MSI Reproductive Choices (MSI) continues to be the provider of the community vasectomy service

Service offer includes:

• Pre-operative consultation (virtual or face-to-face)

• No-scalpel vasectomy procedure

• 24-hour aftercare support

• Postal semen testing (~PVSA)

• Access to counselling where required

 

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Eligibility criteria

Inclusions

• Adult males aged 18 and above who wish to have a vasectomy procedure and agree to pre-vasectomy counselling after all contraceptive options have been considered.
• They must not be acting under duress and be able to give informed consent

Exclusions

• Anybody under the age of 18 years.
• Anybody not registered with a North East London GP.
• Lack of informed consent.
• History of an allergy to local anaesthetic or any other allergy that may cause anaphylaxis.
• History of fainting easily.
• Patient refusal of local anaesthesia.
• Those deemed unsuitable for local anaesthetic.
• Known underlying haematological coagulation disorders.
• Patients requiring vasectomy under general anaesthetic.
• Patients requesting reversal of vasectomy

Surgery should be delayed if the following conditions are present:

• Scrotal skin infections.
• Active sexually transmitted disease.
• Balanitis.
• Epididymitis.
• Orchitis.

Caution is needed in the following conditions and referral to a specialist may be necessary or a general anaesthetic required:

• Varicocele.
• Inguinal hernia.
• Cryptorchidism.
• Anticoagulant therapy.
• Previous scrotal surgery.
• Hydrocele.
• BMI>35.
• Drug or alcohol misuse.

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How to refer

The following clinicians can refer to this service: GPs

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Locations

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External Links