No-Scalpel Vasectomy is a procedure that produces permanent sterilization for men.
During the procedure, the patient will lie on the procedure table and will have the scrotum painted with an antiseptic solution to reduce chance of infection. An injection of local anesthetic at each vas tube greatly reduces the discomfort of the procedure. The procedure is performed by making one small puncture wound in the scrotum, which is the sac below the penis that contains the testicles and the vas deferens tubes which carry the sperm from the testicles to the prostate. This small opening is made in the scrotum skin with a fine tipped puncturing forceps with the forceps being spread open. A ring clamp is inserted and the right vas tube is grasped and pulled out of the wound into the open.
At this point, three steps are carried out to stop the passage of sperm from the testicles, where it is produced, to the prostate and expelled with ejaculation (sexual climax.) First a small piece of each vas deferens is cut away and removed and placed in a formaline container for possible pathology lab examination. Second, the cut ends of the tubes are gently cauterized in the inside lining of the tube to cause scar tissue to form. Finally the ends of the vas tubes are separated from each other in different levels of tissue in the scrotum called’ fascia’ which acts as a barrier between the ends of the vas tubes. A titanium clip is placed to close the hole in the fascia and stop any bleeding. All of this prevents sperm from traveling to the prostate gland and released during orgasm. This is what prevents conception and pregnancy from occurring. The same procedure is performed on the left vas deferens tube.