- Conventional Vasectomy with a scalpel: In this surgery, incisions are made in the vas deferens tubes to block the sperms.
- No-Scalpel Vasectomy: In this surgery, a small puncture is made in the scrotum without an incision to block the sperms.
Procedure before surgery:
- The doctor may ask the patient to go through counseling to ensure it is the right form of birth control for him.
- Consult with the doctor for any other birth control measures.
- Discussion with the doctor on the type of vasectomy most suitable for the patient.
- The patient should understand that vasectomy is a permanent procedure and reversing it may not always be successful.
- The patient is asked to stop any blood-thinning medication or aspirin days before the surgery.
Procedure during surgery
- This procedure usually takes around 10 – 30 minutes.
- The patient is given local anesthesia, so the genital area will be numbed.
- A small incision is made on the scrotum to locate the vas deferens tubes that carry the sperm from the testicles.
- In the case of a no-scalpel, a small hole is made instead of an incision.
- The vas deferens tubes are taken out of the scrotum and cuts are made.
- The tubes are then sealed by tying, cauterizing (using electrical current), clipped, or a combination of these procedures.
- The tubes are returned to the scrotum and the incision is stitched up.
Procedure after surgery
- The patient may experience mild pain, discomfort, or swelling, which subsides in a few days.
- He may be asked to apply ice packs on the scrotum for a couple of days.
- The patient is asked to limit his activities and rest for 24 hours.
There are certain risks and complications associated with this procedure, as with any other surgery. Some of these are infections, bleeding or blood clot inside the scrotum, presence of blood in the semen, mild pain, discomfort, swelling, or bruising of the scrotum.