No scalpel no needle vasectomy
A vasectomy is a procedure that blocks both sperm ducts, called the vas deferens, which transport the sperm from the epididymis (where the sperm are stored near the testicle) up through the prostate to the back of the urethra during an ejaculation.
97% of the fluid that comes out during an ejaculation is made in the prostate and seminal vesicles. Only three percent of the fluid comes from the testicle and epididymis, but this contains all of the sperm.
The easiest way of eliminating the sperm but leaving everything else the same is to interrupt the vas deferens. The easiest place to do this is in the scrotum because the vas is directly under the skin.
Vasectomy does not cause any changes in sense of orgasm or sexual function.
Procedure:
Dr, Quayle uses the No-scalpel technique, usually exposing each vas in turn through a tiny opening in the front scrotal wall under local anesthesia. Since the opening is so small, it is easy to apply anesthesia without the use of needles. A spray applicator delivers a stream of anesthetic so fine that it penetrates and diffuses through the skin to numb the vas deferens. The tiny opening in the dime-sized area of numb skin is made with a pointy hemostat: one tip makes a pinpoint opening, then the two tips are used to spread and enlarge the opening to about 1/4 of an inch. Since blood vessels in the skin are spread apart rather than cut, bleeding is less than when a scalpel is used, no stitches are required, and the opening is usually sealed closed (often barely visible) by the next day.
Once each vas tube is lifted through the small skin opening, it is divided under direct vision with heat energy. Nothing is removed; the ends of the divided vas are placed out of alignment and kept from rejoining by applying a tiny clip to the sheath surrounding the vas so that one end stays inside the sheath, the other outside. While extremely effective (failure rate less than 1 in 2000), the technique provides for easier reversal (less scarring than when sutures are used) in men who choose reversal later in life. Procedure time is about 15 to 30 minutes.
A scrotal support (jockstrap) is applied and should be worn overnight and reapplied, after a next-morning shower, when up and around for the next 2 days. Men are advised to recline on the evening of the vasectomy and only do light activity the first day after the procedure. After vasectomy about half of men will take non-prescription pain pills (Tylenol or ibuprofen), often just to prevent expected discomfort; the other half don’t take any pain pills. About 1 in 1000 men will have enough discomfort to request a prescription pain medication. Semen analysis must be performed at three to four months to ensure that the vasectomy was successful.
The no scalpel, no needle technique is associated with less pain, faster recovery and significantly less complications compared to the standard technique.