No-Needle No-Scalpel Vasectomy

Vasectomy is now described as “painless” or “nearly painless” by most patients

Vasectomy is a nearly painless surgical procedure to cut and close off the tubes (vas deferens) that deliver sperm from the testes; it is usually performed as a means of contraception. The procedure typically takes about 10 minutes.  There is no change in sexual function after a vasectomy.

Vasectomy techniques have evolved to include  the less painful and less invasive No Scalpel Vasectomy and No Needle Vasectomy.  About 500,000 vasectomies are performed annually in the United States. A vasectomy is less invasive than a tubal ligation (the procedure used to prevent a woman’s eggs from reaching the uterus) and more easily reversed. An increasing number of couples choose it as a means of permanent birth control.

New advances in vasectomy, including anesthesia with the new No Needle Vasectomy method, result in a faster, nearly painless procedure.  The No Scalpel vasectomy technique, thought to be the best vasectomy technique, results in less pain and faster healing. The doctors at OC Urology are proud to be one of the first groups in California using the No Needle No Scalpel vasectomy technique.  We believe our extensive experience helps ensure the best vasectomy results.

Male Reproductive System

To understand a vasectomy, it is helpful to understand the male reproductive system and how it functions. The testicles, or testes, are the sperm- and testosterone-producing organs. They are located in a sac at the base of the penis called the scrotum. Each testicle is connected to a small, coiled tube called the epididymis, where sperm are stored for as long as 6 weeks while they mature. The epididymis are connected to the prostate gland by a pair of tubes called the vas deferens. The vas deferens are part of a larger bundle of tissue, blood vessels, nerves, and lymphatic channels called the spermatic cord. During ejaculation, seminal fluid produced by the prostate gland mixes with sperm from the testes to form semen, which is ejaculated from the penis.

No-Scalpel Vasectomy Procedure

A urologist performs a vasectomy on an outpatient basis in the office. The procedure takes about 10 minutes. The patient typically remains clothed from the waist up and lies on his back. The scrotum is numbed with local anesthetic.  In our office, this is usually administered with the “No Needle Technique.”   The vas deferens is gathered under the skin of the scrotum, and a small opening (usually 1 centimeter or less) is made.

OC Urology now perform No Needle Vasectomy.
Anesthesia can be given without a needle, resulting in a nearly painless procedure.

In the no-scalpel vasectomy, a surgical clamp is used to hold the vas deferens while a puncture incision (instead of a cut) is made with special forceps. The forceps are opened to stretch the skin, making a small hole through which the vas deferens is lifted out, cut, sutured or cauterized, and put back in place.  The puncture incision does not require suturing. Some urologists recommend the no-scalpel method because they find it is quicker and minimizes postoperative discomfort and the risk for bleeding and infection.

Call us for an appointment (714) 639-1915 to discuss if a No Needle No Scalpel vasectomy is right for you.

Print a copy of our vasectomy information sheet

OC Urology

OC Urology is the office of Dr. Matthew L. Greenberger. Dr Greenberger has been in practice since 2000. He was the first urologist to perform laparoscopic kidney surgery at Oregon Health Sciences University and brought that expertise with him to Orange County. Since that time, he has continued a general urology practice with a focus on evidence based best practices for the evaluation and management of patients with urological issues. He is an expert in minimally invasive management of kidney stones and prostate diseases. He is proud to be the first urologist at St Joseph Hospital to provide the latest in treatment for BPH, Aquablation.

The information on this site is solely for purposes of general patient education and may not be relied upon as a substitute for professional medical care. Consult your own physician for evaluation and treatment of your specific condition.