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  • Vasectomy is a safe and effective method of permanent birth control. It is considered safer and less expensive than  tubal ligation.
  • Some 21,000 men (Medicare Statistics July 2013 to June 2014) in Australia choose Vasectomy each year.
  • In America more than 500,000 men have a vasectomy each year.
  • Conventional Vasectomy
    • Tying off or closing the vas deferens preventing sperm from being added to the ejaculate.
    • One or two incisions are made in the scrotum with a scalpel. The two vas deferens are revealed, cut and blocked. The incisions are then closed with sutures.
  • No Scalpel Open Ended Vasectomy
    • Developed in China in 1974, it differs from conventional Vasectomy with
      •  Unique local anaesthesia
      •  Minimally invasive approach to the vas.
      • Now considered by many vasectomy practitioners as the vasectomy of choice.
      • The no scalpel Vasectomy uses the modern advanced Open ended technique to reduce the risk of post Vasectomy pain.
  • Advantages of No Scalpel Open Ended Vasectomy
    • Reduction in Complications
    • Minimal  Discomfort
    • Minimally invasive
    • No Sutures Needed
    • Quicker Recovery
  • Important Considerations
    • Dr Mark Elvy has performed over 6500 no scalpel open-ended Vasectomies over 20 years.
    • Dr Elvy performs Vasectomies using proven evidence based techniques that include:
      • No scalpel (less invasive, less complications, well tolerated)
      • Open-ended technique (to minimise post Vasectomy pain syndrome)
      • Fascial interposition and Radio-frequency closure of proximal vas deferens (Failure rate around 0.2%)
    • Dr Elvy in Sydney performs this procedure in a dedicated operating theatre with
      • Heated operating theatre bed (patient comfort)
      • Penthrox® self-inhaled sedation (patient relaxation) if needed.
      • Hi resolution magnification loupes and LED headlight (improved tissue identification)
      • Registered surgical nurse assistant 
    • Regardless, wherever you have your Vasectomy performed ...
      It is important to ask your Vasectomy practitioner:
      • What type of Vasectomy they perform (importantly is it open ended?),
      • How many they have performed.
      • Their personal complication and failure rates for this procedure.
    • Any surgical or invasive procedure carries risks. Before proceeding, you should seek a second opinion from an appropriately qualified health practitioner.

          Procedure Slide Show

          Dr Elvy's published research article , with early vasectomy experience.

  • We will discuss the procedure in person to determine the suitability of non scalpel Vasectomy for you. Among other things, we will go over your health history as it is related to Vasectomy and you will receive a brief physical examination. You will be required to sign a consent form, stating that you understand Vasectomy and its possible risks and that it is not guaranteed to result in permanent sterility. It is important that you fully discuss and resolve with me any lingering questions or concerns that you may have.
  • No Referral is required for your vasectomy
  • No Fasting is required before the procedure
  • For your information, have below included an independent statement from the  American Urological Association, with important basic principles all patients need to understand.
  • Note: This is a statement that includes all different vasectomy techniques and practitioners with varying experience.
    • Vasectomy is intended to be a permanent form of contraception.
    • Vasectomy does not produce immediate sterility
    • The risk of pregnancy after vasectomy is approximately 1 in 2,000 for men who have post-vasectomy zero sperm count or rare non- motile sperm (RNMS).
    • Repeat vasectomy is necessary in <1% of vasectomies
    • Patients should refrain from ejaculation for approximately one week after vasectomy.
    • Options for fertility after vasectomy include vasectomy reversal and sperm retrieval with in vitro fertilization.
    • These options are not always successful, and they may be expensive.
    • The rates of surgical complications such as symptomatic hematoma and infection are 1-2%.
    • Chronic scrotal pain associated with negative impact on quality of life occurs after vasectomy in about 1–2% of men.
    • Few of these men require additional surgery.
    • Other permanent and non-permanent alternatives to vasectomy are available.


  • We sub specialize exclusively in
    • Non scalpel open ended vasectomy. 
    • Phlebology & Ambulatory venous surgery of the lower limb
  • Dedicated operating theatre and recovery area.
  • Surgical assistant. 
We use the Non scalpel Vasectomy technique.


  • Fewer complications
  • Less discomfort
  • Minimally invasive
  • No external stitches or sutures needed
  • Quicker recovery
We use the Open ended Technique.


  • Reduced incidence of post Vasectomy pain.
We use the advanced technique of fascia interposition.


  • Proven lower failure rate
We use Penthrox® and nerve block.


  • Makes the procedure virtually painless and patient fully relaxed
  • Able to leave immediately after the procedure with someone to take you home
  • Able to drive home yourself after 90 minutes.
  • Eliminates the risk of general anaesthesia.
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