Vasectomy is an operation for permanent birth control for men, which prevents discharge of sperm, but not semen, when a man ejaculates. The procedure prevents the sperm from mixing with the semen so fertilization cannot occur.
“No-scalpel” vasectomy is an advanced technique that uses a small clamp with pointed ends to puncture the skin instead of using a scalpel to cut the skin. The clamp is then opened to spread the tissues and perform the procedure.
In this procedure Dr. Love would highly recommend intravenous sedation medication before he administers an injection of local anaesthetic in the scrotum near each vas deferens.
Then he identifies the vas deferens under the skin of the scrotum by hand and with the help of a surgical clip holds it in position for the procedure. This separates the vas deferens from other structures without damaging the surrounding tissues of the scrotum. A sharp forceps can be used to puncture the skin and the sheath of the vas deferens to get proper exposure.
Next Dr. Love will remove small segments of the vas deferens and separate each end. Both of the cut ends of the vas are cauterized to reduces the chances of the tubes re-joining (failure of the surgery)., as well as sealed with a stitch.
A similar procedure is repeated for the other vas deferens through another small puncture wound. Antiseptic spray and a simple dressing are applied to the puncture sites for healing.
Benefits of the No-Scalpel Vasectomy include
- No application of stitches
- Less bleeding
- Quick recovery and early return to work
- Less damage to surrounding scrotal tissues
- Less complications and post-surgical pain
- No interference with testicles during surgery
Complications after No-Scalpel Vasectomy are rare but can occur and include the following:
- Swelling and Bruising
- Superficial bleeding or hematoma around the scrotum
- Infections in the surgical site
- Failure of surgery
- Pain in the incision site
Dr. Love will arrange for you to do a sperm count (either via a pathology company or using the home test “SpermCheck” kit.
It is important to understand that you must use an alternative form of birth control until your sperm count is zero, as it is possible to get your partner pregnant until then.
A vasectomy procedure does not affect your sex drive, ability to have and maintain erections, experience orgasm, or your ability to ejaculate.