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No-Scalpel Vasectomy

Talk to your health care provider on how to prepare for the procedure, and about any risks and complications.

The no-scalpel procedure is similar to a traditional vasectomy in many respects, but it’s done without incisions or stitches. This generally results in faster healing.

Penis and scrotum with penis pointing up to show underside. Testicles visible in scrotum. Vas on right side is cut and tied above testicle. Loop of vas on left has been brought out through small puncture.

During the Procedure

  • You’re asked to undress and lie on the exam table. Sterile drapes are placed over you to help prevent infection.

  • You’re given injections of anesthetic into your scrotum or lower groin to prevent you from feeling pain.

  • Once the anesthetic takes effect, the doctor makes one puncture in the scrotum with a pointed clamp. Each of the two vasa deferentia is lifted through this puncture.

  • The vasa are cut, and a section of each may be removed. You may feel a pulling sensation during this process.

  • The two cut ends are sealed by heat (cauterized) and may also be tied or clipped. The puncture heals naturally without stitches.

After the Procedure

If you’ve been given medications to help you relax, you’ll need to have someone drive you home. The local anesthetic begins to wear off after an hour or so. Any discomfort you feel is usually very mild. If you need it, a pain reliever may help.

During Your Healing

Recovery time after a no-scalpel vasectomy is usually less than after a traditional vasectomy. Once you’re home, you can do several things to aid your recovery:

  • Stay off your feet as much as possible for the first day to lessen the chance of swelling. An ice pack can also help keep swelling down.

  • Wear snug cotton briefs for support.

  • Avoid heavy lifting or exercise for at least 5 days.

  • Ask your doctor when you can return to work.

  • Ask your doctor when you can begin having sex again. Note: You must use some form of birth control until your doctor says you’re sterile.

 

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