Fill out the following form to register for a vasectomy. A member Dr Marois's team will get back to you to set up an appointment and answer your questions.
Please note that vasectomies are only performed in a disaffiliated private clinic and therefore not covered by the RAMQ. They are usually carried out in a single appointment. This includes consultation and infertility notification by email after reception of the spermogram’s results.
Description of the Vasectomy Procedure
At Dr. Carlos Marois’ urology clinic, we conduct a consultation and evaluation before performing any vasectomy procedure. This involves a short questionnaire, a physical exam and an explanation of the procedure.
After this, we schedule a second appointment to perform the vasectomy.
For most patients, it is possible to do both the evaluation consultation and the vasectomy in a single visit.
This is conditional on a normal exam and on the patient having stopped taking any anticoagulant medication. Also, the patient must not have any coagulation disorders.
We recommend that the patient be accompanied. If needed, an Ativan may be offered only to patients who are anxious and who are accompanied. It is also recommended that the patient avoid coffee or other stimulants the morning of the vasectomy.
Vasectomy is a permanent male contraceptive method.
In principle, the technique is irreversible. If ever the patient wants to have children after the intervention, we can attempt a vasovasostomy, with no guarantee of success.
Possible Complications from Vasectomy
Complications are uncommon, but it is possible to have bleeding, infection, swelling or pain in the scrotal area. If there is persistent inflammation or discomfort, an anti-inflammatory drug may be prescribed.
Very rarely, the vas deferens canal will reform on its own before the control spermogram (early recanalisation, i.e. the two ends of the vas deferens canal reattach and allow for the passage of spermatozoa, making the man fertile). Exceptionally, spontaneous late recanalisation after vasectomy can occur, even with sectioning, ligation and cauterisation of the vas deferens.
Medical Counter Indications
These are relative and rare. Uncertainty about whether or not you may want children, blood coagulation disorders, scrotal hernia and non-descended testicles are some examples. In certain patients, vasectomy is sometimes unilateral and thus only performed on one side.
Vasectomy Has No Impact on Sexuality
Your sexuality remains unchanged. Erections and ejaculations are unchanged. The liquid from ejaculation will no longer contain spermatozoa. You will not be able to see any difference in the ejaculate since spermatozoa represent only a small part of this liquid. The ejaculate mainly comes from the seminal vesicles (two small sacs located at the base of the prostate where the vas deferens canals originate). You will also experience no change as regards sensation.
Recommendations before Vasectomy
We recommend that the patient be accompanied; it is also recommended that the patient avoid coffee or other stimulants the morning of the vasectomy.
Shaving before Vasectomy
Shave the scrotum. Shaving is usually performed dry without water or soap and with a razor blade or straight razor, by applying traction over the skin. This way, there is less chance of injury to the scrotum than when shaving with water or with an electric razor. Do not use depilatory cream.
Anesthesia with a Skin Injector
This procedure is initially done with an injector which sends anesthetic liquid through the skin at high pressure. You will feel a pinching sensation like being struck with an elastic band. After that, you will no longer feel the needle in the skin or sub-cutaneous tissue at the scrotal site.
However, anesthesia is limited to the area around the injection site.
For more effective anesthesia and a more comfortable vasectomy, a right and left spermatic block is performed. This is an infiltration of the spermatic cord that eliminates pain inside the scrotum.
In addition, the sometimes unpleasant abdominal traction of the vas deferens can be slightly felt. We need to wait 5 to 10 minutes before starting the intervention. There is a small risk of hematoma since the needle is manually steered alongside the visible veins.
An Ativan is offered to anxious patients before the vasectomy, if they are accompanied.