What is a No-Scalpel Vasectomy?
No scalpel vasectomy is a minimal invasive procedure done in a doctor’s office in less than 20 minutes, using only local anesthesia. The procedure is incredibly simple, safe and pain free- it involves making a small incision in the scrotum, where the vas deferens are severed and prevented from joining back together. Discomfort afterwards is minimal and patients can quickly return to their everyday lives. There is no stitch in no-scalpel vasectomy. The patient who gets a no scalpel vasectomy typically feel no change in libido, as vasectomies cause no physical change in sensation, testosterone levels, blood flow to the penis, amount of semen, or satisfaction of an orgasm. The only difference is that the semen has no sperm in it.
No scalpel vasectomy is the preferred type of vasectomy since it’s considered simpler and less painful for patients compared to the traditional method. There’s also less risk of complications and scarring.
How is a No-Scalpel Vasectomy Performed?
Under local anesthesia, a tiny puncture is made in the middle of scrotum. Either right or left vas deferens is lifted through this hole and then dissected, and a section is removed. The two ends of the vas are heat sealed and the distal ends are buried under the fascia with tiny metal clips before placed back into the scrotum (metal clips are left in the scrotum without any harm). The same procedure is repeated for the opposite vas deferens. The small puncture that was made earlier can naturally heal by itself; there are no stitches in no scalpel vasectomy.
If the patient has needle phobia, local anesthesia will be given by jet spray. No needle technique eliminates the potentially uncomfortable and painful needle sticks by delivering the anesthetic with the jet spray instrument without using a syringe needle.
How Long does No Scalpel Vasectomy and Recovery Take?
The procedure itself takes only 15 to 20 minutes in the doctor’s office, but the entire process including paperwork may take up to 30 minutes. The vasectomy may cause tenderness, discomfort, and swelling the first few days after the procedure, but patients typically return to office work in three days and normal activities in a week.
How Effective is a No-Scalpel Vasectomy?
It is nearly 100% effective. The risk of pregnancy after vasectomy is approximately 1 in 2,000 for men who have sperm free semen or the test showing rare non-motile sperm.
Does It Work Immediately?
No, it may take up to 3 months before your semen is totally free of sperm. Therefore, couples are advised to use another form of contraceptive until the doctor can confirm that the man’s semen no longer contains sperm. You will be expected to collect your specimen after 3 months (at least ejaculate 20 times before collecting).
How Much does a No-Scalpel Vasectomy Cost?
Typically, vasectomy costs will be in the range of $800 to $1,500, the suggested price range of a vasectomy includes your initial consultation, vasectomy procedure, and post semen analyses. In most cases, the cost is the same for the no-scalpel vasectomy or a conventional vasectomy.
Vasectomy costs may differ depending on where the procedure takes place. Getting one at a doctor’s office under local anesthesia is usually the cheapest, as hospitals or surgical centers, while still a valid option, may cost more due to anesthesia or facility fees.
Most health insurance companies in Minnesota will cover vasectomy costs. Our clinic usually offers a 20% discount for patients who pay in cash.
What Happens to the Sperm After No Scalpel Vasectomy?
Sperm continue to be produced in the testicles after the procedure. The sperm continue to be stored in the epididymis and are eventually dissolved and absorbed by the body. With the increase of stagnant sperm, the membranes of the epididymis increase in size to absorb more liquid. The immune system increases the amount of macrophages to handle an increase of solid waste.
Will the Vasectomy Affect My Enjoyment of Sex?
No. Erections, climaxes, and ejaculations should continue after vasectomy. Normal hormones are still produced. Some men may experience difficulty with erections or ejaculations, but this is usually a psychological problem rather than a surgical complication.
What are the Complications of No Scalpel Vasectomy?
Although a vasectomy is one of the safest procedures, there are still chances of minor complications, such as infection, bleeding or transient bruising, temporary swelling or fluid accumulation. Some patients experience a dull ache in the scrotal region, but this usually resolves with time. There is no evidence that suggests any increased risk of prostate cancer if a vasectomy is done.
The potential risks and complications:
- Hematoma (collection of blood) in the scrotum that should be reported immediately.
- Infection occurs more common if there is a hematoma, can be treated with antibiotics, hematoma evacuation, I&D drainage.
- Occasional chronic dull ache (congestion) in the testicles, usually disappears within six months.
- Epididymitis, when the larger tube behind the testicle becomes inflamed and swollen, can be treated with heat application and medication.
- Failure if the man has sex before all the sperm is confirmed to be gone.
- Sexual difficulties for the man due to psychological and emotional responses to a vasectomy.
- Sperm granulomas, a rare sperm collection from the testicular cut end of the vas, producing harmless lump.
Is the No Scalpel Vasectomy Procedure Reversible?
You can choose to reconnect the cut ends of the vas through vasectomy reversal procedure, the procedure is quite expensive with relatively low effective rate, and it doesn’t guarantee restored fertility.