NON-SCALPEL VASECTOMY
A method of vasectomy that does not require the use of a scalpel was developed in 1974 and introduced in the United States in 1985.

No Scalpel Vasectomy is a simplified approach to vasectomy. The difference between this new method and that of conventional method is only in approach to the vas deferens. The vital difference has resulted in lower complications rate - as seen from the results of over 8 million vasectomies performed worlwide.

The No Scalpel Vasectomy method is superior to the standard incisional technique because it eliminates fear of surgical incision. It can be performed far more quickly and involves fewer complications than the standard incisional method.
The New Vasectomy Procedure It's easier and quicker
The vas deferens is fixed in the midine raphe of the scrotum by a specially designed ring forceps (Fig 2). The amount of tissue contained in this ring is minimal amount of skin, vas deferens and every small quantity of surrounding tssues. A sharp pointed instrument (Fig 1), is used to puncture the skin directly overlying the vas contained in the ring forceps. the punctured hole is enlarged to about twice the diameter of teh vas deferens - which is now seen lying in the small wound. Proper performance of this step and next step is the essence of No Scalpel Vasectomy technique. If done well, all tissues right down up to vas would have been separated and the bare vas will be sighted. Next step involves a delicate and firm grasping of vas deferens with the puncturing instrument and deliberately rotating the instrument in a clockwise direction so that vas defrens is delivered out of the puncture hole. Subsequent handling of the vas- such as ligature of ends of vas and excision of small segment of vas is identical to the conventional technique.

The vas of second side is similarly fixed close to the puncture hole made earlier, it is delivered through the same puncture site and ligated as before. After completion of the procedure, the wound is covered by a small dressing.

Imporatnt: The tip of the Vas Deferens Forceps should be saved from trauma. Do not use blunt. It is recommended that the set be discarded after 30 cases or whenever the tip is blunt.