Talk to your healthcare provider about how to prepare for the procedure, and about possible risks and complications.
The no-scalpel procedure is similar to a traditional vasectomy in many respects, but it’s done without incisions or stitches. This generally results in faster healing.
During the procedure
You’re asked to undress and lie on the exam table. Sterile drapes are placed over you to help prevent infection.
You’re given injections of anesthetic into your scrotum or lower groin to prevent you from feeling pain.
Once the anesthetic takes effect, the doctor makes one puncture in the scrotum with a pointed clamp. One at a time, the vasa deferentia are lifted through this puncture.
The vasa are cut, and a section of each may be removed. You may feel a pulling sensation during this process.
The 2 cut ends are sealed by heat (cauterized) and may also be tied or clipped. The puncture heals naturally without stitches.
After the procedure
If you’ve been given medicine to help you relax, you’ll need to have someone drive you home. The local anesthetic starts to wear off after an hour or so. Any discomfort you feel is usually very mild. If you need it, a pain reliever may help.
During your healing
Recovery time after a no-scalpel vasectomy is usually less than after a traditional vasectomy. Once you’re home, you can do several things to aid your recovery:
Stay off your feet as much as possible for the first day to lessen the chance of swelling. An ice pack can also help keep swelling down.
Wear an athletic support or snug cotton briefs for support.
Avoid heavy lifting or exercise for at least 5 days.
Ask your doctor when you can return to work.
Ask your doctor when you can start having sex again. Note: You must use some form of birth control until your doctor says you’re sterile.
March 21, 2017
Goode, Paula, RN, BSN, MSN,Greenstein, Marc, DO,Image reviewed by StayWell medical illustration team.