The no-scalpel vasectomy is a very efficient means of performing permanent sterilization in men.
No-scalpel vasectomies are carried out with special instruments that allow the surgeon to perform the entire procedure through a single opening in the scrotum. This decreases the number of times the scrotum is injected and incised. In most cases, the procedure requires approximately 10 minutes to complete. Ligaclips or sutures are used to occlude the vas deferens. In addition, a small section of vas deferens is removed to further improve chances of permanent sterilization. A single dissolvable suture is used to close the scrotum at the end of the case.**We now offer IV sedation by a licensed anesthesiologist for your vasectomy. Arrangements for this additional comfort measure must be made in advance so please discuss this with your doctor in advance of your procedure**
Little is required to prepare for the vasectomy. Please shave the front side of the scrotum, extending from the base of the penis to the base of the scrotum. Do not take aspirin or ibuprofen for the week prior to the procedure. Please read and fill out the vasectomy consent form. Bring either tight brief underwear or a scrotal support to wear after the procedure. You will need to bring someone to drive you home after the vasectomy.
During the No-Scalpel Vasectomy
Most patients do very well during the procedure. Usually, the patient is pleasantly surprised at how little pain is associated with the no-scalpel vasectomy. An injection of a local anesthetic is given to numb the area prior to surgery. Generally, we do not recommend use of valium prior to the vasectomy. After completion of the procedure, we will ask the patient to lie on the operating table for several minutes. It is not uncommon for a patient to feel light-headed or dizzy during or after the vasectomy.
All patients are given three days of oral antibiotics and some mild analgesics to take home. The antibiotics should be taken until completion. The pain medication should only be taken if the pain does not respond to Tylenol. An ice-pack (or even a bag of frozen peas) should be applied to the scrotum in intervals of 20 minutes. Minimal activity should be planned for approximately 3 days after the vasectomy. Though returning to desk-type work is reasonable at post-vasectomy day 3, no heavy lifting or straining is recommended for one week. If you are having any problems after the vasectomy, we will need to see you in the office for a follow-up visit. If you are not having any difficulties after the vasectomy, your next interaction with the office is for your first post-vasectomy semen specimen eight weeks after surgery. Please drop this off at our office in the provided specimen cups. A second specimen will need to be provided two weeks later. If both are negative, you can proceed with unprotected intercourse. Until that time, consider yourself fertile and use some form of protection. If you have questions, please call our Dallas urology office.