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The Forbury Clinic

No-Scalpel Vasectomy in London

A no-scalpel vasectomy is a quick, permanent form of male contraception. It is carried out under local anaesthetic as a day-case procedure and may be suitable for men who are certain they do not want children in the future.

The procedure prevents sperm from reaching the semen. It does not affect testosterone levels, erections, orgasm or the amount of semen produced.

  • Local anaesthetic · quick day case
    Under local anaesthetic
    Quick day-case procedure
    Highly effective
    Permanent birth control

What is a no-scalpel vasectomy?

A vasectomy is a minor surgical procedure that provides permanent contraception for men. It works by cutting and sealing the vas deferens, the two tubes that carry sperm from the testicles into the semen.

Following a vasectomy, sperm can no longer reach the semen. You will still produce semen and ejaculate as usual, but it will no longer contain sperm once the procedure has been confirmed as successful.

A no-scalpel vasectomy uses a very small opening in the skin rather than a larger incision. This allows the consultant to access the vas deferens without using a scalpel to make a conventional cut.

The procedure is usually carried out under local anaesthetic, meaning you are awake but the area is numbed. It is normally a day-case procedure, so you can return home on the same day.

A vasectomy should be considered permanent. Reversal surgery may be possible in some circumstances, but it is not guaranteed to restore fertility. Your consultation gives you time to discuss this fully before making a decision.

Simple, quick and permanent contraception

How it works

A no-scalpel vasectomy prevents sperm from reaching the semen in three stages.

No-scalpel technique

The vas deferens are reached through a small opening in the skin, rather than a conventional surgical incision.

The tubes are sealed

The tubes that carry sperm are divided and sealed so sperm can no longer travel into the semen.

Success is confirmed by testing

A vasectomy is not effective straight away. You must continue using contraception until a follow-up semen test confirms that sperm are no longer present.

Who a vasectomy may suit

A no-scalpel vasectomy may suit men who:

  • Are certain their family is complete
  • Do not want children in the future
  • Want a permanent form of contraception
  • Would prefer to take responsibility for contraception within their relationship
  • Understand that vasectomy should be considered irreversible

What to expect

  1. Consultation
    Your consultant will discuss your reasons for considering vasectomy, explain the permanent nature of the procedure and answer any questions you may have.
  2. The procedure
    The no-scalpel vasectomy is carried out under local anaesthetic as a day-case procedure. Your consultant will explain what happens on the day and provide guidance on arranging your journey home.
  3. Recovery and confirmation
    You may have mild discomfort, bruising or swelling for a few days. Your consultant will provide aftercare advice and arrange follow-up semen testing to confirm when you can rely on the procedure for contraception.
Important to know
A vasectomy should be viewed as a permanent decision. It is best suited to men who feel certain that they do not want children in the future. The procedure does not work immediately. You will need to continue using contraception until a semen test confirms that there are no sperm remaining.

Although vasectomy reversal may be possible for some men, it is a more complex procedure and cannot guarantee the return of fertility. Your consultant will ensure you have clear information before deciding whether to proceed.

Why choose our London clinic for vasectomy?

Why The Forbury Clinic
1

A permanent contraception option

Once success has been confirmed by follow-up testing, a vasectomy provides a reliable form of permanent contraception.

2

No-scalpel technique

The procedure uses a small opening rather than a conventional incision.

3

Local anaesthetic day-case treatment

A no-scalpel vasectomy is usually carried out under local anaesthetic, without an overnight stay.

4

Consultant-led care in London

Your consultation, procedure and follow-up are overseen by a consultant urologist at The Forbury Clinic, 45 Queen Anne St, London W1G 9JF.

Frequently asked questions

Will a vasectomy affect my sex life?

A vasectomy does not affect sex drive, erections, orgasm or testosterone levels. You will still ejaculate, although the semen will no longer contain sperm once the procedure has been confirmed as successful.

Is a vasectomy effective immediately?

No. Sperm can remain in the semen for a period after the procedure. You must continue to use contraception until a follow-up semen test confirms that the vasectomy has worked.

Can a vasectomy be reversed?

Reversal may be possible in some cases, but it is not guaranteed to restore fertility. A vasectomy should therefore be considered permanent.

What is recovery like?

Most men experience some mild discomfort, bruising or swelling after the procedure. Your consultant will provide clear advice about pain relief, wound care, work, exercise and sexual activity during recovery.

Do I need a GP referral?

No. You are welcome to self-refer and arrange a consultation directly with our team.

Reviewed by Mr. Steve Foley
Mr. Foley is a Consultant Urological Surgeon with a focus on female urology and male incontinence.
Last reviewed: 18 Sep 2026.

Considering a no-scalpel vasectomy?

Book an Appointment

If you are considering permanent contraception, our consultant urologists can explain the procedure, recovery and follow-up testing clearly, giving you the information you need to decide.

  • Appointment
    Book a consultation
  • Reception
    0118 920 7055
  • Location

    The Forbury Clinic London, 45 Queen Anne St, London, W1G 9J

Treatment suitability is determined following consultation with a specialist. Individual results and recommendations vary.
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