Open ended vasectomy on NHS?

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I am looking into getting snipped. I'm not keen on the idea, but I'm less keen on partner getting tied - risks being much higher for her and I care for her.

The complications stats 10% for what is very minor surgery is shockingly high. I wonder if the aproach by the NHS is a bit cavilier?

From what I can see a great deal of the problems are caused by back pressure.

Has anyone any experience of and open ended vasectomy?

Can you get one on the NHS? If not why not?

The Aussies and Yanks seem to swear by them - is it because most of it is done privately and you are a customer and the doctors have to offer the best solutions and not quick and cheap?

I can't get much info out of NHS and my consult booking was described as 5-10 minutes, and my GP was too inexperienced to be able to give much more detail on the whole process.

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4 Replies

  • Posted

    The incidence rate for PVP - post vasectomy pain - is the same whether closed or open ended.

    The US & Autralians do tend to go for the open ended but relative to ppopulation their incidence rate is worse than UK.

    NHS quotes 10% but the figures around the globe vary from 5% to 30%+ - it all depends on follow up work by Dr's (usually they do not follow up for full 10 yr affected period).

    Whether closed or open you will be gambling with a 10% minimum chance of lifelong pain, high opiate use and loss of sex life.

    You are correct the odds for women and outcomes are worse!

    Stick with condoms or use any method but don't opt for vasectomy if you are not prepared run risk of loss of sex life and high levels of pain

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    • Posted

      Thank you for your response.

      I understand that surgeon competence and experience can contribute to PVP.

      I appreciate your risk evaluation, add to the mix the risks of pregnancy and child birth and as a family the snip still comes out safer.

      Condoms are great for STIs and early years. But they are easy to forget to use.

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    • Posted

      Competance has absolutely nothin to do with it. Even the best have had PVP result on their patients.

      As no one yet knows what causes PVP then it would be impossible for a surgeon to avoid what he doesn't know to be the cause to not cause it.

      There is a causal link between pain felt during the procedure and PVP afterwards but the figures are low as to give a decent result base and as it applies to wide awake patients it can at leasat rule out the aneatheologist :-)

      Peronally with zero sex life I'd rather have opted for dealing with the risks of pregnancy. If my wife could remember to take apill a pill every day for years I know I could have put a condom on everytime

      But to recap do not go down the path of thinking competance of surgeon lowers risk as it does not, it won't increase it but it defintely won't lower it as  10's of 1000's will attest - although as a selling pointg I can guarantee a private surgeon will us that tactic to sell his services

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    • Posted

      GP's are not specialists. They simply identify the 10% or so of patients that need further help and send them to specialists in the appropriate area. The other 90% of patients need little care and given time quite a few would get better on their own.

      GP's are referred to as GateKeppers. Stopping the hospitals getting overloaded with patients!

      You have to weigh up the risks. Are you prepeared to loose everything (as in partner/children/£££wink because your personality changes due to the constant pain you find yourself in? You, as a consequence, become short tempered as it feels like you have been kicked in the balls every day. You can also kiss a good nights sleep goodbye.

      Maybe I was just married to the wrong selfish person .(a doctor as it so happens) I don't know. It was her that badgered me in to the operation in the first place.

      The support you get when it goes wrong is useless.

      My solution a private reversal has worked for me, but every now and then I still get a twinge of pain down there and just wonder if it is coming back

      Good luck with what ever you decide, but don't come back here in 6 months time complaining as we will all laugh as you did not take the advice.

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