No scalpel vasectomy is an alternative to traditional vasectomy, here is all you need to know about it. 

A vasectomy is a surgical procedure that makes one sterile. After a vasectomy, the sperm cannot mix with semen. Having decided to undergo a vasectomy, you have the option of a traditional or a no-scalpel vasectomy. The no-scalpel vasectomy was invented in the 1980s, becoming a popular choice for most men.1

The choice between a no-scalpel vasectomy versus traditional vasectomy is not straightforward. Here are some of the basic facts about the no-scalpel vasectomy. 

The procedure

No-scalpel vasectomy has the same goal as conventional vasectomy. The procedure aims to create a blockage in the vas deferens so that sperm cannot mix with the semen. 

In the no-scalpel vasectomy, the doctor makes a small hole that reaches the vas deferens tube. The skin is not cut with a scalpel as it is in traditional vasectomy. The tubes are tied off or blocked one at a time, as there is a single hole. The puncture heals quickly, and there is no need for stitches. 

What to expect 

A no-scalpel vasectomy is an outpatient procedure. Your doctor will advise you to avoid taking aspirin or NSAIDs such as ibuprofen and naproxen 48 hours before the procedure as they can increase the risk of bleeding complications during the procedure.

Consult with your doctor about other medications and supplements that you usually take. Wear comfortable clothing for the procedure. Your doctor might ask you to trim the hair on your scrotum before, but this can be done at the doctor’s office. 

In the operating room, the doctor uses local anesthetic inserted in the scrotum or groin to numb the area. After feeling the vas deferens under the skin, the doctor places the ducts under the skin using a special clamp, and a needle-like tool will be used to make a hole. 

After cutting the vas deferens, they are sealed with stitches, mild electrical pulse, or tying their ends before being placed back to the normal position.

Recovery process

The doctor will prescribe painkillers after the procedure and how to care for the scrotum as you recover. The hole heals without stitches, but there is a gauze dressing that you will need to change at home. Minor bleeding is normal within the first 24 hours.1

 Use ice packs or frozen vegetables to reduce the swelling. Be careful when handling the scrotum: use a towel to clean it. Avoid intercourse or strenuous activities for a week. 

No-scalpel vasectomy vs. traditional vasectomy differences

In the traditional vasectomy, the doctor makes an incision on the side of the scrotum. In contrast, a needle is used to make a tiny hole in the scrotum to access the vas deferens in a no-scalpel vasectomy. 

Some Advantages of a No-scalpel Vasectomy: 

  • You can resume your sexual activity faster
  • No stitches or scarring
  • 50% faster recovery with little pain
  • Lower risk of infection as there is no incision

Research studies have found that no-scalpel vasectomy can reduce infections by five times in comparison to traditional vasectomy. It also reduces hematomas and other complications.

Non-scalpel Vasectomy Versus Traditional Vasectomy: Final Words

A no-scalpel vasectomy is a safe method with many benefits. The procedure is not complicated, and it reduces the healing time by half. It also reduces the risk of infections and clotting.

Links to sources used

1.What can I expect if I have a vasectomy? Planned Parenthood-

2.Comparative evaluation of no-scalpel vasectomy and standard incisional vasectomy-NCBI-