Scalpel Free Vasectomy Procedure

Scalpel Free Vasectomy: A Minimally Invasive Option

Scalpel-free vasectomy is a minimally invasive surgical vasectomy technique used for male sterilisation.

What Is a Vasectomy?

Vasectomy is a minor surgical procedure designed to prevent sperm from entering the semen during ejaculation. It is considered a highly effective form of permanent male contraception.

The procedure involves locating and blocking the vas deferens—the tubes that transport sperm from the testicles. By doing so, sperm is prevented from mixing with the ejaculatory fluid. Over time, the body reabsorbs the sperm that continues to be produced.

“Isolation of the vas should be performed using a minimally invasive vasectomy (MIV) technique such as the no-scalpel vasectomy (NSV) technique or other MIV technique.”

-American Urological Association Vasectomy Guideline (2012)

How the Procedure Is Performed?

At our clinic, the scalpel-free vasectomy is usually performed under local anaesthetic and typically takes around 15–20 minutes. The local anaesthetic is administered into the scrotal skin and adjacent to the vas deferens; no injections are made into the testicles.

Using specialised instruments:
The vas deferens is gently isolated.
A small single opening is made in the midline of the scrotum with the help of hyfrecator cautery device that cuts and seals the edges of wound at the same time. This minimises that bleeding associated with cutting the tissues.
A segment of each vas is removed.
The tube ends are sealed using cautery technique—without the use of clips or internal sutures.
The small skin wound does not require any sutures and it heals over the first week.

What to Expect After the Procedure

Men are not immediately sterile after a vasectomy. Sperm may remain in the semen for several weeks to months following the procedure. In rare cases, this may persist for up to 18 months.

You must continue using contraception until a post-operative semen analysis confirms the absence of live (motile) sperm. You will receive instructions on how and when to provide semen samples before leaving the clinic.

Hormones, Libido, and Sexual Function

Vasectomy does not affect the production of the male hormone testosterone. Hormonal balance, libido, sexual function, and ejaculation typically remain unchanged following the procedure.