What is a vasectomy, and how effective is it?

Written by: Mr Nkwam Michael Nkwam
Published:
Edited by: Conor Lynch

Here, in this article below, highly regarded consultant urologist, Mr Nkwam Michael Nkwam, talks about vasectomy in expert detail, including how it is performed.

What is a vasectomy?

A vasectomy is a specific procedure for male sterilisation. It involves the cutting or the sealing of the tubes that carry a man’s sperm to prevent male fertility. It is a permanent form of contraception.

 

How does vasectomy work?

During a vasectomy, the tubes that carry male sperm from the testicles to the urethra are either cut or sealed. This prevents sperm from getting to the semen, which is ejaculated during sexual activity.

 

Without sperm in the semen, fertilisation cannot occur. This leads to permanent contraception. It is typically done in an outpatient setting under local anaesthetic, and is deemed the most highly effective method of birth control.

 

How effective is vasectomy?

It is a highly efficient and reliable method of birth control. It is considered to be one of the most reliable options for permanent sterilisation. The failure rate is very low (usually less than 0.5 per cent). However, it is important to follow up the recommended post-vasectomy semen analysis to confirm the absence of sperm.

 

What are the risks and complications of vasectomy?

The main risks include bleeding, swelling, infection, and very rarely, chronic pain.

 

What is the recovery period for vasectomy?

The recovery period is relatively short. Most men can resume light activities a day or two after the procedure. Pain and swelling are common in the first few days after a vasectomy.

 

A return to sexual activity can occur after about a week or two after the procedure, but patients should ensure to follow any specific post-operative advice given to them.

 

If you wish to schedule an appointment with Mr Nkwam Michael Nkwam, visit his Top Doctors profile today.

By Mr Nkwam Michael Nkwam
Urology

Mr Nkwam Michael Nkwam is a highly respected consultant urological surgeon based in London. He is renowned for his expertise in benign prostate hyperplasia (enlargement), prostate cancer diagnostics and Holmium laser (HoLEP). He additionally specialises in kidney stones, haematuria (blood in the urine) and vasectomy.

After obtaining a bachelor’s degree with honours, Mr Nkwam qualified in medicine from St. George’s, University of London in 2007. He completed his further surgical training in the West Midlands and was awarded membership of the Royal College of Surgeons of England in 2010. Mr Nkwam undertook specialist higher surgical training in urology in the East Midlands training programme and was appointed as a Fellow of the Royal College of Surgeons’ Urology section in 2017. Following this, he completed a twelve-month fellowship based at Luton and Dunstable University Hospital NHS Trust specialising in Holmium laser enucleation of the prostate (HoLEP) and endourology. Having gained invaluable insight into this form of treatment, he successfully performed the first HoLEP procedure at King’s College Hospital, London in 2020. With wide ranging expertise and experience in endourology, general urology and urological oncology, Mr Nkwam is regarded as a leading surgeon in his field. He sees private patients at HCA UK at The Shard, Chelsfield Park Hospital, the Shirley Oaks Hospital and the London Circumcision Centre.

Additional to his clinical responsibilities, Mr Nkwam provides essential training for GPs on a range of important areas of urology, including updates in the management of kidney stones, benign prostate hyperplasia and men’s health, amongst others. His numerous academic papers are published in revered peer-reviewed journals and he has presented his work at various key national and international conferences in his field.

Throughout his esteemed career, the excellence of Mr Nkwam’s work has been recognised with numerous awards, including ‘Best Poster in Session’ prizes, awarded by the European Association of Urologists in 2017 and the British Association of Urological Surgeons in 2018. That same year, Mr Nkwam was also the Ian McCallum Research Prize winner. He is a member of a number of key professional bodies, including British Urology Researchers in Surgical Training (BURST) and the British Association of Urological Surgeons (BAUS).

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