No-Scalpel Vasectomy in Orlando
The No-Scalpel Vasectomy (NSV) isolation technique was the first minimally-invasive technique for vasectomy.
The No-Scalpel Vasectomy instruments, used in China since the mid-70’s and introduced into the United States in the 80’s, are simply a very pointy hemostat, used initially to make a tiny opening into anesthetized skin of the scrotal wall, and a ring clamp, used initially to secure each vas tube in turn beneath this opening. The pointy hemostat is then used to spread all layers down to the vas tube itself and to then deliver a small loop of the vas through the opening as the ring clamp is released. In turn, the ring clamp is used to hold the vas, while the pointy hemostat spreads adherent tissue and blood vessels away from the vas under direct vision, so that the vas can then be divided with a fine surgical scissors and the ends cauterized and clipped, sealing both ends closed.
The No-Scalpel vasectomy is a technique used to do the vasectomy through one single puncture. The puncture is made in the scrotum and requires no suturing or stitches.
The primary difference compared to the conventional vasectomy is that the vas deferens is controlled and grasped by the surgeon in a less traumatic manner. This results in less pain and fewer postoperative complications.
This procedure is done with the aid of a local anesthetic called ‘Xylocaine’ (similar to ‘Novocaine’).
The actual interruption of the vas which is done with the No-Scalpel technique is identical to the interruption used with conventional techniques.
The No-Scalpel technique is simply a more elegant and less traumatic way for the surgeon to control the vas and proceed with its interruption.
Before your Vasectomy
Please bring the following to your scheduled appointment:
- Your insurance card or payment if you are not using insurance
- A list of your medications
- Pertinent medical information
- Risks and Other Important Information
As with any surgical procedure, the primary risks of vasectomy are infection and bleeding. These risks are generally low for this procedure.
It is also important that each patient understand that vasectomy is approached as an irreversible procedure. While vasectomy can be reversed surgically at times, its successful reversal cannot be guaranteed.
Also important is the fact that the vas deferens can grow back together on its own. This is called recanalization and occurs only rarely – less than 1/2 percent of the time.
The Effects of a Vasectomy
A vasectomy leaves the patient unchanged except for the fact that the sperm cord (vas) is blocked. The testes still produce sperm, but the sperm die and are absorbed by the body.
Since the ejaculate is mostly seminal fluid its volume decreases only very, very little after a vasectomy.
The level of male hormone remains the same and all sexual characteristics remain the same. Ability to have an erection is also entirely unchanged.
Preparing for Your Vasectomy
- SHAVE ALL HAIR FROM THE FRONT OF YOUR SCROTUM. This means just under the penis onto the scrotal sac. The area shaved should measure about 2-3 inches around. Do this on the day of the vasectomy.
- After shaving the area, shower or bath with soap and water to remove all the loose hair.
- Bring a scrotal support (jock strap or suspensory, or tight jockey shorts).
- Wear comfortable trousers.
- If possible, bring someone who can drive you home.
- Refrain from eating or drinking for three hours before your vasectomy.
After your Vasectomy
Following your procedure it is important that you remain off your feet as much as possible for 24 to 48 hours. This is important in order to minimize the chance of a post surgical complication.
The anesthetic will wear off approximately 1 to 3 hours after surgery. You should have someone else drive you home.
If you have pain or discomfort immediately after the vasectomy, taking Tylenol or Ibuprofen should suffice.
You may shower at your leisure. Sexual activity may be resumed in approximately 3 to 4 days (at this time you are not yet sterile and safe from pregnancy).
Your doctor will ask you to bring in 2 semen specimens approximately 6 and 10 weeks after your procedure.
Continue to use some other method of birth control until you have had your semen specimen analyzed and have been told that you are infertile.
You can also watch here how vasectomy is usually performed. Courtesy from WHO Reproductive Health Library
Dr. Kenneth Essig is a Board Certified Urologist with over 10 years of experience performing no-scalpel vasectomyand Prostate Cancer Second Opinion. He has performed thousands of vasectomies in the comfort of an office setting and was rated as the top Urologist in Orlando, Florida by ZocDoc and recognized by Vasectomy.com as one of the premier specialists for Vasectomies. He is highly regarded as one of the best Urologist in Winter Haven and is proud to serve the residents of Orlando including those in Clermont, Davenport and Winter Park. If you are interested in trustworthy expertise, look no further than Dr. Kenneth Essig.
Source: The Journal of Urology, the Official Journal of American Urological Association and No-Scalpel Vasectomy