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What’s the big deal about the “no-scalpel vasectomy”?

Although there are a number of differences in how vasectomies are performed by different physicians, they are generally categorized as one of two techniques: the incisional method and the no-scalpel technique.  The incisional method is the older, traditional method of using a scalpel to make a 1 cm incision to isolate the vas deferens.  The no-scalpel technique uses a sharp, pointed microsurgical instrument with a spreading motion to isolate the vas deferens through a 2-3 mm puncture in the skin.  Typically, the puncture site is not identifiable within a month after the vasectomy.  The no-scalpel technique has been shown in research studies to result in shorter operative times and it decreases the rate of vasectomy related complications such as bleeding, infection, swelling, and pain during the procedure and early after the procedure.   All important stuff!  This is the preferred method for these reasons and the only method that Dr. Parviz Kavoussi utilizes to perform vasectomy.  He states, “if we have a technique with optimal success rates and lower complication rates, why wouldn’t we use it?”

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