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THAMES VALLEY
VASECTOMY SERVICES
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Why Choose A No Scalpel Vasectomy At our Private Vasectomy Clinic?

Experienced Surgeon

Dr Kittel has performed 20,000+ vasectomies at our private vasectomy clinic
The surgeons

Transparent cost

Our vasectomy costs £595. All in. Guaranteed. No hidden fees.
Detailed cost

Friendly nurses - happy team

From the first phonecall to the consultation and vasectomy, we want to make you feel welcome
Our happy TVVS team

Why Choose A No Scalpel Vasectomy At our Private Vasectomy Clinic?

Why Choose A No Scalpel Vasectomy At our Private Vasectomy Clinic?​

Image of Dr Martin Kittel, surgeon at our private vasectomy clinic
Image of Dr Martin Kittel, surgeon at our private vasectomy clinic
  • Private Vasectomy Clinic with over 20,000 Procedures Performed

    Dr. Martin Kittel is one of the UK’s most experienced vasectomy surgeons. Watch a short video by Dr Kittel about his technique

  • Transparent, All-Inclusive Pricing

    Private vasectomy is £595 with no hidden extras. View pricing

  • No wait.

    We will typically provide an appointment within 2-5 business days. Contact us here to start the ball rolling

  • Modern, Stitch-Free Technique

    We use the open-ended no-scalpel method for quicker recovery. Look here at frequently asked questions.

  • Trusted NHS Providers

    We also provide care to NHS patients, with Dr. NichollsDr. Lawes delivering expert service under NHS contracts for a variety of areas near to us.

  • Efficient Booking & Aftercare

    No switchboards—just fast, direct service. Contact TVVS

  • Convenient Location

    The Bourne End clinic is easy to reach from London, Reading & beyond. Find us

  • Honest Patient Reviews & Ratings

    We proudly publish over a decade of real feedback. Look at TVVS ratings or Read TVVS vasectomy clinic reviews

  • Beautiful new clinic

    Scoll down to see a walkaround familiarisation video by sister Leanne, our senior clinical lead nurse consultant.

  • Inclusive & Supportive Environment

    We welcome all patients, including those who feel anxious or need extra reassurance. Why this matters

  • Trusted by Professionals

    Surgeons and GPs refer patients to us for our expertise. Dr Kittel is the “go-to” surgeon for patients previously turned away by other professionals.

  • Free Repeat for Private Patients

    In the rare event of failure, we offer a free repeat vasectomy. Full details

  • No Case Too Difficult (almost)

    Been turned away elsewhere? Other surgeons cannot find your vas deferens? Told you need a general anaesthetic? Dr Kittel will complete 99.9% of all vasectomies. Also, we perform vasectomies for patients with a variety of medicines and conditions including blood-thinning medications in the community (with some exceptions).

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Google Feedback for our private vasectomy clinic from previous patients

Want to know where you are going before you book?

Sr Leanne introduces our private vasectomy clinic,  The Bourne End Clinic, to our prospective vasectomy patients. This video is intended to improve accessibility by letting you familiarise yourself with our purpose built vasectomy premises and reduce the worry about the unknown. 

Summarised transcript of the familiarisation video by Sister Leanne

Welcome to The Bourne End Clinic

Meet Sister Leanne

Hello, I'm Sister Leanne, the Senior Nurse Consultant and Clinical Lead here at The Bourne End Clinic. My role is to ensure that every aspect of your experience with us is smooth, safe, and comfortable.

🏥 Navigating Our Clinic

🚪 Entrance and Reception

As you arrive, you'll find our entrance easily accessible, with clear signage guiding you to the reception area. Our friendly staff will be there to welcome you and assist with any initial paperwork.

🛋️ Waiting Area

Our waiting area is designed to be a calm and comfortable space. We understand that medical procedures can be daunting, so we've created an environment to help you feel at ease before your consultation.

🩺 Consultation and Procedure Rooms

🗣️ Private Consultation Rooms

We have dedicated consultation rooms where you'll meet with our medical team. Here, we'll discuss your procedure, answer any questions, and ensure you're fully informed and comfortable with the process.

🛏️ Procedure Room

Our procedure room is equipped with state-of-the-art medical equipment to ensure the highest standards of care. We prioritize cleanliness and safety, adhering to strict sterilization protocols.

🧼 Hygiene and Safety Measures

Maintaining a sterile environment is paramount. We follow rigorous cleaning procedures and safety protocols to protect your health and well-being throughout your visit.

🤝 Supporting You Every Step of the Way

Our team is here to support you before, during, and after your procedure. We provide comprehensive aftercare information and are always available to address any concerns you may have during your recovery.

We hope this walkthrough has provided clarity and reassurance about what to expect at The Bourne End Clinic. Your comfort and confidence are our top priorities.

Surgical team: Dr Kittel, Sr Leanne & Dr Nicholls

Dr Kittel

Dr Kittel is recommended by Other Surgeons

Image of Dr Martin Kittel, vasectomy surgeon at our pivate vasectomy clinic
Dr Kittel, surgeon

Trusted by Surgeons, Urologists, and GPs Across the UK
At our vasectomy clinic, patients are in the hands of a trusted expert. Our lead surgeon, Dr Kittel, is widely recommended by fellow surgeons, local urologists, and general practitioners from London, the Home Counties, and across the UK. His reputation is built on thousands of successful procedures using the No-Scalpel Vasectomy technique—a modern, minimally invasive approach known for fast recovery and minimal discomfort.


Expertise in Difficult Vasectomy Cases

Handling Complex Cases With Precision and Care
Not every patient is straightforward, and not every surgeon can complete challenging vasectomies. Dr Kittel is known for taking on the most complex cases—those that other vasectomy surgeons might avoid. With a 99.9% completion rate, he far exceeds the industry average. One notable case involved a man who had already undergone two vasectomies and two reversals; Dr Kittel successfully performed a third, intricate procedure. Another patient from Reading came to our clinic after two failed attempts elsewhere—and left with a successful outcome.

If you’ve been told your case is too difficult, our vasectomy clinic may still be able to help.


Supporting Anxious Vasectomy Patients

Specialised Care for Nervous Patients
Feeling nervous about your vasectomy? You're not alone—and you're not a problem. Dr Kittel and the TVVS vasectomy clinic team are especially experienced in caring for anxious patients. Our nurses are specially trained to offer reassurance, comfort, and support throughout the process. Many nervous patients are surprised at how smooth their experience is—thanks to our gentle technique and compassionate care.

If you’re anxious, rest assured: we take extra time, explain everything clearly, and make sure you feel calm and confident before and during your vasectomy.

Very occasionally, patients are so anxious, they get physical symptoms and we may recommend them not to choose vasectomy as their risk of post operative complications is higher. For more information about who may not be suitable for vasectomy, read this section.


When Other Surgeons Couldn’t Help

The Vasectomy Clinic for Second Opinions and Redos
Dr Kittel is often the surgeon of last resort—the one patients turn to when other clinics or practitioners say "no." If you’ve had a failed vasectomy or been turned away, our clinic has the skill, patience, and advanced techniques to help. Why risk a failed procedure elsewhere, when you can benefit from the expertise trusted by other doctors?

At our clinic, you're not just another case—you’re in expert hands.

Sr Leanne

Sister Leanne – Senior Nurse Consultant and Clinical Lead

Expert in Wound Care, Clinical Education, and Vasectomy Patient Support

Image of Sister Leanne our most senior nurse consultant
Nurse consultant Sr Leanne

Sister Leanne plays a pivotal role at our vasectomy clinic, serving as senior manager, nurse consultant, and clinical lead at Thames Valley Vasectomy Services. With her advanced clinical skills and deep leadership experience, she ensures every part of our service runs smoothly, safely, and to the highest professional standards.

Her background in Trauma and Orthopaedic nursing includes managing complex wounds and caring for patients with spinal injuries, fractures, and high-impact trauma, including serious motorcycle accidents. This makes her unrivalled in wound care, a key strength in supporting safe and comfortable vasectomy recovery for our patients.

In addition to her clinical expertise, Sister Leanne is a respected nurse educator and trainer. She has mentored countless healthcare professionals and continues to lead staff development within our vasectomy clinic. Her approach fosters a culture of excellence, compassion, and continuous improvement throughout the service.

Whether she’s supporting anxious patients, guiding the clinical team, or overseeing care standards, Sister Leanne ensures that every patient at our vasectomy clinic receives expert, personalised support from start to finish.

Dr Nicholls

Dr Nicholls – Expert Vasectomy Surgeon for NHS Patients

Trusted, Highly Skilled, and Committed to Patient Care

Dr Nicholls, vasectomy surgeon
Dr Nicholls, surgeon

Dr Nicholls is a highly experienced vasectomy surgeon who has performed over 2,000 vasectomies with exceptional patient satisfaction. She began her surgical training in Australia, specialising in the No-Scalpel Vasectomy technique, and now brings her expertise to the UK’s NHS services.

In addition to her vasectomy work, Dr Nicholls is active in family planning and reproductive health, making her a well-rounded expert in contraception and male sterilisation.

She is known for her calm, compassionate manner and her ability to put even the most anxious patients at ease. Her patients frequently commend her for her clear communication, gentle approach, and excellent outcomes.

Please note: Dr Nicholls only sees NHS patients through our vasectomy clinic.

  1. If you're eligible for NHS-funded vasectomy, you can trust you're in safe, experienced hands with Dr Nicholls.
Dr Lawes

Dr Lawes – Vasectomy Surgeon and GP Partner

Methodical, Compassionate, and Focused on Whole-Person Care

image of Dr T Lawes, vasectomy surgeon for Thames Valley Vasectomy Services
Dr Lawes, surgeon

Dr Lawes is the newest addition to our expert team at Thames Valley Vasectomy Services, bringing with him a strong track record of over 500 vasectomies performed. Patients appreciate his quiet confidence, methodical approach, and calm, professional manner—qualities that help even the most nervous feel at ease during their procedure.

In addition to his work as a vasectomy surgeon, Dr Lawes is also a GP partner, giving him a broad, holistic perspective on health. In this role he also has an extended interest in Dermatology and skin surgery. His background means he doesn’t just focus on the procedure itself—he takes into account each patient’s full medical context and provides well-rounded, compassionate care.

Dr Lawes is notably focussed as a surgeon. His calm, respectful communication style and attention to detail make him a trusted choice for patients seeking a safe, smooth experience at our vasectomy clinic.

Please note: Dr Lawes only sees NHS patients at our clinic.

With a combination of modern surgical skill and whole-person insight, Dr Lawes is a valued and trusted member of our clinical team.

Reviews, Feedback and

Positive vasectomy feedback of the year

“I have literally just arrived home after my procedure and wanted to say a massive thank you to Martin and his team. I had my first vasectomy in 2004, then a reversal 6 years later, so I’m confidently able to both comment and compare. My memories of the 2004 are an awkward environment, lots of pain, a long procedure and lots of swelling. However, today’s procedure was worlds apart. All the staff from day one have been polite, professional and friendly. Today I was put at ease and everything explained to me again.

To be honest during the procedure we all just chatted about random subjects and I barley even noticed Martin expertly working away. Before I knew it, the job was done and after getting a little info pack to take away with me I was on my way home. So, guys, if you need a vasectomy you really can’t do better than Martin and his team, ignore the historic horror stories you may have heard, this is state of the art and pain free a definite 5-star service.”

Top booking and comparative review

Booking was very easy; friendly staff on the phone and was even able to change appointment time with no issue. Before finding TVVS I had requested quotes from local private hospitals. Spire, Ramsey and Circle Health were all slow to respond, were lacking important information about the procedure as it’s all done through call centres, and were quoting up to £4000 plus tests. I had gone back and forth with them for several weeks, so when I managed to get all information, pricing and book in a single phone call with TVVS it was a very pleasant surprise! It was an easy decision to make given that everything was included, whereas the private hospitals were careful to exclude any further tests or unforeseen follow-ups from their pricing.

Thames Valley Vasectomy Services Ratings and Reviews

Real time ratings: Look at ratings in numbers

Annual reviews: Click here to evaluate all our Patient Vasectomy Reviews

We have 2 ways of feeding back: Ratings and reviews. We publish patient ratings instantly here and patient reviews annually here. Please note the ratings page takes a little while to load and reviews are not real time as we try to evaluate them and respond to them. Additionally you can check out our google reviews, too, which are real time. All reviews are brought to our clinical governance meetings at least annually for all staff to learn from them and implement good suggestions!

More Information About Vasectomy

To learn more about No Scalpel Vasectomy, we encourage you to thoroughly explore the website. It’s important to note that, as with any surgery, bleeding and infection are the most common side effects. That’s why we use the classical Li method, employing special instruments designed to minimise these risks.

We meticulously follow this technique to reduce tissue trauma and avoid injury to the scrotal blood vessels. Additionally, we take extra care to prevent infection through rigorous antiseptic procedures.

We recommend the following pages to help you prepare:

Once you’ve reviewed these pages, you should have a solid understanding of the vasectomy process. Additionally, we will provide a pre-consent form with tailored questions and detailed information, as well as a webinar covering the procedure in depth. These resources, combined with the website’s content, will offer excellent preparation for your vasectomy.

For a more detailed overview of our processes, watch the video below and scroll to the bottom of this page.

Contact Us

For direct assistance, you can call or WhatsApp our clinic secretary at 07973 66 33 55. Alternatively, you can reach us on our local number: 01628 969077, or through our main switchboard at 0345 2255775.

Our Telephone Hours:

  • Monday – Friday: 9:00 AM – 5:00 PM

  • Saturday, Sunday and Public Holidays: closed

If you’re unable to reach us directly, please leave a message, and we will get back to you within 1 working day. For clinically urgent cases, a doctor will contact you within 4 hours, available Monday through Sunday, from 8:00 AM – 8:00 PM.

If your query is of an emergency nature, please call 111 for non-urgent advice, or call 999 if it’s a medical emergency.

For more information on our minor surgery services, please click here.

A comprehensive guide for people considering vasectomy

Vasectomy overview

Anatomical drawing of a scrotum after vasectomy. this image presents the outcome of a vasectomy clearly and understandably even for non-medical readers
Scrotum After Vasectomy

Vasectomy (male sterilisation or “the snip”) is a straightforward minor surgical procedure that permanently prevents pregnancy by cutting or sealing the tubes (vas deferens) that carry sperm. After a vasectomy, semen is still ejaculated during orgasm, but it no longer contains sperm.

It’s important to be sure about your decision before having a vasectomy, as it is intended to be a permanent form of male contraception. While reversals are sometimes possible, they are not always successful and should not be relied upon.

A vasectomy does not offer protection against sexually transmitted infections (STIs), so safe sex practices remain important.

Current medical guidelines recommend performing vasectomy under local anaesthetic. This means you’re awake but should not feel pain during the procedure, which typically takes around 15 minutes.

General anaesthetic is not routinely recommended for vasectomy, but it may be considered in cases of extreme anxiety or where surgery is more complex.

Overall, vasectomy is regarded as a safe, low-risk procedure with high satisfaction rates among men.

If you want to get the ball rolling (no PUN intended) then you can explore next steps and learn about our clinic, staff and services here – and if you want a vasectomy for free on the NHS click here for NHS vasectomy information

If you have a specific question, please look at the table of contents below, otherwise – happy browsing.

Vasectomy Terms in a Nutshell (Glossary)

Vasectomy is often referred to as “the snip” or “male snip.” You may also come across terms like “no-scalpel vasectomy” or “minimally invasive vasectomy.”

There are different techniques used, including open-ended and closed-ended vasectomy. Surgeons may seal the tubes using clips, sutures (stitches), or by relying on the body’s own tissue to create a natural block.

Below, we’ll explain these terms in more detail to help you understand the various options and what they mean for you.

Table of Contents

About the Author

Dr Kittel — Vasectomy Specialist

Image of Dr M Kittel, vasectomy surgeon and author of this article
Dr M Kittel, surgeon

This page is designed to give you everything you need to know about vasectomy in one place — a kind of “vasectomy in a nutshell.” You’ll find links for further reading and quotes from evidence-based studies throughout.

I’ve written this based on over 20 years of experience as a vasectomy surgeon, specialising in minimally invasive no-scalpel techniques. Having performed more than 20,000 procedures, I’ve learned what matters most to patients — and what they wish they’d known beforehand.

How a vasectomy is carried out

Vasectomy is a quick and generally low-pain surgical procedure. In most cases, you’ll be able to go home the same day.

There are two main types of vasectomy:

  • Conventional vasectomy – performed using a scalpel (surgical knife)

  • No-scalpel vasectomy (NSV) – also known as
    Minimally Invasive Vasectomy (MIV), a more modern technique that’s less widely known but increasingly used

Your doctor will explain which method they offer. However, clinical guidelines recommend
no-scalpel or minimally invasive vasectomy as the preferred technique due to its
lower risk of complications and quicker recovery time [2].

Vasectomy and No-Scalpel Vasectomy in Detail

Differences Between No-Scalpel (Minimally Invasive) and Conventional Vasectomy

Conventional Vasectomy:

  • Anaesthesia: Local anaesthetic numbs the scrotum.

  • Incisions: Two cuts are made on each side of the scrotum to access the vas deferens (sperm tubes).

  • Procedure: Each tube is cut, a small section is removed, and the ends are tied.

  • Stitches: The cuts are stitched, typically with dissolvable stitches or clips, which dissolve within three to six weeks.

  • Healing: Slightly longer healing time compared to No-Scalpel Vasectomy.

No-Scalpel Vasectomy (NSV) / Minimally Invasive Vasectomy (MIV):

  • Anaesthesia: Local anaesthetic numbs the scrotum.

  • Incisions: A tiny puncture hole is made in the scrotum, avoiding scalpel cuts.

  • Procedure: The tubes are cauterised, and an “open-ended method” may be used for the lower vas. The upper vas end is sealed with heat, radiofrequency cautery, or a stitch or clip to prevent sperm entry. A small piece of the vas deferens may be removed.

  • Stitches: No stitches required in the classic No-Scalpel method.

  • Healing: Less bleeding and quicker recovery with fewer complications.

If you’re interested in a no-scalpel vasectomy without clips or sutures, visit our website’s front page.


During the Procedure

Vasectomy surgery typically takes about 10 to 30 minutes, although you should expect to spend around 30-60 minutes at the clinic, including aftercare and some time to rest. During the procedure, your doctor will likely follow these steps:

  1. Pre-procedure conversation:
    The doctor will invite you into the treatment room and discuss any final concerns. The doctor and staff will introduce themselves.

  2. Preparation for surgery:
    The doctor and staff will clean their hands, wear masks (some clinics may offer you a mask for infection prevention), and disinfect the area with a mild antiseptic.

  3. Securing the area:
    The area will be draped, and the penis will be secured away from the surgical site to reduce the risk of injury.

  4. Numbing the area:
    A local anaesthetic will be injected into the skin of your scrotum with a small needle to numb the surgery area.

  5. Accessing the vas deferens:
    The doctor will make a small opening in the upper part of your scrotum once the area is numb. In the No-Scalpel Vasectomy (NSV) technique, this is typically a small puncture using a metal haemostat or electrosurgical equipment instead of a traditional incision.

  6. Working with the vas deferens:
    The doctor will withdraw part of the vas deferens through the incision or puncture and then either interrupt or cauterise it. Some surgeons may remove a portion of the tube, while others may not. Various techniques are used, such as cauterising internally or externally, and some surgeons may use a clip or suture, while others may avoid foreign materials altogether.

  7. Repeating the procedure on the other side:
    The same process will be repeated on the other side. In NSV, only one incision/puncture is typically used for both sides.

  8. Closing the wound:
    After the procedure, the incision site will be closed. In conventional vasectomy, stitches or glue may be used. For No-Scalpel Vasectomy, the wound is typically so small that it heals on its own without the need for stitches. Some clinics may apply a silicone plaster to aid the healing process.

After Your Vasectomy (or the Snip) – Recovering After the Operation

Painkillers

It’s common to experience mild discomfort, swelling, and bruising of your scrotum for a few days after your vasectomy (or the snip). You can take painkillers like Paracetamol (or Acetaminophen in the US) to help manage any pain. If the pain persists after taking painkillers, consult a GP.

Underwear

Wear snug-fitting underwear day and night during the first few days following your vasectomy to support your scrotum and ease any discomfort or swelling. Be sure to change your underwear every day.

Hygiene

Avoid getting water on your wound for the first 48 hours after the snip. After that, it’s safe to shower, but avoid baths and swimming pools for about a week, as they can be contaminated. Click here for more information about postoperative hygiene.

Returning to Work

You can usually return to work 1 or 2 days after your vasectomy. However, avoid manual labour, sports, and heavy lifting for at least a week to prevent complications. If you continue to experience symptoms after a few days, consult a GP.

Having Sex

Treat sex like any other form of exercise, and avoid sexual activity for at least 7 days after your vasectomy. You’ll need to use an alternative form of contraception until the remaining sperm in your tubes clears. This process varies for each man. Your surgeon will let you know when you can schedule your first sperm test. During this time, there is still a risk of pregnancy. It’s also common to notice blood in your semen in the first few ejaculations after the snip, but this isn’t harmful.

Want to know more about sex after vasectomy – read this post

Summary of the Advantages and Disadvantages of Vasectomy

Advantages

  • A vasectomy (male snip) is more than 99% effective at preventing pregnancy.

  • It’s relatively inexpensive compared to most other forms of contraception, and in many countries, including the UK, vasectomy is funded by the NHS.

  • Long-term health effects are rare.

  • It doesn’t affect hormone levels, sex drive, or sexual pleasure.

  • You’ll still have normal erections and ejaculation, but your semen will no longer contain sperm.

  • It may be chosen as a simpler and safer alternative to female sterilisation.

  • It’s a permanent solution, so once it’s done, you no longer need to think about contraception.

  • Vasectomy is a highly sustainable form of contraception — it doesn’t pollute water with hormones, and it requires no ongoing supplies or appointments.

  • Want to hear real stories? Read our article: Good reasons for vasectomy – patient stories

Disadvantages

  • You’ll need to use contraception for at least 12 to 20 weeks after the procedure, as sperm may still be present in the tubes.

  • Vasectomy cannot be easily reversed, and reversals are rarely funded by the NHS.

  • You must continue using contraception until a semen test confirms you’re sperm-free.

  • Possible side effects include:

    • A haematoma (collection of blood in the scrotum)

    • Sperm granulomas (small lumps from leaking sperm)

    • Infection

    • Chronic testicular pain (rare but may require further treatment)

  • The vas deferens tubes can rarely reconnect, leading to failure of the procedure.

  • Vasectomy does not protect against sexually transmitted infections (STIs) — condoms may still be needed.

Want to know more? Look at reasons against vasectomy

Frequently Asked Questions

Clinical FAQs

1. How effective is a vasectomy?
More than 99% effective when followed by a confirmed sperm-free (negative) semen test. Even a few dead sperm remaining are OK.

2. What are the risks of vasectomy?
Risks are low, but possible side effects include bruising, infection, or rarely, chronic testicular pain. Recanalisation (tubes rejoining) depends on the surgeon and the average is 1:80 in the UK. However, some surgeons have much lower re-canalisation rates, the author typically has rates of 1:800

3. How long should I wait to have sex again?
Avoid all sexual activity for at least 7 days. Use contraception until a semen analysis confirms there’s no sperm in your ejaculate.

4. How soon can I return to work?
Usually 1–2 days after the procedure, but avoid strenuous activity for about a week. This includes manual jobs with more than 5kg of lifting.

5. What is a semen analysis and why is it important?
It’s a test to confirm that no sperm remain in your semen. Without it, there’s still a risk of pregnancy — even if you feel recovered.

Want to read a lot more clinical questions patients regularly ask us →

How Much Should You Pay for a Vasectomy (or the Snip)?

The cost of a vasectomy (or the snip) can vary depending on where you live and the healthcare provider you choose. Below are approximate costs for the snip in different regions:

  • USA: Around $750

  • Western Europe: Around €650

  • UK: Around £600

It’s important to note that these prices may vary based on the clinic, the surgeon’s experience, and whether the procedure is carried out privately or through a public health system. Always check with the provider for an accurate quote before making a decision.

Look at our vasectomy fees if you are interested in our charges

How Will I Know If My Vasectomy (or the Snip) Has Worked? – Testing After Your Vasectomy

Delayed Protection

A vasectomy (or the snip) does not provide immediate protection against pregnancy. You will need to use an alternative form of contraception until your doctor confirms that there are no sperm in your semen. This typically takes several months, and you may need to ejaculate 30 times or more to clear any remaining sperm from your semen. Your doctor will discuss this in detail before and after your vasectomy.

Patience is a Virtue – Semen Sampling

In general, the longer you wait, the more likely you are to have a negative sample (i.e., no sperm present). Dr. Kittel has observed that a longer wait for semen sampling—around 20 weeks—appears to reduce the risk of late failure. He hypothesizes that early failures (which occur soon after the procedure) are sometimes mistaken for late failures, especially when semen sampling is conducted too early. Most services typically test 12-16 weeks after the snip. If you test too early, you might need to repeat the test, often at your own expense.

The Time for Sampling Has Come

When it’s time for your semen sample, your doctor will ask you to produce a sample by masturbating and ejaculating into a container. The semen will be examined under a microscope to check for the presence of sperm.

Stopping Additional Contraception

Once your semen tests free of sperm, your vasectomy is considered successful, and you can stop using additional contraception. However, some men may need more than one test. In certain cases, surgeons recommend two tests to confirm the vasectomy has been successful. Until it’s confirmed that your semen is sperm-free, continue using another form of contraception.

A Little Dead Sperm Doesn’t Make a Big Difference

Some men may have small amounts of dead sperm in their semen, but these sperm are immotile (unable to move) and are less likely to cause pregnancy. If this happens, your doctor will tailor their advice based on factors like the number of dead sperm and other medical considerations.

Vasectomy Failure

The testing process also helps identify the rare cases where the tubes (vas deferens) naturally rejoin themselves after the procedure. The chance of this happening is between 1 in 66 and 1 in 1000, depending on the technique used and the surgeon’s experience.

Late Vasectomy Failure

The risk of late failure (i.e., failing to prevent pregnancy after clearance) is very low, with an estimated occurrence of about 1 in 2000, according to a large UK-based audit study (1). This risk is higher if semen tests are done too early after the snip, as late healing can cause sperm to reappear after the patient has been given the all-clear. It appears the risk is lower when a service waits longer before confirming sterility and conducting semen testing.

How to Find a Good Vasectomy Service

Finding a vasectomy service that suits your needs is crucial for your peace of mind and long-term satisfaction. Here are some tips to help you choose the right surgeon and clinic:

  1. Research the Surgeon
    Start by exploring the surgeon’s website. Watch any videos they have created, and read through their content. Does the surgeon seem genuinely knowledgeable and experienced in performing vasectomy procedures? Experience matters—look for someone with a lot of practice and published results. Does the surgeon share their success rates, patient testimonials, or before-and-after results?

  2. Consider the Price
    When it comes to a vasectomy, the price should be considered carefully. Like buying wine, cheaper options might not offer the same quality as a mid-range price. Be cautious with very low-priced services, as these might be less experienced or lacking in facilities. However, expensive services may not always be better, either. Surgeons who charge a premium often work in high-cost private hospitals and may not perform enough procedures to stay highly skilled.

  3. Examine the Technique and Care
    Make sure the vasectomy service uses the latest techniques, such as No-Scalpel Vasectomy (NSV), which is known for having fewer complications and a quicker recovery time. Do they offer post-procedure support and clear guidance on recovery? A good service should offer a pre-procedure consultation to ensure you’re comfortable and well-informed.

  4. Consultation Opportunities
    Feeling comfortable with your surgeon is key. Look for a service that provides the opportunity to speak with the surgeon or a nurse before the procedure, whether through a phone call or online meeting. This will help you feel confident and informed about your decision to undergo the snip.

How Long Will I Have to Wait for a Vasectomy?

The waiting time for a vasectomy can vary depending on whether you choose a private or NHS service:

  1. Private Services
    If you opt for a private vasectomy, many services can offer you an appointment within 1-3 weeks. If you encounter much longer waiting times, it could be a sign that the service is not well-managed or efficiently run.

  2. NHS Services
    In many parts of the UK, a vasectomy is available free of charge through the NHS. However, waiting lists can sometimes be as long as 2 years, depending on your location. To check availability, speak to your GP or contact your local contraception clinic for more information about NHS vasectomies.

  3. Private vs NHS
    Due to long waiting times for the snip on the NHS, some men opt to pay for a vasectomy privately to have the procedure carried out sooner. This can be a good option if you’re keen to get the procedure done without the wait.

  4. Experience of Surgeons
    It’s worth noting that most doctors and surgeons who offer private vasectomy services often begin their careers in the NHS. This means that private vasectomy providers may have more experience due to the high volume of procedures they perform. Experience matters when it comes to ensuring a smooth and successful procedure. That said, a lot of NHS doctors are excellent surgeons.

  5. Specific Requests
    If you have a preference for a doctor or surgeon of a specific gender, be aware that this may increase your waiting time, as the availability of specific practitioners may be limited.

Risks of Vasectomy

A vasectomy is generally a safe and effective procedure, but like any surgery, it comes with risks. Below are some potential risks and considerations to keep in mind:

Change of Mind

One of the major concerns associated with a vasectomy (or the snip) is the possibility of changing your mind later and deciding you want to father a child. While it may be possible to reverse a vasectomy, there are no guarantees it will work. Vasectomy reversal is more complicated than the original procedure, and success rates depend on factors such as the quality of the surgeon, the time elapsed since the procedure, and the age of the patient.

  • Vasectomy reversal is generally more expensive than a vasectomy, often costing up to 10 times more, but may still be the cheapest option compared to other fertility treatments.

  • Freezing sperm before the procedure is an option, though it’s limited in quantity and effectiveness. If frozen sperm is used for fertilisation, IVF (in vitro fertilisation) may be required, but this comes with its own challenges and expenses.

Other fertility treatments, such as IVF or ICSI (intracytoplasmic sperm injection), are also available, but these are typically expensive and not always successful. Sperm retrieval is another option, but finding a specialist for this can be difficult.

Common Early Side Effects

After a vasectomy, some men may experience mild to moderate side effects. These are usually short-term and resolve on their own, especially when performed by an experienced surgeon. Common early side effects (less than 5% risk with good surgeons and minimal major complications) can include:

  • Bleeding or blood clot (hematoma) inside the scrotum

  • Blood in your semen after the procedure

  • Bruising of the scrotum

  • Infection at the surgery site

  • Mild to moderate pain or discomfort

  • Swelling of the scrotum

The No-Scalpel Vasectomy (NSV) or Minimally Invasive Vasectomy (MIV) techniques are associated with fewer side effects, including less pain and quicker recovery times.

Delayed Complications

While complications are rare, some men may experience delayed side effects:

  • Chronic pain: Occurs in approximately 0.2-0.5% of men following a vasectomy. This condition is known as post-vasectomy pain syndrome (PVPS) and can sometimes require further treatment.

  • Vasectomy failure: In the rare case that a vasectomy fails, there is a chance of pregnancy. Before confirmation tests, the failure rate is approximately 1 in 500, but after confirmation, the rate drops to 1 in 2000.

Unfounded Concerns About the Male Snip

It’s completely natural to have concerns about having a vasectomy, often known as the snip. Many men worry it might cause serious health or sexual problems — but most of these concerns aren’t supported by evidence.

Here are some of the most common fears, and what research and clinical experience currently suggest:

Sexual Performance

Having the snip shouldn’t affect your sex drive or sense of masculinity. The procedure involves sealing the tubes that carry sperm (vas deferens), but it doesn’t alter hormone levels — your body continues to produce testosterone as normal. Most men report that their erections, sensation, and libido are unchanged after vasectomy. Some even say they feel more relaxed about sex, as they no longer need to worry about an unplanned pregnancy. That said, everyone is different, and how you feel emotionally or sexually afterward can vary.

Injury to Sexual Organs

While any surgical procedure carries some risks, serious injuries to the penis, testicles, or reproductive structures are considered very rare when the snip is performed by an experienced surgeon. In very uncommon cases, injury to the blood supply can result in the loss of a testicle — but this is an exceptional complication.

Cancer Risk

There has been past debate about a possible link between vasectomy and prostate or testicular cancer. However, large studies have not shown convincing evidence that the snip causes cancer. Most experts agree that if there is any risk, it is likely to be very small — and no causal relationship has been established. [Click here for more information]

Heart Disease

Similarly, earlier studies suggested a possible connection between the snip and heart disease, but more recent and higher-quality research has found no clear link. While this area of research continues, current medical opinion is that vasectomy does not increase the risk of heart problems.

Pain

Some men worry about pain during or after the snip, which is understandable. You may feel some pulling or mild discomfort during the procedure, despite the use of local anaesthetic. Afterward, it’s common to have soreness or swelling for a few days, but most men recover quickly. Long-term pain is rare, but can occur — often described as a dull ache or occasional sensitivity. If you’re concerned about pain, ask your doctor about the technique they use, as minimally invasive or no-scalpel methods tend to reduce these risks.

Further reading about vasectomy:

For Frequently Asked Questions about vasectomy

On a clinical level (facts): FAQ clinical
On a personal level (worries): FAQ personal
Patient stories: Good reasons for a no scalpel vasectomy
Reasons against vasectomy: Why not to get a vasectomy

References

(1) European Association of Urology EAU23 , reported by the BBC

(2) A comparative study of the no scalpel and standard incision approaches to vasectomy in 5 countries. The Male Sterilization Investigator Team

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