Procedure Name No-scalpel Vasectomy
Surgery Type Open
Hospital Stay Nil (Outpatient Procedure)
Duration of Surgery 20 to 30 minutes
Type of Anaesthesia Local anesthesia (spray/injection)
Full Recovery Less than a week
Vasectomy, a surgical procedure performed on a male to make him sterile, is one of the most common surgical procedures worldwide. This procedure is one of the most effective methods of birth control because it prevents sperm from mixing with the semen in the penis. Vasectomy can be performed by scalpel, no-scalpel, laser, or vas clip techniques. In a no-scalpel vasectomy method, the surgeon does not use a scalpel (hence the name) to make incisions on the scrotal skin, but a hole/puncture is made on the scrotal skin by other tools to access the vas deferens. . Surgeons have popularly used the no-scalpel vasectomy method since the 1980s, as it is a less invasive procedure with minimal bleeding and a faster recovery.
A No-scalpel vasectomy is a minor, outpatient, and minimally invasive male sterilization procedure in which the surgeon uses a clamp to hold the vas deferens from outside the scrotum (a part of the male reproductive system located beneath the penis that contains and protects the testes), and a puncture/hole is made in the scrotal skin to access the vas deferens ( a tube that carries the sperm to the penis). The testes (plural) are two egg-shaped glands inside the scrotum that contains sperm.
Unlike a traditional (conventional) vasectomy, in the No-scalpel method, no incision is made on the scrotum's skin to reach the vas deferens. A non-scalpel vasectomy has the advantages of having less bleeding, a lower risk of developing complications, minimal pain after the surgery, and a quicker recovery. You should know some facts about a no-scalpel vasectomy:
Conventional and No-scalpel vasectomy are procedures for male sterilization, and after undergoing the surgery, the sperm cannot move out of the testes (two egg-shaped glands inside the scrotum containing the sperm) and the body. Even though they aim to prevent the sperm from mixing with the semen, there is a difference in both procedures.
No, One puncture/hole
Yes, on the scrotal skin
Minimally invasive procedure
Injectable local anesthesia
Risk of Infections
5 times lower
Less than a week
No-scalpel vasectomy is recommended if:
Preparation for a No-scalpel vasectomy is essential both for you and the doctor, to plan the surgery well. Here are a few pointers that would be done.
No-scalpel vasectomy is a quick, safe, minimally invasive outpatient procedure that takes about 30 minutes. It is usually done at the hospital by a skilled urologist (a doctor specializing in diseases of the male reproductive tract and the urinary system) under local anesthesia, meaning you'll be awake during the procedure and feel no pain.
On the day of the procedure, you would be advised to:
After the surgery, you will be shifted to the postoperative care unit (PACU), where your vitals (pulse, heart rate, respiration, and blood pressure) will be monitored. Ice packs will be applied over the area to reduce swelling, and painkillers will be given for relief. Once your vitals are stable, you will be allowed to go home. Your surgeon will instruct you on the care to be taken at home:
No scalpel vasectomy is a safe, minimally invasive, and effective procedure with many benefits. Side effects and complications are few. Research has shown that compared to conventional vasectomy, the chances of developing infections, hematomas, and complications are five times fewer.
Complications of a no-scalpel vasectomy are not serious or uncommon, but sometimes they can include:
Also Read: circumcision
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If you have had a vasectomy and want to father a child, you can opt for in vitro fertilization (IVF). In IVF, your surgeon will retrieve the sperm from your testicles, which will be used to fertilize your partner's eggs to achieve a pregnancy. But, it is important to remember that IVF may not always be successful after a vasectomy.
No-scalpel Vasectomy is considered a permanent procedure for male birth control and can be reversed when it is required, but it is not recommended. The reversal procedure takes around 4 to 6 hours, and the success rate is low as only experienced surgeons can perform the procedure. Also, the success of the reversal varies from person to person.
After 90 days of no-scalpel vasectomy, your doctor will schedule a follow-up visit to test for sperm (if present) in your semen. A sample of your semen will be taken and tested for the presence/absence of sperm. A conventional vasectomy is successful once your surgeon confirms the absence of sperm in the semen sample. You can then stop using other methods of contraception. It usually takes around 3 months or 20 ejaculates after your procedure for your semen to be free of sperm.
A No-scalpel vasectomy takes less than a week to heal. If your work is mostly a desk job, you can resume working the next day. Patients whose job consists of physical labor are advised to take a few days off from work until the healing is complete.
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