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Vasectomy

GP based vasectomies under local anaesthetic

GP based local anaesthetic vasectomy for male sterilisation is commissioned where patients meet the criteria below, the referral letter and patient’s medical record need to clearly evidence how these criteria are met:

·         The patient is over 30 years of age

·         Their partner/spouse is not currently pregnant

·         They understand the procedure should be considered irreversible

·         The patient has been advised that reversal would not be funded by the CCG

·         They are able to have the procedure carried out under local anaesthetic

 

 

Secondary care vasectomies under general anaesthetic

Vasectomies performed under general anaesthetic are commissioned where patients meet the criteria below. 

The referral letter and patient’s medical record need to clearly evidence how these criteria are met:

·         Previous documented adverse reaction to local anaesthesia

OR

·         Scarring or deformity distorting the anatomy of the scrotal sac or content making identification and/or manipulation of the spermatic cord through the skin difficult to achieve

OR

·         The patient is on anticoagulation therapy

 

Patients who have fear of the procedure, or patient choice, are not adequate reasons for requesting vasectomy under general anaesthetic.

 

The NHS Kernow policy regarding vasectomy under general anaesthetic can be found here

 

Contributors

Mr Christopher Blake, Consultant Urologist, RCHT

Dr Stephanie Jackson, GP Lead Urology

Reviewed: July 2018