No-Scalpel Vasectomy: Procedure, Pain, and Risks

Q: No-Scalpel Vasectomy: Procedure, Pain, and Risks

Hello： In response to your question, yes, the procedure I use is non-incisional sterilization. <br>The term "non-incisional" refers to the fact that the surgical wound is very small (less than 0.5 cm), so sutures are not required. <br>The procedure is performed under local anesth

Minimally invasive

Excuse me, does your hospital perform no-scalpel male sterilization procedures? I live right behind your hospital and I don't want to have children, so I'm considering a vasectomy.
Will this procedure be very uncomfortable or are there any potential side effects? What is the duration of the surgery and what level of pain can I expect? Thank you.

Chen, 30~39 year old female. Ask Date: 2007/03/31

Dr. Cai Zongyou reply Urology

Hello: In response to your question, yes, the procedure I use is non-incisional sterilization.
The term "non-incisional" refers to the fact that the surgical wound is very small (less than 0.5 cm), so sutures are not required.
The procedure is performed under local anesthesia, and there may be slight discomfort during the surgery, but this is a temporary phenomenon.
There are no significant side effects postoperatively.
As for the details of care, we can discuss them in the outpatient clinic, and educational materials will be provided.

Reply Date: 2007/03/31

More Info

No-Scalpel Vasectomy (NSV) is a minimally invasive surgical procedure designed for male sterilization. It is an effective and safe method for men who have decided not to have any more children. The procedure is performed under local anesthesia, which means that you will be awake during the surgery but will not feel any pain in the area being treated.

Procedure
During a no-scalpel vasectomy, the surgeon uses a specialized instrument to create a small puncture in the skin of the scrotum, rather than making a traditional incision. This technique allows for a quicker and less traumatic procedure. The vas deferens, the tubes that carry sperm from the testicles, are then located and cut, and a small section is removed. The ends of the vas deferens are then sealed, either by tying them off or using heat to cauterize them. The entire procedure typically takes about 15 to 30 minutes.

Pain and Discomfort
Most men report minimal discomfort during and after the procedure. The local anesthesia effectively numbs the area, and while some men may experience a sensation of pressure or tugging, pain is generally not a significant issue. After the procedure, mild discomfort or swelling may occur, which can usually be managed with over-the-counter pain relievers such as ibuprofen or acetaminophen. Ice packs can also help reduce swelling and discomfort.

Risks and Complications
Like any surgical procedure, NSV carries some risks. However, the complication rate is low. Potential risks include:
1. Infection: As with any surgical procedure, there is a risk of infection at the site of the puncture.

2. Bleeding: Some men may experience bleeding or hematoma (a collection of blood outside of blood vessels) in the scrotum.

3. Chronic Pain: A small percentage of men may experience chronic pain in the testicular area after the procedure.

4. Sperm Granuloma: This is a lump that can form due to sperm leaking from the cut ends of the vas deferens.

5. Failure of the Procedure: Although rare, there is a chance that the vas deferens can spontaneously reconnect, leading to the possibility of pregnancy.

Post-Operative Care
After the procedure, it is recommended to rest for a short period. Most men can return to normal activities within a few days, but it is advisable to avoid heavy lifting and strenuous exercise for about a week. Sexual activity can typically be resumed after about a week, but it is important to use alternative contraception until a follow-up sperm analysis confirms that sperm is no longer present in the semen.

Conclusion
In summary, a no-scalpel vasectomy is a safe and effective method for male sterilization with minimal discomfort and a low risk of complications. If you are considering this procedure, it is important to discuss your concerns and questions with your healthcare provider to ensure that you are fully informed and comfortable with your decision. If your hospital offers this service, they will be able to provide you with more specific information regarding the procedure, recovery, and any additional concerns you may have.

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