No-scalpel Vasectomy

No-scalpel Vasectomy

The No-Scalpel Vasectomy uses an advanced technique to access the vas deferens. Two special instruments are used for this procedure. A scalpel is not needed. These two instruments are (1) ring fixation forceps and (2) dissecting forceps

The benefits of NSV are:

  • Fewer complications. It results in almost 10 times fewer hematomas, infections, and other complications—a rate of 0.4% for NSV versus 3.1% for conventional vasectomy.
  • Less bleeding and pain.
  • Faster and no sutures needed. With hands-on training and practice, NSV can be performed up to 50% faster than the conventional technique.
  • Enhanced popularity. Increased patient satisfaction with NSV results in good word of mouth and the enhanced popularity of vasectomy for permanent contraception.

What are the risks?

Although complications such as inflammation, bleeding or infection may occur, they are relatively uncommon and not serious. A major benefit of the percutaneous no-scalpel vasectomy is that the opening in the scrotum is so small that the blood vessels are less likely to be affected. Minor risks include: 

Sperm Granuloma

A hard, sometimes painful lump about the size of a pea may form as a result of sperm leaking from the cut vas deferens. The lump is not dangerous and is almost always resolved by the body. Typically, scrotal support and mild pain relievers help relieve symptoms. 

Congestion

A sense of pressure caused by sperm in the testes, epididymis and lower vas deferens may cause discomfort for two to 12 weeks after vasectomy. Like granuloma, congestion usually resolves itself over time. 

Pain

Any surgical procedure can affect nerves and, rarely, there can be residual “phantom” pain. The testicles are sensitive organs, so such pain is common in men whether they have had vasectomy or not. It is not clear whether vasectomy increases this risk.

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