What is a No Needle No Scalpel Vasectomy?
No-scalpel vasectomy (NSV) is a safer and less invasive procedure than the traditional vasectomy procedure. NSV was developed in China in 1974, then brought to western counties in 1985, and approved for widespread use in the USA around 1990. No Scalpel vasectomy differs from conventional vasectomy in how anesthesia is given and how the vas deferens (vasa) are reached. Complications are 10 times less likely with NSV versus traditional techniques, and no sutures are needed at the one small incision site. No Needle anesthesia is the most effective way to improve comfort and reduce anxiety and was introduced to the NSV after 2000. Here is how a NNNSV is done: The local numbing medicine is sprayed through the skin of the scrotum under pressure from a special device called a Madajet for immediate numbing without the use of a needle. The vas on one side is trapped in a ring clamp, then the skin is opened without cutting, hence no need for a scalpel. The skin is stretched open with a pointy hemostat clamp, then the vas is brought up and out of the opening where it is blocked by the doctor. Dr Snyder employs the superior open ended technique on the testicular end, while blocking the upper end with cautery. The upper end is buried in surrounding tissue to keep the two ends apart. The other side is treated the same way through the same skin opening. The open end reduces the chance of congestion from sperm build up after the vasectomy. No Needle No Scalpel Vasectomy is superior to traditional vasectomy in many ways: Faster recovery, no skin sutures, less chance of infection and bleeding.