A no-scalpel vasectomy is a minor surgical procedure which results in male sterilization. During the procedure, a tube called the vas deferens is blocked, restricting the passage of sperm from the testicles.As with a conventional vasectomy, a no-scalpel vasectomy can be performed under local anesthesia in the urologist’s office or in an outpatient surgery center and the patient can go home the same day.
In a no-scalpel vasectomy, the area is first cleaned with an antiseptic solution and then the urologist feels for the vas located under the skin of the scrotum. It is then secured in place with a small clamp. A special instrument is used to make a tiny opening in the skin where the vas deferens are retracted and cut. After tying or cauterizing, it is put back in place with no stitches required.
Patients can use ice, a support garment, and pain relievers to minimize discomfort. They should avoid strenuous activity right away.
While patients can resume sexual activity in a week, it’s important to remember that vasectomy results are not immediate. An urologist will need to determine if the ejaculate is completely devoid of sperm by conducting a semen analysis. Complete elimination of sperm can take several months. Until confirmation is received that no sperm remain in the system, other forms of birth control should be used to prevent pregnancy.
While a no-scalpel vasectomy is considered to be a safe, minor surgical procedure, there are risks. Those experiencing significant enlargement of the scrotum, fever, scrotal redness, or tenderness should be evaluated by the surgeon as this may indicate an infection.
Sources: American Urological Association Foundation and National Institute of Health