Askabide KlinikaVasectomy · Short frenulum · PhimosisR.P.S. 131/24
vasectomia.eusOutpatient urological surgery

Vasectomy at Askabide

A short procedure. A permanent decision. Complete follow-up.

Total price €610, including assessment, operation, follow-up and control semen analyses. We offer an available date within 30 days once medical suitability is confirmed.

€610 all includedLocal anaesthesiaElectrosurgery48 h restChecks at 2 · 4 · 6 months

What it does and does not do

Vasectomy blocks the passage of sperm

Sperm are produced in the testicles and travel through the vas deferens. Vasectomy interrupts those ducts so that sperm do not enter the semen.

The testicles continue to produce testosterone and sperm. Sperm that can no longer pass are broken down and reabsorbed by the body, like other cells.

Ejaculation continues. Most semen volume comes from the prostate and seminal vesicles, not from sperm.

Complete process

€610
  • ✓ Vasectomy-related assessment
  • ✓ Operation
  • ✓ Routine follow-up
  • ✓ Semen analysis at 2 months
  • ✓ Repeat at 4 and 6 months if indicated
  • ✓ No additional charge for those checks
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Askabide’s technique

Conventional surgery under local anaesthesia with electrosurgery

We do not present the technique as “no-scalpel” because that is not the procedure we perform. We prefer to explain the facts without a commercial label.

1

Local anaesthesia

The skin and tissues of the scrotum are anaesthetised. The injection is not made into the testicle. You remain awake and can report any discomfort.

2

Access to the vas deferens

The urologist locates and treats each vas deferens through minor scrotal surgery. The precise approach is adapted to anatomy and the specialist’s clinical judgement.

3

Electrosurgery

Electrocautery or electrosurgery is used during the procedure according to Dr Ramón Ibáñez’s protocol. We do not claim that it is universally superior to every other technique.

Before surgery

The decision must be fully considered

Vasectomy is intended as permanent contraception. Although reversal procedures and assisted reproduction exist, they do not guarantee restored fertility or pregnancy. Decide on the assumption that it cannot be undone.

What we review

  • That you understand permanence and alternative contraceptive methods.
  • Medical history, previous procedures, allergies and bleeding problems.
  • Medicines, especially anticoagulants, antiplatelet agents and other treatments that may alter surgical risk.
  • Examination when required to confirm that the procedure can be carried out safely.
Do not stop medication yourself. Tell the team everything you take, including non-prescription products and supplements. The clinician will advise you.

After the operation

We advise 48 hours of rest at home, followed by a gradual return to activity. Office work is different from lifting, prolonged driving or strenuous physical work.

Pain or tenderness, mild swelling, bruising or a small amount of blood may occur. You will receive individual instructions on hygiene, scrotal support, pain relief, work, sport and sexual activity.

Seek prompt advice if you develop

  • Pain that clearly worsens or is not controlled by the measures advised.
  • Fever, discharge, increasing redness or an unpleasant smell.
  • Heavy bleeding or rapidly increasing scrotal swelling.
  • Difficulty urinating, severe dizziness or general deterioration.

The step that cannot be skipped

Vasectomy is not immediate: the result has to be demonstrated

Sperm remain in the distal tract after the ducts are interrupted. Subsequent ejaculations clear them, but only laboratory testing can confirm the result.

2

At around two months

First included semen analysis. Continue using another contraceptive method until clearance is given.

4

At around four months

If sperm are still detected and a repeat is requested, the second analysis is included.

6

At around six months

If it is still required, another included check is performed. Persistence at that stage requires individual review by the urologist.

Do not stop contraception because a date has passed. Two months does not automatically mean sterility. Wait for the result and clinical instruction.

Sexual function

It does not castrate or reduce masculinity

Vasectomy does not remove the testicles or stop testosterone. It should not in itself change desire, erection, orgasm or the ability to ejaculate.

The visible amount of semen changes very little because sperm make up only a small fraction. Vasectomy does not protect against sexually transmitted infections.

Risks and limitations

Straightforward surgery is not risk-free surgery

Possible problems include bleeding or haematoma, infection, pain, swelling, sperm granuloma, persistent scrotal pain, failure of occlusion or recanalisation. Most people recover without major complications, but a perfect result cannot be guaranteed.

Informed consent will explain the risks relevant to you and the alternatives.

Askabide Klinika in Donostia
Askabide Klinika has centres in Donostia, Vitoria-Gasteiz and Bilbao.

Who performs the procedure

Dr Ramón Ibáñez

Urology specialist and clinical lead for Urology at Askabide.

Almost 30 years performing vasectomies, frenulum procedures and phimosis surgery in our clinics.

Complete vasectomy for €610

An available date within 30 days after medical suitability is confirmed. Subsequent semen analyses included.

Choose centre
112This website does not provide emergency care. Sudden severe pain, heavy bleeding, high fever, difficulty urinating, or foreskin trapped behind the glans: call 112 or attend an emergency department.

Choose the centre you want to contact

All three telephone numbers are also professional WhatsApp channels.

Donostia

79 Easo Street, ground floor · 20006 Donostia (Gipuzkoa)
943 444 792

Vitoria-Gasteiz

11 Rioja Street, ground floor · 01005 Vitoria-Gasteiz (Araba)
945 569 169

Bilbo

10 Euskalduna Street, 1st floor A · 48008 Bilbao (Bizkaia)
944 771 777