No-Scalpel Vasectomy Surgery

Prior to the Surgery

Before the surgery, you will be given a mild sedative to relax you. Sweats or baggy, comfortable pants should be worn to the procedure. Dr. Berg suggests you bring compression shorts or snug fitting supportive underwear to wear home. Another person should accompany you or you should arrange to have someone give you a ride home. It is often helpful to have your partner with you throughout the procedure. Many patients prefer to have the procedure done on the same day as the consultation. This is not typically a problem. However, patients planning to use Medicaid may have to wait 30 days in between the consultation and the procedure.

The No-Scalpel Vasectomy Surgery

The actual surgery is rather quick. In most cases, the entire surgery takes about 10-15 minutes. When the local anesthetic is injected into the skin of the scrotum, you will feel some discomfort. It feels like a sharp pinch. But as soon as the anesthetic takes effect, you should feel no pain.

What Is Different About a No-scalpel Vasectomy?

No-scalpel vasectomy is different from a conventional vasectomy in the way the doctor gets to the tubes. In addition, an improved method of anesthesia helps make the procedure less painful.  In a conventional vasectomy, after the scrotum has been numbed with local anesthetic, the doctor makes one or two small cuts in the skin and lifts out each tube in turn, cutting and blocking them so the sperm cannot reach the semen. The doctor stitches the cuts closed.

How a No-scalpel Vasectomy Works:

In a no-scalpel vasectomy, the doctor feels for the tubes under the skin and holds them in place with a small clamp.  Instead of making two incisions, the doctor makes one tiny puncture with a special instrument.  The same instrument is used to gently stretch the opening so the tubes can be reached.  The tubes are then blocked using the same methods as conventional vasectomy.  There is very little bleeding with the no-scalpel technique.  No stitches are needed to close the tiny opening, which heals quickly, with no scar.  The no-scalpel vasectomy was invented by a Chinese surgeon, and is used throughout China.  It was introduced in the United States in 1988.

Is No-scalpel Vasectomy Safe?

Vasectomy in general is safe and simple.  Vasectomy is an operation and all surgery has some risk such as bleeding, bruising, and infection.  But serious problems usually do not happen.

Does No-scalpel Vasectomy Work?

It is as effective as any other vasectomy method.  There is a less than 1% chance that a man’s partner well become pregnant.

How Long will a No-scalpel Vasectomy Take?

It depends upon the individual patient, but on average, about 10-15 minutes.  The surgery is done right in our office.

When can the Surgery Be Performed?

Appointments can be scheduled Monday through Friday. We are typically booked a week and a half out so please plan accordingly.

Will It Hurt?

Before the vasectomy, you will be given a mild sedative to relax you.  When the local anesthetic is injected into the skin of the scrotum, you will feel some discomfort.  But as soon as it takes effect, you should feel no pain.  Afterwards, you will be sore for a couple of days, and you might want to take a mild painkiller.  However, since there is less injury to the tissues and no stitches with the no-scalpel technique, the discomfort is usually less.  We will provide you with complete instructions about what to do after surgery.

The Recovery Process

Learn more about the recovery process following the no-scalpel vasectomy surgery.



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