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No Scalpel Vasectomy: December 10, 2012

The burden of child bearing, or not. Most times it falls to the woman to carry the load of family planning. Although a permanent form of male sterilization may be making a comeback.

“I’ve seen a trend of vasectomy increasing. I think it’s being conscious on how much effort the woman has during pregnancies and then taking contraceptive pills,” says Dr. Alejandro Miranda-Sousa, urologist on Lee Memorial Health System’s medical staff.

The standard vasectomy is a surgical procedure, which slices into the scrotum and cuts the tube, which carries sperm.

“It’s a very simple, very routine procedure. We use the scalpel, cut the skin and get access to this little tube about the size of an ink cartridge,” says Dr. Miranda-Sousa.

Some men who’ve considered a vasectomy aren’t anxious to go under the knife. There’s a procedure for them too. It delivers the same result with no cutting.

“What we do nowadays, we call a non-scalpel vasectomy. We do a little puncture and we have a special instrument that is kind of a ring forceps, so we grab the vasa deferentia– that’s the name of the tube – we deliver it through a tiny puncture opening. We divide it, we cauterize it to make sure it’s a permanent and effective procedure,” says Dr. Miranda-Sousa.

It’s performed in-office, under local anesthesia. Since there’s no cutting there’s no need for stitches.

“It makes the procedure much more simple. Much, much less risk of bleeding or side effects,” says Dr. Miranda-Sousa.

Soreness goes away in a matter of days not weeks. While the procedure may be complete, a man is not considered sterile for a few months, when his sperm count reaches zero.