No-Scalpel Vasectomy: Procedure, Preparation and Recovery

What Is a No-Scalpel Vasectomy?

A vasectomy is a minor procedure that blocks the passage of sperm through the vas deferens. The no-scalpel technique uses an opening of about 0.5 cm at the center of the scrotum, with no scalpel and no stitches. It is a permanent contraception method, over 99% effective.

No-Scalpel or Conventional Method?

The conventional method requires one or two incisions closed with stitches. No-scalpel vasectomy reduces discomfort, bleeding and infection risk, and speeds up recovery — while being just as effective. It is the technique recommended by current practice guidelines.

The Procedure, Step by Step

1. Consultation: meet with the doctor to discuss the procedure, your medical history and ask questions.
2. Preparation: stop anticoagulants, aspirin and anti-inflammatories one week before. Shave the scrotum on the morning of the procedure.
3. Procedure: local anesthesia, 0.5 cm opening without a scalpel. The vas deferens are sectioned, cauterized and covered. Duration: about 15 minutes.
4. Recovery: strict rest for 24-36 hours with ice. Return to desk work after 48 hours, normal activities after 1 week.
5. Confirmation: control spermogram after 3 months and 30 ejaculations to confirm sterility.

After the Vasectomy

Ejaculation remains normal: sperm makes up only a tiny fraction of semen and is reabsorbed by the body. A vasectomy does not affect testosterone, libido or erections. Until the post-vasectomy spermogram confirms sterility, use another contraceptive method.

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Cost: $690 all inclusive · Vasectomy FAQ · Book an appointment · Dr. Mélanie Savard-Côté, family physician