Data gathering

  • Others – relationship, partner, children, alternatives


Clinical management

  • Explanation
    • Small operation to cut the tube that takes sperm from the testes to the penis so sperm is unable to get into semen that is ejaculated
    • Can be done under local anaesthetic
    • Failure rate is 1/2000
    • Tenderness and bruising afterwards, can return to work within days
    • Need to use contraception until semen samples provided are clear of sperm (8 weeks after op, two samples 3 weeks apart)
  • Follow-up/safety net
    • PIL