As with most industries, the medical field is constantly advancing. Years ago, urologists performed vasectomies that would be both time consuming, and with potential complications. The current no-scalpel no-needle procedure has advanced on every front, to the point where it can be done in a matter of minutes and with very few complications and a quick recovery time. Knowing the procedure before you have it performed can make you more prepared and accepting of the entire process.

Difference in Methods

In previous iterations, a vasectomy involves either a needle or a scalpel. Either the vas deferens is severed by the scalpel, or the needle effectively cuts off the flow of sperm. Both of these methods are outdated, as they can cause severe discomfort in the patient. In a no-scalpel no-needle procedure, the urologist will use a unique device that effectively does the job without use of any sharp metallic instruments, or punctures into the body. In fact, urologists use highly specialized tools and machines that make the entire process simple.

Steps in the Treatment

As mentioned, urologists use specialized devices to perform the vasectomy. The first step in any no-scalpel no-needle vasectomy is to send a high-pressure stream of anesthetic through the skin and to the vas deferens. The effect of this numbs the entire area more effectively than any standard anesthetic. Once properly numbed, the skin above the vas deferens is spread open using an instrument called a “dissector”. After the area is exposed, the doctor then uses a process called “thermo-cautery” to sever the vas. While this is traditionally done with a scalpel, in this process, a heated metallic tip is used to do the cutting, which is ultimately faster and less painful for recovery.

The procedure doesn’t stop there, as there must be a clip placed to prevent the vas sheath from refusing. Using a titanium clip to close around the vas, the ends remain separated by a tissue layer, and therefore have a much smaller chance of coming back together. Overall the process takes less than thirty minutes, and has virtually no complications during recovery. The opening caused by the procedure is typically resealed the following day.

Other Notes

Due to the more expensive nature of tubal ligation, a vasectomy is a far more preferred method of permanent contraception. In addition, a tubal ligation has a much longer recovery period, and therefore is substantially more uncomfortable for those involved. Another reason to bring up the differences between these two procedures is the idea of reversal. While it’s best to think of a vasectomy as permanent and non-reversible, there are certain surgical procedures that can be attempted to reverse a vasectomy. However, results of this surgery aren’t guaranteed, and it’s also a much longer procedure than the initial vasectomy was. It must be a certain decision before you make it, so do not jump at the opportunity if you have any doubts whatsoever.

Before getting a vasectomy, consult with a urologists to not only discuss the procedure itself, but to talk about any questions you may have regarding life afterwards. An experienced urologist will sit with you and consult openly, answering any questions that you may have. Being well informed is the best course of action, so do not go in blindly.