Everything about vasectomy#

How does it work for the appointment?#

This page contains all the information you need to make an informed decision. If any questions remain, please do not hesitate to contact us.

  • 1
    Get informed

    You will find on this page all the information on the procedure and the related costs.

  • 2
    Fill out the application form and watch the informative video

    Make sure you have seen the mandatory informational video BEFORE submitting your form. Once decided, you fill out the application form to open your file.

  • 3
    Validation and preoperative form

    Our team ensures that your information is valid and we send you a pre-operative form by email.

  • 4
    Telephone meeting with Dr. Boucher

    Dr. Boucher takes note of your file and your specific needs. He then calls you to answer your questions and prepare for the operation.

  • 5
    Vasectomy

    You come to the clinic according to your appointment, making sure that you have read the preoperative instructions beforehand.

  • 6
    Post-operative follow-up appointment

    Following the operation, a follow-up is planned with Dr. Boucher. This appointment is compulsory. This confirms that you are doing well and allows us to answer your questions regarding the spermogram to be done.

What is a no-scalpel vasectomy?#

Vasectomy without scalpel!

This method was developed by a Chinese doctor and introduced in America in the 1980s. Simple and very effective, it allows men to end their fertility. The procedure is performed in less than 15 minutes after which the patient can return home.

Advantages :

  • This surgery is minor and allows you to no longer worry about contraception.
  • This method is less painful and creates fewer side effects than the traditional method.
  • This technique allows you to quickly return to work and your regular activities.

Dr. Pierre Jr. Boucher has been practicing male sterilization since 1992.

The procedure#

The doctor performs local anesthesia. The vas deferens that carry sperm from the testicles are brought to the skin and secured with a specially designed clamp. Another instrument is used to spread the tissue in order to ligate with clips and sever the vas deferens, preventing the passage of sperm. No stitches will be necessary. The procedure lasts approximately 10 minutes and we ask you to wait 20 minutes after the surgery before leaving the clinic.

Vasectomy does not influence erection or ejaculation. Sperm make up a tiny portion of an ejaculation. The production of these will continue but the passage having been blocked and cut, the sperm will be reabsorbed by the body.

Complications#

Complications, although infrequent, are bleeding, infection, or pain in the scrotum.

Unlike the scalpel technique which sometimes requires two incisions and sutures, no-scalpel vasectomy promotes faster recovery and decreases the risk of complications.

Efficiency#

Its effectiveness is not immediate since there are several sperm remaining in the vas deferens. You should therefore use contraception until the spermogram gives a negative result. In less than 1% of cases, a canal can spontaneously re-canalize within 3 months of the operation. A re-channeling after 3 months can also occur. However, this is extremely rare, ie in 0.1% of cases.

What to do before the vasectomy?#

Here is a short summary of the instructions to follow before your appointment:

Medications
Do not take anti-inflammatory or blood-thinning medications (Advil, Motrin, Naprosyn, Entrophen, Aspirin) two weeks before surgery. Consuming one of these products during this time will prevent us from proceeding with the surgery.
Shaving
Shave the scrotum and the base of the penis the day before or the same morning. A razor blade is recommended. The electric razor or the depilatory cream are to be avoided. If your shave is not adequate, we will have to cancel the surgery.figure rasage
Personal hygiene
Please take your shower the morning of the surgery as you will not be able to take it for 24 hours after the surgery. Baths should be avoided for 48 hours.
Adequate underwear
On the day of the operation, come with a tight underwear that offers good support in the scotum.
Please note that all these instructions must be followed otherwise we may be forced to cancel your appointment.

Costs#

The cost of the vasectomy is covered by the health insurance card (RAMQ), however, it must be valid. We therefore invite you to renew your health insurance card before starting the procedures for the vasectomy.

Appointment cancellation policy#

Please note that if you do not report an appointment cancellation MORE than 24 business hours away, a $60 fee will apply. Please respect our cancellation policy.

Payment#

Costs, if applicable, are payable in cash or by Interac transfer.

Work stopping#

During your appointment for the surgery, you can ask us to stop work. There are two types of work stoppage:

  • The insurance form requested by your employer This one is at a cost of $ 100.
  • The document provided by Dr. Boucher.

Usually this document costs $25, however, due to an ongoing dispute with the RAMQ, it is currently free.

After the vasectomy#

Here are the instructions to follow after your appointment:

Physical activity and sexual relations
Avoid physical exertion for about 7 days (including sexual relations). Sex with contraception will be allowed until you get your spermogram result.
Pain
Control pain with 1 to 2 acetaminophen (Tylenol) 500 mg tablets every 4 to 6 hours.

It is very important to cover the scrotal region with ice (bag of frozen peas) over the underwear for 15 minutes, every hour for the first day, then as needed for the next 5 days in order to prevent swelling and decrease pain.

The scrotum may be swollen and turn bluish in color, this is normal at first. If the swelling becomes very severe or the pain persists or increases despite taking Tylenol, it is important to see your doctor. The bluish coloration (if it appears) will go away within 1 to 2 weeks.

Underwear

Continually wear tight underwear for the first 24 hours, then only during the day for 4 to 5 days.

Hygiene

You can take a shower the day after the operation. The compress can be removed 24 hours after surgery. Bathing is permitted after 48 hours and swimming after 5 days.

Spermogram

The spermogram should be done after 45 ejaculations, which is approximately one ejaculation once every two days for 3 months. The day of the vasectomy we will give you a container and a requisition for this test.

Observe a 72-hour abstinence period.

Collect all the semen obtained by masturbation directly into the container (do not use a condom).

Bring your sample to the laboratory within an hour with your prescription. The specimen can be analyzed in different centers:

  • Private laboratory (plan costs)
  • Hospital Center

You will receive a result by letter within three weeks of your semen analysis. You should consider yourself fertile until you get your results and continue to use birth control.

Ready to make an appointment?#

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