What is a No-Scalpel Vasectomy
A vasectomy is a safe surgical procedure that is used for permanent male fertility control. It is a simple procedure that severs and seals the vasa deferentia tube, which carries sperm from testicle to the seminal stream. Since the procedure cuts off the delivery of sperm, it does not change hormonal function, so it won’t affect your sex drive.
The main difference between the no-scalpel procedure and the conventional technique is the surgeon has more control over the procedure and it only takes about 10-20 minutes to complete.
The No-scalpel Procedure
A local anesthetic is used to numb the area and a sharp hemostat is used to make single puncture in the scrotum. This results in a smaller opening and it also allows small vessels and nerves to be spread out of the way instead of being cut. This typically results in no stitches, a faster healing time with less pain and less of a chance of bleeding and infection. The vas deferens from each testicle is then clamped, cut and sealed which prevents sperm from mixing with semen. The testicles will still produce sperm, but the sperm will be reabsorbed by the body.
Before Your No-scalpel Vasectomy
While a vasectomy can be reversed, it is intended to be a permanent form of birth control. It is important to carefully make the decision to get a vasectomy. Before you come in for your procedure, please take the following steps to prepare:
1. Shave and remove all hair on your scrotum the day of the procedure
2. Bring a scrotal support, such as a jock strap, to help with comfort after the procedure
3. Wear comfortable pants
4. Refrain from eating or drinking three hours before your procedure
Surgical Options to Treat Erectile Dysfunction
Penile Prosthesis are surgical treatments for men with erectile dysfunction. Penile prostheses are safe and have been used for several years and are continually being improved. Patients have several different types of prostheses to choose from and your prosthetic urologist will help you make the decision that is best for you.
After Your No-scalpel Vasectomy
Directly after your vasectomy, you can expect your scrotum to be numb for about an hour after the procedure. It is best to apply cold packs to the area and lay on your back the rest of the day. You may experience some soreness for a day or two afterward. You may resume sexual activity within a week. You will be asked to drop off a semen specimen in a cup provided to you in about six weeks. We will examine this semen to make sure there is no sperm still being released. About 85% of men test negative for sperm at 6 weeks, but occasionally it can take longer to “clear the pipes.” You should use another method of birth control until you are notified by our office that you have no sperm. Again, this is a permanent method of birth control. It is advised to consider this method when you are sure you do not want to have a child in the future.
Risk Factors of No-scalpel Vasectomy
There are risk factors like all surgeries and procedures. However the risk of complications of a vasectomy is very low. Complications may include the following:
1. Bleeding which may cause swelling or bruising
2. Infection at the incision site
3. Sperm leaking from a vas deferens into the tissue around it
4. Inflammation of the vas deferens
5. In rare cases, the vas deferens can grow back together