The traditional vasectomy is a minor surgical procedure that is performed in the doctor’s office, under local anesthetic, and is usually completed within 30 minutes. The surgeon uses a scalpel to make one or two incisions in the skin of the scrotum-one incision to access and expose the tiny vas deferens tubes from each testicle. The vas deferens is lifted, cut and tied or often cauterized. The cut tubes are then returned to the scrotal sac and the incisions are then closed with a few stitches. Learn more by visiting Vasectomy.com
As the name suggests, the “No Scalpel” method does not involve a scalpel, but a small opening is still necessary. Key to the No Scalpel Vasectomy are the special instruments that allow the procedure to be done with generally less manipulation of the patient’s tissues. In a NSV procedure, the doctor usually locates the patient’s vas deferens under the skin of the scrotum by hand, and holds the tiny tube in place with a small clamp. Small pointed forceps separate the layers of tissue and then creates a tiny opening in the skin to form an opening for the vas deferens to be gently lifted out, then cut, tied, clipped and/or cauterized and put back into place.
The surgeon may elect to close the opening in the skin with sutures. However, because the skin opening is much smaller than a conventional incision, it can close quite quickly without the necessity of suturing.
Like a conventional vasectomy, local anesthetic is administered to allow the patient to be comfortable.
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Patients have demonstrated an interest in having a vasectomy performed with a laser. Whether a laser is used or not, an opening still must be made in the scrotal skin and the vas deferens must be brought to the surface. The vas is a muscular tube without any large blood vessels. When the time comes to cut the vas, a knife or coagulation is usually used without significant bleeding and without the need for a laser. There is no significant advantage to using a laser to perform a vasectomy.
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