No scalpel vasectomy is the preferred method in male sterilization in Minnesota. The procedure is usually done in an office setting under local anesthesia and the procedure takes about 10 minutes.

Many surgeons in the Minneapolis and St. Paul areas claim that they perform no scalpel vasectomy. It is true that they don’t use a scalpel at all during the vasectomy, but there are differences in actual surgical techniques. Some surgeons in Minnesota cut off the small segment of vas only; others cauterize the ends of vas after cutting off. A few surgeons like Dr. Shu also perform the fascia interposition on top of cutting off vas and intraluminal cauterization.

What is fascial interposition in no scalpel vasectomy?

The fascia is a fibrous protective sheath that surrounds the vas deferens. Fascial interposition is the positioning of the prostatic “distal” end of the vas deferens to the outside of the fascial sheath while leaving the testicular “proximal” end within the confines of the fascia.

Why does Dr. Shu perform the fascia interposition on top of cutting off vas and intraluminal cauterization?

The failure rate of traditional vasectomy without fascial interposition is about 1-3 per thousand. Recanalization of the vas deferens is the main cause of vasectomy failure. Fascial interposition helps to prevent this type of failure, increasing the overall success rate of the vasectomy. This method, when combined with intraluminal cautery, has been shown to decrease the failure rate of vasectomy procedures. The failure rate of no scalpel vasectomy with intraluminal cautery and fascial interposition is below 1 per 2000 cases.

Every couple in Minnesota whose family is complete may consider permanent birth control. The sterilization options include vasectomy, tubal ligation or tubal blocking. Both men and women should know and compare the differences, benefits and risks of these procedures. For most couples, vasectomy is often the safer, simpler and more affordable. There are ample medical and personal reasons why a couple might prefer vasectomy to tubal ligation or blocking. This blog may help you make a more informed decision.

Tubal ligation in Minnesota is usually laparoscopic procedure that involves hospitalization, general anesthesia and lengthier, more complicated surgery than a vasectomy. In comparison, no scalpel vasectomy is done under local anesthesia in the office, and it may be completed in less than 20 minutes with minimal trauma. no scalpel vasectomy has a very quick recovery and very low risk of complications. Tubal ligation requires much longer recovery time than vasectomy. Moreover, Women are more likely to have the immediate and long term complications related to a tubal ligation than men who have a vasectomy.

When it comes to cost, a simple office vasectomy is more than three to four times less expensive than a routine tubal ligation.

An advantage of tubal ligation is that it works immediately, but a vasectomy doesn’t give you instant result, it requires 15-20 ejaculations in the period of 2-3 months. So you have to use a backup method of contraception until you’re in the clear in semen analysis.

The Essure and Adiana devices, which are inserted into the Fallopian tubes, are new alternatives to traditional tubal ligation in Minnesota; it requires a confirmation in 3 months with an x-ray test called a hysterosalpingogram to ensure that they’re installed properly. Another form of birth control must be used in the first 3 months. These tubal blocking procedures are less invasive than tubal ligation, but failure rates are higher in tubal blocking procedures than tubal ligation and no scalpel vasectomy.

People in the Minneapolis and St Paul areas should discuss these issues with your physician in the initial consultations, however, when it comes to risks, benefits, cost, and effectiveness, no scalpel vasectomy is more often the best option of sterilization.

No scalpel vasectomy is a minimal invasive surgical procedure that closes off the vas deferens in the scrotum, effectively sealing off the tubes that carry sperm from the testicles out. It usually is performed in the office under local anesthesia.

No scalpel vasectomy is considered a permanent form of male birth control. Before you consider a no scalpel vasectomy, you should be certain you don’t want to father a child in the future. Although it may be possible to reverse your vasectomy if you change your mind in the future, there’s no guarantee it will work. Vasectomy reversal surgery is more complicated than vasectomy itself, it can be expensive and is ineffective for many men in Minnesota.

A no scalpel vasectomy is a type of vasectomy procedure where there is virtually no big incision involved. For most men in the Minneapolis and St Paul areas, a no-scalpel vasectomy doesn’t cause any noticeable side effects, and serious complications are rare.

No scalpel vasectomy is a very safe office procedure with rare complications. Many men in Minnesota worry that a vasectomy could affect their sexual performance – but this fear is unfounded.

A preoperative interactive consultation on no scalpel vasectomy is an important step in planning on vasectomy in Minnesota. We recommend that a preoperative consultation should be conducted in person, so the vasectomy consultation will be more effective.

Before Surgery:

You should follow the pre-op instructions, you may need to

• Stop taking aspirin or other blood thinners for 10 days before the procedure.
• May take Ibuprofen 3-4 tabs 1 hour before No scalpel vasectomy
• Trim the hair as short as possible in the front of scrotum with a scissor (do not shave)
• Bring an athletic supporter on the day of the procedure.

After Surgery:

You are able to drive home by yourself after the surgery. The recovery after no-scalpel No scalpel vasectomy is quick, most patients go back to work in 3 days.

• May take Tylenol or Ibuprofen as needed, May use ice packs.
• Wear a new scrotal support for a few days.
• Contact your doctor if experience severe swelling, bleeding, fever, and increasing pain.
• May take showers in two day, and do not take baths for a few days.
• No strenuous activities or heavy lifting for 1-2 weeks.
• It is recommended that you abstain from sex 1-2 weeks after the surgery.
• Use an alternate form of birth control until your doctor confirms that you are sterile.
• Collect your specimen for semen analysis after 3 months.

Minnesota was one of 32 states that had bills permitting sterilization of insane and feeble minded individuals. The following information on eugenics movement in Minnesota is from the library in Minnesota Historical Society.

In the early 1920s, Charles Fremont Dight, a physician in Minneapolis, launched a crusade to bring the eugenics movement to Minnesota. He combined the moral philosophy of eugenics with socialism and espoused the idea that the state should administer reproduction of mentally handicapped individuals. His main lines of approach included eugenics education, changes in marriage laws, and the segregation and sterilization of what he called “defective” individuals.

Dight organized the Minnesota Eugenics Society in 1923 and began campaigning for a sterilization law. In 1925 the Minnesota legislature passed a law allowing the sterilization of the “feeble–minded” and insane who were resident in the state’s institutions. For the next several legislative sessions Dight fought unsuccessfully for expansion of the law to include sterilization of the “unfit” who lived outside of institutions.

Dight continued his legislative efforts as late as 1935. He spoke and wrote on the subject of eugenics, including over 300 letters to Minneapolis daily newspapers, a 1935 pamphlet on the History and Early Stages of the Organized Eugenics Movement for Human Betterment in Minnesota, and a 1936 book entitled Call for a New Social Order. In 1933 he sent a letter to Adolph Hitler and included with it one of his letters to the editor in which he commended Hitler’s work in Germany.

The Minnesota Eugenics Society became moribund by the early 1930s. Dight died on June 20, 1938, in Minneapolis. He left his estate to the University of Minnesota to found what became the Dight Institute for the promotion of Human Genetics.