A vasectomy is a safe and simple surgical procedure designed to provide permanent contraception for men. It is one of the most reliable forms of birth control, chosen by thousands of men in New Zealand (NZ) each year who are confident they’ve completed their families. The vasectomy procedure is quick, effective, and backed by decades of medical research showing low failure and complication rates.
At CityMed in Auckland, our experienced doctors perform the no-scalpel vasectomy—a modern, minimally invasive technique that offers less discomfort and a faster recovery.
What Is a Vasectomy?
A vasectomy is a minor surgical operation that involves cutting and sealing the vas deferens—the tubes that carry sperm from the testicles to the urethra. Once these tubes are sealed, sperm can no longer mix with semen during ejaculation, preventing pregnancy.
The procedure does not affect testosterone levels, libido, or sexual performance, and ejaculation remains the same—only sperm are absent.
At CityMed, we define vasectomy as a safe, simple, and effective long-term solution for couples seeking a reliable method of family planning.
CityMed’s Technique
CityMed uses the Keyhole No-Scalpel Technique. Under local anaesthetic, a small opening is made in the front midline of the scrotum. A 0.5cm section of each vas deferens is removed, the ends are cauterised and tied off, and the small entry point heals naturally—no stitches required. The procedure is painless, takes around 45 minutes, and recovery is quick.
Benefits and Considerations
Benefits
- Over 99% effective in preventing pregnancy
- Permanent contraception—no ongoing cost or effort
- No impact on hormones, sex drive, or ejaculation
- Quick recovery and minimal discomfort
- Performed under local anaesthetic with same-day discharge
Possible Side Effects
Some men may experience:
- Mild swelling, bruising, or soreness for a few days
- Occasional short-term discomfort or tightness
- Rarely, a small risk of infection or sperm granuloma
CityMed doctors provide clear post-operative care instructions and ensure you have 24/7 contact if any problems arise.
Are Vasectomies Reversible?
While vasectomy reversal is technically possible, it’s a complex and delicate microsurgery that isn’t always successful. The success rate depends on the time since the original operation and individual healing factors.
CityMed emphasises that a vasectomy should be considered permanent. If you’re uncertain, you may consider sperm storage before the procedure. For reversal options, CityMed can perform vasectomy reversal surgery with a good success rate, although a successful outcome cannot be 100% guaranteed
Recovery and Aftercare
- After your vasectomy:
- Rest for at least 24 hours
- Avoid showering for 24 hours; remove the dressing at the first shower
- Wear supportive underwear until discomfort subsides
- Take prescribed pain relief
- Avoid strenuous activity for 2–3 days
- Resume sexual activity when comfortable (typically after 1 week)
You must continue alternative contraception until a zero sperm count is confirmed. Sperm testing is done around 4 months post-operation, after 20–25 ejaculations. Once your sperm count is zero, you can stop other contraception safely.
FAQs
1. Do you still ejaculate after a vasectomy?
Yes. Ejaculation remains the same in volume and sensation—only sperm are absent.
2. Does a vasectomy lower testosterone?
No. Testosterone levels and sexual performance are completely unaffected.
3. How long after a vasectomy are you sterile?
Usually, about 3–4 months after the operation, once semen tests confirm zero sperm.
4. Is the procedure painful?
With local anaesthetic, most patients report only mild pressure or pulling sensations. Post-operative pain is minimal and managed easily.
5. Can I drive myself home?
If sedation is given, you must arrange for someone to drive you home.
Conclusion
A vasectomy is a safe, effective, and permanent method of contraception for men who are confident they’ve completed their family. With CityMed’s no-scalpel vasectomy technique, you can expect a comfortable experience, minimal downtime, and expert care throughout.
If you’re considering a vasectomy in Auckland, talk to the friendly team at CityMed Vasectomy Clinic today to discuss your options or book a consultation.