receive excellent after care.

    • Removal of Ingrowing Toenail Surgery
    • Skin lesions / excisions (warts/lipoma) – 1 including consultation & histology
    • Skin lesions / excisions (warts/lipoma) – up to 3 including consultation & histology
    • Skin lesions / excisions (warts/lipoma) – up to 6 including consultation & histology
    • Skin tags up to 10 including consultation

Head & Neck Packages

Mr Paul Kirkland - Head & Neck Packages

Mr Paul Kirkland


  • neck treatments include the removal of skin lesions, such as warts and moles
  • Mr Kirkland is the Cooden Medical Group's consultant ENT surgeon
  • neck treatments include diagnosis of thyroid problems

Mr Kirkland is our Consultant Ear, Nose & Throat (ENT) Surgeon. He has a particular interest and expertise in the management of conditions affecting the thyroid, parathyroid and salivary glands as well as facial plastic procedures, including the treatment of benign and malignant skin lesions, rhinoplasty and otoplasty.

He qualified at St Thomas' Hospital Medical School, London in 1989 and received his specialist ENT training in London where he was awarded the Certificate of Completion of Specialist Training in Otolaryngology - Head and Neck Surgery and is on the GMC’s specialist register.

He undertook further specialist training in head and neck surgery at The Royal Marsden Hospital and thyroid and parathyroid surgery at Hammersmith and Charing Cross hospitals.

We are proud to have Mr Kirkland as a consultant at The Cooden Medical Group, and as such offer the following treatments:

  • One Stop Skin Lesion Clinic

    Moles or skin lesions and lumps in the head and neck area can cause anxiety and an undesired cosmetic appearance. We can remove your unwanted moles, cysts, warts and skin tags all in one sitting. The following packages include sending the lesions away for analysis.

    • Consultation and removal of up to 3 small moles or skin lesions with histology analysis
    • Consultation and removal of larger moles or up to 5 skin lesions with histology analysis
  • One Stop Neck and Thyroid Clinic

    Lumps and bumps in the neck can be related to thyroid nodules, lymph nodes, salivary gland masses or cancer. You will be seen by our expert consultant and given a thorough examination. An ultrasound of the neck will be performed followed by either a fine needle aspiration or core biopsy and sent for histological analysis.

    • Consultation and examination
  • Additional Services:

    • General head and neck consultation
    • Rhinoplasty (nose job)
    • Otoplasty (correction of prominent ears)
    • Scar revision
    • Split earlobes

Contact The Cooden Medical Group 01424 846190


  • "True excellence, would not hesitate to recommend. Thank you team, you are all wonderful."
  • "Always felt welcomed, always felt well informed, always felt taken care of. Thank you Dr Faris & Shannen!"
  • “I received a very high standard of care from initial consultation to after treatment. All staff were unfailingly polite and courteous and I would recommend the clinic unreservedly.”
  • “I was very satisfied with the treatment and Dr. Mo Faris carried out the procedure in a very efficient and professional way. I wouldn't hesitate to have any further problem carried out at your clinic.”
  • “Excellent reception welcome and procedure on my legs was very quick and painless. Thank you all. I would definitely recommend The Cooden Medical Group.”
  • "The clinic made my whole procedure as comfortable and relaxing as possible. Would certainly recommend Dr Faris and his team to my friends and family."
  • "Very professional, friendly staff with a good range of treatments on offer to make me look and feel better."
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