Not all vasectomies are alike. Conventional vasectomies will use needles, scalpels, stitches and bilateral incision sites.
Dr. Brulotte is pleased to provide the most minimally invasive vasectomy procedure. Anaesthesia is administered with a spray, and the vas deferens (sperm tube) are retrieved with a pointy instrument, one at a time, through a single site.
Dr. Brulotte performs the vasectomy procedure with an Open-Ended technique. Other techniques have been associated with more vasectomy complications and higher failure rates.
Open-Ended vasectomies result in less pain and discomfort and may also be more easily reversible.
We understand that your time is important. We will do our best to accommodate you by allowing you to request when you would like your vasectomy.
Work schedules and work types differ. Whether you prefer before, during or after your vacation, or whether you prefer the winter or summer months, our 5 minute online registration will allow you to request a specific day, week, or month for your vasectomy.
However, OHIP does not cover accessory fees for items such as the scrotal support.
A post vasectomy kit is optional but highly recommended and is offered to all patients at Dr. Brulotte’s clinic for a $80 fee. The kit includes the scrotal support, all post-operative supplies, and sick note if needed.
Dr. Brulotte is pleased to offer No-Needle No-Scalpel Vasectomies to Quebec patients. Our office will submit a bill to RAMQ directly, therefore there are no fees to pay on your behalf.
There are no mandatory follow-up visits after the vasectomy. Since complications are rare, the vast majority of patients will not require a follow-up. Dr. Brulotte is happy to speak to each patient that feels they have an issue that needs to be addressed. Any patient with concerns can also obtain a follow-up visit.
Otherwise, we will communicate with you in 3 months’ time, once we have received the result of your post-vasectomy semen analysis.
What is a vasectomy?
A vasectomy is a simple, safe and effective form of permanent contraception. It is a quick and popular procedure (20,000 per year in Ontario) that is performed in a doctor’s clinic with local anaesthesia in less than 15 minutes. A vasectomy prevents the sperm from entering the semen by blocking the tubes (vas deferens) that carry sperm from the testicles.
The single site created in the skin measures 2-3mm and serves as access to both the right and left vas tubes. The divided vas tube prevents sperm from entering the semen.
No Needle and No Scalpel ? How ?
How is it performed?
A No-Needle No-Scalpel Vasectomy can be performed in a doctor’s clinic without the use of a knife or needle.
‘No-Needle’ refers to the local anaesthesia (freezing) technique known as jet injection, which works with air pressure and does not require the use of a needle. It creates a minor pop sensation similar to that of a small rubber band against the skin.
Once the area is numb, the tubes are first located (one at a time) under the skin and held in place with a small clamp.
Instead of making two incisions as in conventional vasectomies, a tiny puncture is made with a special instrument, which also stretches the opening just enough to reach and lift out the tubes (vas deferens) on each side.
The tubes are cut, and the upper end (leading to the penis) is cauterized, or closed, and tucked back into its sheath (using a tiny titanium hemoclip), while the other end (testicular) is left open. This refers to the Open-Ended vasectomy. This open lower end will serve as an outlet for the sperm to exit. This will minimize the accumulation of sperm in the lower end of the divided vas deferens, and reduce the level of post-vasectomy discomfort.
In comparison to some of the more conventional vasectomy methods, this type of vasectomy combines the most effective technique with the lowest risk of complications, the quickest recovery time and the least amount of pain.
For more information please view Dr. Stein’s video video
Benefits
The benefits are many and are available to the man, the woman and the entire family.
These benefits are easily achievable in a simple and safe 15 minute procedure under local anaesthesia.
The vasectomy offers men the control over their reproduction, and alleviates the dependence on their partner’s compliance to their own birth control methods.
The vasectomy offers women the benefit of avoiding the risks of pregnancy and childbirth, the possibility of stopping hormonal birth control, and avoiding tubal ligation (female sterilization).