Vasectomy

Vasectomy – modern contraception for men! A vasectomy (also known as vasoresection or male sterilization) is a straightforward outpatient procedure that provides permanent contraception. During this minor surgery, the vas deferens are cut and sealed, preventing sperm cells from being released during ejaculation. The semen then contains only fluids from the seminal vesicles and the prostate. Externally, however, there is no difference in the appearance or amount of ejaculate.

Schedule an appointment online now!

Vasectomy for permanent contraception

Advantages

A vasectomy has no effect on sexual function or sexual desire. In fact, sex often becomes more relaxed, intimate, and fulfilling, as the procedure provides reliable protection against unintended pregnancy. By cutting and sealing the vas deferens, sperm can no longer reach the semen, making fertilization impossible.

Sensuality

A vasectomy does not affect pleasure or hormone production in the testicles. Studies even show that sexual satisfaction for women and men’s self-perception can improve after the procedure.

Ejaculation

Ejaculation remains virtually unchanged. The only difference is that no sperm are present in the semen. Both the volume and appearance remain the same, since seminal fluid is produced by the prostate and seminal vesicles.

Desire, Erection, and Orgasm

A vasectomy does not affect libido, erectile function, or orgasmic sensation.

Who is a vasectomy suitable for?

If you are over 25 and your family planning is complete, vasectomy may be the right choice. It is a safe, effective alternative to hormonal contraception for your partner – making it an option for the modern, responsible man.

Schedule an appointment directly online!

How a vasectomy is performed

Step: The information and consultation session
Step: Reflection period
Step: The vasectomy
Step: Check-up and semen analysis

Preparation for the procedure

A detailed consultation is required before the procedure. As part of the legally mandated session, a urological examination and medical history are taken. We discuss the procedure, possible risks, and alternatives. The surgery date can then be scheduled.

Reflection period

Since a vasectomy is an elective procedure with long-term consequences (infertility), the law requires a short reflection period of several days between consultation and surgery.

The vasectomy

The operation is quick and painless under local anesthesia of the scrotal skin. We use the modern “no-scalpel” technique, which avoids injury to surrounding blood vessels. With specially designed instruments, a tiny opening of about 3–5 mm is made on each side of the scrotum. Through this access, the vas deferens are cut, sealed, and cauterized. The advantage: a few weeks later, no visible scars remain.

Follow-up and semen analysis

After the procedure, patients should rest, avoid strenuous activity for a few days, and use pain relief if necessary. It is essential to continue using other contraception until semen analysis confirms that sperm are no longer present.

Make an appointment directly online!

Male sterilization – permanently infertile?

Sterilization is considered the most reliable method of male contraception and should be regarded as permanent. Although reversal surgery is possible, it does not always restore fertility. Therefore, men should be fully aware of this decision in advance.

Cost of a vasectomy

A vasectomy costs €890. This price includes:

the legally required consultation and counseling session a few days before the procedure
pre-medication
the vasectomy itself

After the 12th and 14th week following the procedure, semen analyses are performed to determine whether sperm are still present in the ejaculate. If no sperm are detected, you can enjoy your sex life spontaneously and safely from then on.

The first semen analysis after the 12th week is available for just €110.

The second semen analysis after the 14th week, including written medical confirmation of success, is free of charge.

Schedule an appointment directly online!

Common Patient Questions About Vasectomy

Is a vasectomy painful?

During the vasectomy, the area is numbed with local anesthesia, so you should not feel any pain. After the procedure, discomfort and swelling often occur, but these can be treated with painkillers and ice packs.

Is a vasectomy reversible?

What exactly happens during a vasectomy?

During a vasectomy, the vas deferens are interrupted through a minor procedure. The sperm cells, which are produced in the testicles, can therefore no longer be mixed with the secretions from the prostate and the seminal vesicles, which form the actual ejaculate. The ejaculate is therefore sperm-free after a vasectomy.

What are possible complications of a vasectomy?

The vasectomy using the "no scalpel" method is a procedure with very few complications. As with any procedure, postoperative wound infections, bruising, and pain can occur. When the vasectomy with the "no scalpel" is performed by an experienced urologist, the number of patients with the mentioned postoperative complaints is generally below 2%.

What is the difference with sterilization in women?

Many things have already been tested, such as the "pill for men" or a gel for the vas deferens. Unfortunately, none of the methods have shown the desired success. Therefore, vasectomy is today the safest form of contraception for men who have completed their family planning.

Vasectomy