Vasectomy is one of the most effective male contraceptive methods currently available. It is a minimally invasive surgical procedure in which the vas deferens, the ducts responsible for carrying sperm from the testicles to the urethra, are cut, tied, or sealed, thereby preventing fertilization.
At Clínica AEGER Prima, in Lisbon, vasectomy is performed by experienced urologists, in a safe clinical setting, with personalized support throughout every stage of the process: the initial consultation, the procedure itself, and post-operative follow-up.
What is a vasectomy and how does it work?
A vasectomy works by interrupting the path of sperm, without affecting hormone production or a man’s sexual function. Ejaculation remains normal — it simply no longer contains sperm, which prevents pregnancy.
It is considered a permanent method of contraception, and is therefore recommended for men who have made a conscious and definitive decision regarding their fertility. Although in some cases it is technically possible to attempt a reversal (vasovasostomy), results are not guaranteed, so vasectomy should always be regarded as a permanent decision.
How is the procedure performed at Clínica AEGER Prima?
The procedure is performed on an outpatient basis, under local anesthesia, and takes approximately 20 to 30 minutes. The urologist accesses the vas deferens through small incisions or punctures in the scrotal area and interrupts them. The patient can return home the same day.
Before the procedure, an assessment consultation is held in which the doctor reviews the patient’s medical history, answers all questions, and defines the most suitable plan for each case.
What are the advantages of vasectomy?
- High effectiveness: Vasectomy is one of the contraceptive methods with the lowest failure rate available.
- Quick, minimally invasive procedure: Performed during a consultation, with no need for hospital admission.
- No impact on sexual function: Does not affect testosterone production, libido, erection, or ejaculation.
- Permanent solution: Eliminates the need for other contraceptive methods once effectiveness is confirmed.
- Fast recovery: Most patients resume their usual activities within a few days.
What is assessed during the vasectomy consultation?
01. Medical and family history
The urologist assesses the patient’s general health and identifies any factors that could affect the procedure, such as previous surgeries or relevant medical conditions.
02. Goals and contraceptive decision
It is essential that the patient understands the permanent nature of the procedure. The doctor ensures the decision is conscious, informed, and free from external pressure.
03. Explanation of risks and expectations
The possible risks, rare complications, and the follow-up period required after the vasectomy are explained, including laboratory confirmation of the absence of sperm.
04. Physical examination
An assessment of the genital area is carried out to confirm that the procedure can be performed safely and to define the most appropriate technical approach.
Frequently Asked Questions about Vasectomy in Lisbon
Is a vasectomy painful?
The procedure is performed under local anesthesia, so discomfort during surgery is minimal. Once the anesthesia wears off, it is normal to feel some tenderness or mild discomfort in the scrotal area during the first few days, easily managed with common painkillers.
How long does recovery take?
Most patients resume daily activities within 2 to 3 days. Intense physical activity and sexual intercourse should be avoided for about a week. The doctor will provide specific recommendations for each case.
Is a vasectomy immediately effective?
No. After the procedure, residual sperm may remain in the ducts. A confirmation semen analysis is required (usually 8 to 12 weeks after the vasectomy) to confirm the absence of sperm before other contraceptive methods can be discontinued.
Does vasectomy affect sexual life?
No. Vasectomy does not interfere with testosterone production, libido, erectile function, or ejaculation. Sexual life remains unchanged after recovery.
Can a vasectomy be reversed?
Although reversal procedures technically exist (vasovasostomy), results are not guaranteed and depend on several factors, including the time elapsed since the vasectomy. Vasectomy should always be regarded as a permanent decision.
Who can have a vasectomy at Clínica AEGER Prima in Lisbon?
Vasectomy is recommended for adult men who have made a conscious and definitive decision not to have children (or more children). The decision is always assessed individually during a consultation with the urologist, without judgment.
wHAT is EVALUATED in the treatment
MEDICAL AND FAMILY HISTORY:
The doctor will check if the patient is suitable for the procedure, considering factors such as health conditions or a history of surgical complications.
CONTRACEPTIVE GOALS:
The doctor will explain the benefits, risks, and irreversibility of the procedure, ensuring that the patient is aware of the possible outcomes.
EXPECTATIONS AND POSSIBLE COMPLICATIONS::
The doctor may perform additional tests to rule out other associated conditions, such as infections, tumors, or hernias, that could be related to the onset of the hydrocele.
PHYSICAL EXAMINATION:
The genital area will be examined to assess the condition of the male reproductive system, ensuring the procedure can be safely performed.
