A vasectomy is a simple, permanent form of contraception for men. It involves dividing and sealing the vas deferens (the tubes that carry sperm), preventing sperm from mixing with semen.
Frequently Asked Questions
General Questions
What is a no-scalpel vasectomy?
A no-scalpel vasectomy uses a tiny opening (around 5mm) rather than a traditional incision. This results in less bleeding, faster healing and minimal scarring.
What is the open-ended technique?
The testicular end of the vas is left open, allowing sperm to dissipate naturally. This reduces pressure and may lower the risk of long-term discomfort.
Do you use metal clips?
No. Cautery and fine dissolvable sutures are used instead.
How effective is a vasectomy?
A vasectomy is over 99.9% effective at preventing pregnancy, making it one of the most reliable forms of contraception available.
How old do I need to be?
You must be over 18, however if you are under 25 and do not have children we ask that you wait until you are least 25 before booking with us.
Do I need a referral?
No referral is required. You can book your appointment online directly.
How can I feel less anxious about getting a vasectomy?
Dr Kalau is very caring and reassuring. He has a lot of experience putting men at ease before and during their vasectomy, and takes his time to make sure you are comfortable. An assisting nurse is also there for support, and an iPad is provided with a movie for distraction.
You may also wish to focus on some relaxing breathing techniques or listen to some of your own music during the procedure.
If someone is driving you to and from your appointment, you may take 2 x 5mg diazepam tablets 1 hour before the procedure. Dr Kalau can provide a script if contacted via email, or have a chat with your GP.
How long does a vasectomy take?
The procedure usually takes around 15 – 20 minutes and is performed under local anaesthetic.
Is a vasectomy painful?
Most men are surprised by how straightforward it is. You may feel a brief sting or minimal pressure with the local anaesthetic, but the procedure itself is typically very comfortable. Afterwards, mild discomfort for a few days is normal.
What should I wear on the day?
Supportive underwear is recommended to reduce movement and improve comfort after the procedure.
Do I need to shave before a vasectomy?
We require you to shave the area beforehand — we’ll provide clear instructions prior to your appointment.
Can my partner stay with me during the procedure?
Your partner is welcome to attend the short consultation on the day, however we kindly ask that they wait outside for the procedure so that our focus remains on you at all times.
Does Dr Marcel Kalau still work at Vasectomy Australia?
No. Dr Marcel Kalau now operates independently through Aussie Vasectomy Care, with clinics and Melbourne and Perth.
What is Aussie Vasectomy Care?
Aussie Vasectomy Care is an independent vasectomy clinic founded by Dr Marcel Kalau, offering modern no-scalpel vasectomy procedures in a calm professional setting. Your vasectomy will be performed by Dr Marcel Kalau if you book into any Aussie Vasectomy Care location in Melbourne or Perth.
How experienced is Dr Marcel Kalau?
Dr Marcel has performed over 6,500 procedures and focuses exclusively on vasectomy care.
Where is Aussie Vasectomy Care located?
Aussie Vasectomy care has multiple clinics across Melbourne and Perth, so most patients should be able to find a location no more than 20 minutes from home. There are also regional clinics in Geelong and Ballarat opening in 2026.
Is Aussie Vasectomy Care affiliated with any other vasectomy provider?
No. Aussie Vasectomy Care is an independent clinic founded by Dr Marcel Kalau and is not affiliated with any other vasectomy provider.
How much does a vasectomy cost?
The vasectomy fee is $725 with a Medicare rebate available, resulting in an out-of -pocket cost of approximately $491.
Does Dr Marcel Kalau have good vasectomy reviews?
Absolutely. Dr Marcel Kalau has over 1,400 five-star Google reviews from patients who have had a vasectomy with him. The reviews praise his calm and caring manner, the ease and comfort of the procedure, and the time taken to explain everything and provide reassurance to nervous men. Recent reviews can be found on Aussie Vasectomy Care Google listings, however Dr Marcel Kalau worked at another vasectomy provider from 2022 to 2026, and over 1,400 five-star reviews sit with those clinics and cannot be transferred. Dr Marcel Kalau only provides vasectomies through Aussie Vasectomy Care from 2026.
Post-vasectomy Questions
How long does it take to recover after a vasectomy?
Most patients return to normal daily activities within a few days. Full recovery is typically within 1–2 weeks.
When can I go back to work?
We advise that you avoid heavy lifting or straining for 7 days. It may be worth asking your employer if light duties are available while you recover. If your job does not involve heavy lifting, you can go back to work the day after your procedure. We can provide you with a medical certificate on the day of your vasectomy.
When can I have sex after a vasectomy?
You can usually resume sexual activity after 7 days, once comfortable.
Can I drive home after the procedure?
We prefer you to get a lift or public transport to your procedure. Even though the procedure is done under local anaesthetic, some men may feel dizzy or lightheaded afterwards (the same way they do after a blood test or visit to the dentist). If you do drive yourself then you must wait at least 30 minutes afterwards and only drive if you feel 100% safe to do so.
When can I resume exercise and swimming?
It is usually ok to gradually return to swimming, light cardio exercise and light weights after 1 week. Cycling, and contact sports should be avoided for about 3 weeks.
How long until a vasectomy works?
A vasectomy is not effective immediately, and it can take 3 months to clear remaining sperm. A follow up semen test must be done after 3 months to confirm there is no sperm present. Contraception must be used until we tell you the procedure has been successful.
Can a vasectomy fail?
Very rarely, the tubes can reconnect. This is uncommon, but why follow-up testing is essential
What are the risks of a vasectomy?
No surgical procedure is without its potential risks and vasectomy is no exception. Dr Kalau performs the no-scalpel open-ended vasectomy technique with fascial interposition to help minimise the risks associated with vasectomy. It is important to be aware of the following potential risks:
Bleeding can occur during or after a vasectomy but is uncommon.
Infection is very rare after vasectomy. If infection does occur after your vasectomy it will usually respond well to antibiotic tablets.
Sperm granuloma is a pea sized bump of scar tissue that can form near the vas deferens after a vasectomy. It is rare, usually unnoticeable and requires no treatment.
Congestive epididymitis refers to pain that can occur after a vasectomy when sperm get trapped. The open-ended vasectomy performed by Dr Kalau allows sperm to flow from the epididymis, into the vas deferens and empty out of the open end of the vas deferens into the scrotum. This technique significantly reduces the risk of congestive epididymitis. If congestive epididymitis occurs it is easily treated with anti-inflammatory tablets.
Post-vasectomy pain syndrome is very rare and is characterised by pain that can persist for several months or years after vasectomy. Most men who develop this condition will only have a low grade pain and usually gets better over time with anti-inflammatory medications. In very rare circumstances a vasectomy reversal may be required to help relieve the symptoms. Dr Kalau performs the no-scalpel open-ended vasectomy technique to minimise the risk of post-vasectomy pain syndrome.
Does a vasectomy affect testosterone, libido or erectile function?
No. A vasectomy does not affect testosterone levels, libido, erections or sexual performance. Many men report improved confidence and enjoyment due to no longer worrying about pregnancy.
What happens to sperm after a vasectomy?
Your body continues to produce sperm, but instead of being ejaculated, it is naturally reabsorbed by the body — a normal and harmless process.
Does a vasectomy change ejaculation?
No. The volume, appearance and sensation of ejaculation remain essentially unchanged, as sperm makes up only a small portion of semen.
Does vasectomy increase cancer risk?
No. There is no evidence linking vasectomy to prostate or testicular cancer.
Will a vasectomy affect my sex life?
No — sexual function remains the same.
Does a vasectomy protect against STIs?
No. A vasectomy does not protect against sexually transmitted infections — condoms are still required if there is any risk.
Can I still have children after a vasectomy?
Vasectomy should be considered permanent. Reversal is possible but complex, expensive, and not always successful.
Can I have a vasectomy if I’ve had previous surgery (hernia, torsion, etc.)?
In most cases, yes. Previous surgery rarely prevents a vasectomy, but it’s important to discuss during consultation.
Can I be sedated for a vasectomy?
Aussie Vasectomy Care only offers vasectomies under local anaesthetic. Full sedation can be provided by a Urologist in a hospital setting. Your GP can refer you to a Urologist
