In-office, No-needle, No-scalpel Vasectomy

The procedure is quick, effective, and minimally invasive. A scalpel is not used, nor even a needle for anesthetic. Return to work in as little as a day.

No referral required.

Contact the clinic directly to book an appointment for a consultation.

What is a Vasectomy?

Vasectomy is minor surgery to block sperm from reaching the semen that is ejaculated from the penis. During the procedure, each vas deferens (the two tubes that move sperm from each testicle) are separated. This blocks sperm from reaching the semen that is ejaculated from the penis. After a vasectomy, the testicles still make sperm, but the body absorbs them. A vasectomy prevents pregnancy better than any other method of birth control, except abstinence. Only 1 out of 2,000 women will get pregnant after their partners have had a vasectomy.

What is the Procedure?

With a no-scalpel vasectomy, the procedure involves using a small clamp with pointed ends to puncture the skin. Then each vas deferens is lifted out, cut, sealed and then put back in place. Usually, no skin sutures are required.

What are the Risks?

About one to two percent of men may have ongoing pain or discomfort after a vasectomy. The pain is most often treated with anti-inflammatory drugs, like ibuprofen. Exact causes of pain are not known, but in some rare cases, additional medical or surgical treatment may be needed.

Other risks after a vasectomy are very low, but may include

Bleeding under the skin, which may cause swelling or bruising (consult the doctor if your scrotum swells a lot soon after procedure).
Infection at the site of the cut, but it is rare for an infection to occur inside the scrotum.
A small lump caused by sperm leaking from a vas deferens into nearby tissue. This is usually not painful, but if it is, it can be treated with rest and pain medicine. Sometimes, surgery may be needed to remove the lump, which is called a “sperm granuloma.”
Swelling of the vas deferens.

In very rare cases, the vas deferens may grow back together, which would allow the man to have children again. Studies show men who have had a vasectomy are not at a higher risk for any other medical conditions such as heart disease, prostate cancer, testicular cancer, or other health problems.

What Should I Expect After Surgery?

What are the Risks?

About one to two percent of men may have ongoing pain or discomfort. The pain is most often treated with anti-inflammatory drugs, like ibuprofen. Exact causes of pain are not known, but in some rare cases, additional medical or surgical treatment may be needed.

Other risks after a vasectomy are very low, but may include:

Bleeding under the skin, which may cause swelling or bruising (consult the doctor if your scrotum swells a lot soon after procedure).
Infection at the site of the cut, but it is rare for an infection to occur inside the scrotum.
A small lump caused by sperm leaking from a vas deferens into nearby tissue. This is usually not painful, but if it is, it can be treated with rest and pain medicine. Sometimes, surgery may be needed to remove the lump, which is called a “sperm granuloma.”
Swelling of the vas deferens.

When Can I Resume Normal Activities?

You may be able to go back to work in one or two days if you do desk-work. Men with more activity and heavy lifting at work may need more time off, as you should avoid heavy lifting for a week. You can have sex as soon as you are comfortable, after a minimum of seven days. Just keep in mind the vasectomy is not effective from day one. Sperm may still be in the semen for many months after a vasectomy. It takes about 20 ejaculations and about three months to clear the sperm from the tubes; however, results vary for different men. Most often, your doctor will test your sperm count three months later. Until the sperm count is zero or there are less than 100,000 sperm and none are moving, sex without another method of birth control may lead to pregnancy. Having a semen analysis after your vasectomy is the only way to confirm this.

After recovering from a vasectomy, a man and his partner should notice no difference during sex. An uncomplicated vasectomy does not cause erection problems. Ejaculation and orgasm should feel the same. The amount of semen does not decrease more than five percent. The only change your partner may be able to feel is a lump at the vasectomy site if one has formed.

Things to Think About Before Surgery

The choice to have a vasectomy is a very personal one. Talk with your partner and think about what is best for you and your family. It is of great value to think through all your choices carefully before deciding to have a vasectomy. Below are some things to keep in mind:

Safety: Vasectomy for men is safer and cheaper than a tubal ligation for women (blocking the fallopian tubes to prevent pregnancy).
STDs: A vasectomy does not protect against sexually transmitted diseases (STDs). Use condoms to protect against STDs.
Permanent: Vasectomy is a permanent method of birth control. This may be a plus or a minus based on your own situation. You should not have a vasectomy if you may want to father children in the future. While it is possible to have a vasectomy reversed, this is more complex and costly procedure and success rates are lower than not having a vasectomy. In addition, reversing or “undoing” a vasectomy does not always result in pregnancy.