No-scalpel vasectomy is the modern technique, which is safer,
less uncomfortable and has a shorter recovery time than a scalpel
vasectomy. The British Association of no-scalpel vasectomists is
working to replace scalpel vasectomy with no-scalpel vasectomy as
the standard procedure in the UK and abroad.
Vasectomy is the operation which prevents a man from fathering
further children. It does not affect sexual performance or general
The no-scalpel vasectomy service (NSV) is
part of the County Durham & Darlington Community Health
Services, specialist services directorate. Our dedicated team
consists of a specialist service manager, 3 accredited GPwSI's an
experienced nurse practitioner, health care assistant and an
The aim of the no-scalpel vasectomy service is to give evidenced
based care to men aged 18 years and above, who have requested a
vasectomy and who are medically classed as non complex.
The no-scalpel method is recommended as best practice by the Royal
College of Obstetricians and Gynaecologists (RCOG) as it reduces
the risk of bleeding, infection and pain. (RCOG, 2004.).
The service has a commitment to delivering best practice and has
been acknowledged as a service leader, both locally and nationally,
having 2 service awards. It puts patient safety, privacy and
dignity, and the positive patient experience at the heart of the
service delivery, enabling effective and timely access, whilst
providing patient choice. Patients are offered appointments in a
range of locations.
The community based service provides a 'one stop shop' facility,
expert assessment, triage and management of patients who have
requested a no-scalpel vasectomy from their GP. This includes pre
assessment, consent, and procedure, post operative testing,
information, guidance and support in accordance with the
commissioned patient pathway.
Where is the service provided from?
When is the service provided?
Appointment contact details Tel: 01325 746292 Monday to Thursday
10am - 4pm
How do people access the service?
Referrals are received from the GP directly to the no-Scalpel
vasectomy service via choose and book. Patients will receive
information from their GP requesting them to telephone
and make an appointment at a time and venue most convenient to
their individual needs
How long does the procedure take?
The procedure itself takes up to 30 minutes, however a 45 minute
appointment time is given to include assessment, counselling, and
How soon after the operation can you go back to
You should not do heavy physical labour for at least 72 hours after
your vasectomy. If your job doesn't involve this kind of
work, you can go back sooner if you feel comfortable. It is
recommended however that you rest for 24 hours following the
procedure to reduce the chances of complications. This will be
discussed at your appointment, as individual circumstances will be
taken into account.
Are there long term health risks?
Over 10 studies have evaluated more than 20,000 men who have had
vasectomies, documenting their progress for up to 25 years after
the procedure. The data indicates that men having a vasectomy are
no more likely to develop cancer, heart disease or other health
problems, than any other man.
Can a vasectomy be reversed?
An estimated 2% to 6% of men undergoing vasectomy may request a
reversal at a later date. In many cases, the cut ends of the vas
deferens can be surgically reattached. However, this operation does
not guarantee a return to fertility. Vasectomy reversal appears to
be more successful if performed within 10 years of the vasectomy,
but again there is no guarantee that fertility will be restored.
Vasectomy should therefore be considered a permanent
procedure. Before a vasectomy is decided upon, the man must
make quite sure that he and his partner do not want any more
children. If they are thinking about a reversal now, perhaps they
should take more time to decide whether vasectomy is the right form
of birth control. Generally reversals of vasectomies are not funded
by the NHS, and this is the case in County Durham and
How can you find out more about no-Scalpel
Patient information leaflets are sent to each patient with a
confirmation letter of their appointment date and time.
If you require more information, staff are available to speak to
via phone or an appointment can be made with the GPwSI to discuss
No-scalpel vasectomy team
General Practitioners with special interest in no-Scalpel
Dr. Andrew Baines, Dr. Andrew Michie, Dr. Gordon Gowens
British Association of No-scalpel vasectomists-BANSV
Royal College of Obstetricians and Gynaecologists-RCOG
'As I was very, very nervous, I must have been the worst patient
ever and they were brilliant with me and I can't thank them enough
- could you please pass on my sincere thanks.'
Patient, Hysteroscopy Unit, Chester-le-Street Community