Procedure Waiting Times
Tollgate Clinic, Colchester
Waiting Times (October 2022)
If you are absolutely sure you don’t want to father a child in future, no-scalpel vasectomy is a reliable and easy method of permanent contraception. It is also much less scary than it sounds! We use the no-scalpel method which involves less discomfort, no stitches and faster recovery than the traditional method.
Vasectomies have been decommissioned as an NHS service in the whole of North East Essex. You will need to pay privately for the procedure. We accept referrals from inside and outside the North East Essex area. You do not need a referral from your GP in order to arrange an appointment for a vasectomy with us.
Your appointment will begin with a short consultation with our Clinician to talk you through your decision to have a vasectomy and the procedure.
Following the short consultation, if you are happy to proceed, our clinician will perform your no-scalpel vasectomy and you may then return home.
Your vasectomy will be performed by Dr Hein Leonhardt or Dr Alan Speers
We collected feedback from 94 men who had a vasectomy at Tollgate Clinic from September to November 2012 with the following results:
- 63% said they felt no pain during the operation and the remaining said that they rated the pain as either 1 or 2 on a scale of 0 to 5.
- 75% said they thought the operation was better or much better than they expected.
- 98.9% of patients rated our services as Fairly or Extremely Good.
- All our procedures at Tollgate Clinic are performed under local anaesthetic
- One 30 minute appointment only if an initial consultation is not required. If a pre-op assessment is necessary there is an additional fee of £60.
- Usual recovery time and return to work within 48 hours.
- No follow-up appointment required.
Self Pay Prices
||£430 including consultation, procedure and semen testing
*Prices dependant on the individual patients needs, prices from provide an overview of potential costs and is not an exact figure, as all patients' requirements are different.
Tollgate Clinic, Colchester
Q: How Can I Be Sure I Want a Vasectomy?
Be absolutely sure you don’t want to father a child under any circumstances. Talk to your partner; it’s essential to make the decision together. Consider other kinds of birth control as well. A vasectomy might not be right for you if you are very young, your current relationship is not stable, you are having the vasectomy just to please your partner, or if you are under a lot of stress.
Q: What is Different about a No-Scalpel Vasectomy?
No-scalpel vasectomy is different from a conventional vasectomy in the way the doctor gets to the tubes. This makes the procedure much less painful.
In a conventional vasectomy (not performed at Tollgate Clinic), after the scrotum has been numbed with a local anaesthetic the doctor makes one or two small cuts in the skin with a scalpel and lifts out each tube in turn, cutting and blocking it so the sperm cannot reach the semen. Then the doctor stitches the cuts closed.
In a no-scalpel vasectomy, the doctor feels for the tubes under the skin and holds them in place with a small clamp. Instead of making two incisions, the doctor makes one tiny opening with a special instrument so the tubes can be reached. The tubes are then blocked using a cautery method. There is very little bleeding with the no-scalpel technique. No stitches are needed to close the tiny opening, which heals quickly.
The no-scalpel vasectomy was invented by a Chinese surgeon, and is used throughout China. It was introduced in the United States in 1988, and Dr Spooner converted to this method after receiving training from US doctors in 1995. Dr Spooner has performed over 10,000 vasectomies.
Q: Does No-Scalpel Vasectomy Work?
Yes. It is estimated that after a vasectomy there is less than a 1 in 2,000 chance that a man’s partner will become pregnant.
Q: How Long Will the No-Scalpel Vasectomy Procedure Take?
Your appointment includes a consultation at which we explain the procedure and answer your questions. Your partner does not have to attend with you but it may be helpful if she does. On average the procedure takes about 15 minutes but you will be at the surgery about 45 minutes in all. You should bring someone with you to drive you home afterwards.
Q: Will It Hurt?
When the local anaesthetic is injected into the skin of the scrotum, you will feel some discomfort, but as soon as it takes effect, you should feel no pain. Afterwards you may be sore for a couple of days, and you might want to take a mild painkiller. But the discomfort is usually much less with no-scalpel technique, as there is less injury to the tissues. Also, there are no stitches. You will be provided with complete instructions about what to do after surgery.
Q: How Soon Can I Go Back to Work?
You should take it easy for at least 48 hours after your vasectomy. If your job doesn’t involve heavy work, you can then go back. If it does you should take a full week off.
Q: Will I Be Sterile Right Away?
No. After a vasectomy, there are always some active sperm remaining. It takes about 20 ejaculations to clear them. You and your partner should use another form of birth control until a sample of your semen has been tested 16 weeks after your operation and confirmed free of sperm. At the time of your appointment we will provide you with a sample pot and information regarding obtaining a Post Vasectomy Semen Test. It is very important that you take this test and that you wait for the results before stopping using the other method of birth control.
Q:When Can I Start Having Sex Again?
After one week, but remember to use some other kind of birth control until you have received the letter to say that you are sterile.