Our comprehensive suite of male reproductive procedures includes vasectomy for permanent contraception, vasectomy reversal for those whose family planning needs have changed, and scrotoplasty (scrotum lift) for men experiencing discomfort or cosmetic concerns.
We understand the sensitive nature of these procedures and maintain complete confidentiality throughout your care journey. Contact us today to schedule a discreet consultation to discuss how our male reproductive services can address your specific needs.
Dr. Richard Hamilton brings decades of specialised experience to these delicate procedures, ensuring optimal results with minimal recovery time. Each patient receives personalised care tailored to their unique needs and concerns, with thorough consultations that address all aspects of treatment and recovery.
Vasectomy may be an appropriate option for men who:
What to Expect
Return to Activity
Patients who are well-informed about the procedure are often pleased with the results of scrotal lift surgery (scrotoplasty). The results are generally noticeable almost immediately, with many patients reporting that it makes certain clothing more comfortable to wear.
After approximately three months, the scarring is minimal and well-concealed due to Dr. Hamilton’s skill as a highly experienced plastic surgeon.
The final results reflect Dr. Hamilton’s ability to provide a natural and balanced outcome, enhancing comfort and aesthetics.
Risks and Potential Complications
As with any surgical procedure, vasectomy carries potential risks and complications, which will be discussed in detail during your consultation.
Typical Risks and Complications may include:
• Bleeding and Haematoma
• Infection
• Scarring
• Vas Deferens unable to be found
Dr Hamilton will discuss these risks with you thoroughly during the consultation process to ensure you are fully informed before proceeding with surgery.
If you are considering a vasectomy as a permanent contraceptive option, speak to your GP for a referral.
For further information or to book a consultation with Dr. Richard Hamilton, contact his team at 08 8272 6666.
Dr Richard Hamilton MBBS, FRACS
Vasectomy Reversal, or Vasovasostomy, is a surgical procedure designed to reverse a previous vasectomy by reconnecting the ends of the vas deferens. During a vasectomy, the vas deferens—the tube that carries sperm from the testes to the penis—is cut and sealed. In a vasectomy reversal, these ends are located and rejoined through microsurgery.
Many men seek a vasectomy reversal following a life-changing event, such as the desire to expand their family or because they have entered a new relationship where having children is a goal.
A vasectomy reversal may be suitable for any man in good health who has had a vasectomy. The procedure is more likely to be successful when the vasectomy was performed relatively recently and where only a small segment of the vas deferens was removed.
Initial Consultation:
Candidates for vasectomy reversal are typically referred by their GP. During your first consultation, Dr. Richard Hamilton will review your medical history, including your fertility history and the time that has passed since your vasectomy. A physical examination of the area will be conducted, and Dr. Hamilton will explain the procedure, the technique used, recovery time, as well as the risks and potential complications. You will receive detailed information about the surgery and its associated costs. An ultrasound may also be arranged if the location of the vas deferens ends is unclear or not easily palpable.
Second Consultation:
Once you have had time to review the information from your initial consultation and consider the available options, you may choose to proceed with the surgery. If so, you will have a second meeting with Dr. Hamilton to further discuss the procedure and plan the next steps. You will also meet with our Patient Advisor and Practice Nurse to discuss any necessary documentation and pre- and post-operative care.
The procedure is performed at Hamilton House Day Surgery, either under local anaesthetic or alternatively under intravenous sedation / General Anaesthesia, depending on your preference. An incision is made on either side of the scrotum to access the vas deferens. The ends of the vas deferens are identified, and the scarred sections are trimmed to reveal the lumen and check for the flow of semen. If no flow is detected, further resections may be made until a flow is found. If no flow is present, the procedure may need to be discontinued.
Once a flow is confirmed, Dr. Hamilton uses microsurgery techniques and fine sutures to carefully reconnect the ends of the vas deferens. The wound is closed using dissolvable sutures.
Patients may experience bruising in the scrotum, which typically appears the day after surgery, along with some discomfort for a few days. For the first 48 hours after the procedure, a soft pad-like dressing should be worn inside firm underpants or another supportive garment. Showering is permitted after the second post-operative day.
Patients should avoid vigorous physical activity for at least 6 weeks after the procedure. Returning to work in a sedentary role is usually possible after a few days, and gentle sexual activity, including ejaculation, can be resumed once cleared by Dr. Hamilton.
As with any surgical procedure, vasectomy reversal carries potential risks and complications, which will be discussed in detail during your consultation.
Typical Risks and Complications may include:
• Bleeding and Haematoma
• Infection
• Scarring
• Vas Deferens unable to be found
• Fertility unable to be restored
Dr Hamilton will discuss these risks with you thoroughly during the consultation process to ensure you are fully informed before proceeding with surgery.
It is important to understand that not all vasectomy reversals are successful in restoring fertility, and success rates can vary based on several factors, including the time elapsed since the original vasectomy and the condition of the vas deferens at the time of surgery.
Follow-up semen analyses are typically conducted at 6 weeks, 3 months, and 6 months after the surgery. It may take up to 12 months for viable sperm to appear in the semen. The success of a vasectomy reversal is generally influenced by factors such as the time elapsed since the original vasectomy and whether there was a flow of semen detected during the surgery. Generally, the shorter the time frame since the vasectomy, the higher the chance of success.
For more information or to schedule a consultation, please contact Dr. Richard Hamilton’s friendly staff at 08 8272 6666.
Dr. Richard Hamilton, MBBS, FRACS
For further information or to book a consultation with Dr. Richard Hamilton, contact his team at 08 8272 6666.
Dr Richard Hamilton MBBS, FRACS
As men age, the scrotum can naturally stretch, and the testes (also known as testicles) may descend. This can cause the male genital area to look and feel different than it did in youth. Many men experience discomfort due to scrotal sagging, particularly in warm climates such as Adelaide, South Australia. This has led to an increasing number of men seeking surgical solutions for this issue.
The scrotum is a thin external pouch composed of skin and smooth muscle that houses the testes. This sac is divided into two compartments by the scrotal septum. In youth, the scrotum’s average wall thickness is about 8mm, and its muscle layer responds to temperature changes. When it is cold, the smooth muscle contracts, drawing the testes closer to the body for warmth. When it is warm, the muscle relaxes, allowing the testes to hang lower to cool off, as sperm production is highly temperature dependent.
As men age or due to genetic predisposition, scrotal sagging can develop, which may lead to both functional and aesthetic concerns.
While various supportive garments can temporarily relieve discomfort caused by scrotal sag, they do not provide a permanent solution. Surgical scrotum reduction offers a more lasting option.
The goal of the procedure is to reduce the distance between the perineum (area between the scrotum and anus) and the bottom of the scrotum, addressing ptosis (sagging). The surgery raises the scrotum to create a shorter, more youthful-appearing pouch, improving both the appearance and comfort of the male genital area.
Initial Consultation:
During the first consultation, you will meet Dr. Richard Hamilton, who will assess your concerns and discuss the details of the scrotal lift surgery. Dr. Hamilton will explain the technique, expected recovery time, and the associated costs. The consultation typically lasts around one hour. Photographs may be taken to aid in the planning process. You will also receive detailed information regarding the surgery, including potential risks and benefits.
Second Consultation:
After you have reviewed the information provided during the first consultation, you may decide to proceed with surgery. If you choose to move forward, you will meet Dr. Hamilton again for a second consultation. Additionally, you will meet with our Patient Advisor and Practice Nurse to discuss the surgical documentation and pre-and post-operative care instructions.
Surgery dates will be scheduled approximately seven days after this second consultation, at which time payment arrangements may be made.
Scrotal lift surgery is typically performed as a stand-alone procedure, although rarely in some cases, it may be included as part of a broader rejuvenation procedure.
The procedure maybe performed under local anaesthesia although usually intravenous sedation or general anaesthesia is used with a specialist anaesthetist in attendance.
An incision is made in the lower scrotum, from the perineum towards the base of the penis. A “elliptical” incision, or a variation of this pattern, is created. Dr. Hamilton carefully evaluates how much skin and muscle can be safely removed, usually around 2-3 cm, though this can vary depending on the individual.
It is important to avoid removing too much skin, as this could result in a tight appearance and affect sperm production. With over two decades of experience, Dr. Hamilton has the expertise to ensure the incision is placed discreetly and to remove an appropriate amount of tissue.
The incision reaches the muscle layer, and deep sutures are used to achieve the desired lift. Fine dissolving sutures are then used to close the wound.
In some cases, a “Z-plasty” (a Z-shaped incision) may be performed near the base of the penis to prevent contracture during erections.
Following the procedure, patients should avoid applying pressure to the scrotum and penis, particularly during the evening of surgery, when the area is still numb from anaesthesia. Hot water bottles and hot showers should be avoided in the first few hours after surgery. Once sensation returns, patients can shower as usual on the first post-operative day.
Bruising is a common side effect and may be noticeable but typically resolves in a few days. Swelling is also common but is generally harmless and resolves with time. An elastic supporting garment can help provide comfort during the early recovery phase.
Sutures are typically removed about 7 days after surgery, or they will dissolve on their own if dissolving sutures are used.
Patients who are well-informed about the procedure are often pleased with the results of scrotal lift surgery (scrotoplasty). The results are generally noticeable almost immediately, with many patients reporting that it makes certain clothing more comfortable to wear.
After approximately three months, the scarring is minimal and well-concealed due to Dr. Hamilton’s skill as a highly experienced plastic surgeon.
The final results reflect Dr. Hamilton’s ability to provide a natural and balanced outcome, enhancing comfort and aesthetics.
Please Note: All surgeries carry some degree of risk, and individual results may vary. Dr. Hamilton will discuss potential risks and complications with you during your consultation to help you make an informed decision.
Typical Risks and Complications include:
• Bleeding
• Infection
• Scarring
• Under or Over Correction
• Blood Clots (Deep Venous Thrombosis DVT)
• Reduced Fertility
Dr Hamilton will discuss these risks with you thoroughly during the consultation process to ensure you are fully informed before proceeding with surgery.
For further information or to schedule a consultation, please contact Dr. Richard Hamilton’s team at 08 8272 6666.
Richard Hamilton MBBS, FRACS
