As the name suggests a sharp scalpel is not
used to cut the skin, but a small
opening is required in either process.
• To perform NSV a tiny puncture in the skin is needed. This puncture is
made over a small patch of anaesthetised / numbed skin. An injection of local
anaesthetic is given very superficially which is almost painfree. Further injections
of anaesthetic are given deeper in the scrotum around each vas (the tubes carrying
sperms). This injection may be slightly uncomfortable but it only last for
no more than few seconds. After local anaesthetic the whole procedure is entirely
but the sensation of touch and pulling or tugging still persists.
• Surgeon then locates the vas under the skin of scrotum by hand which
is then held by a surgical clip. This allows separation of the vas without
to other tissues in the scrotum.
• Small pointed forceps then perforates the skin and sheath of Vas, thus
exposing the Vas which enables operator to promptly lift the vas out. This
perforation may also be made by using an electric cautery, called Hyfrecater
(at our clinic
this is preferred currently).
• The exposed portion of vas is then cauterised and lumen of Vas is split
using an electric (Hyfrecater) or Radio Cautery.
• Cauterised and split Vas is then cut, again by using Hyfrecater to separate
the two ends, thus minimising the chances of re-joining/ failure. In most cases
is no need to tie the ends of divided Vas with suture.
• Cut ends of vas are returned to scrotum and similar steps are then repeated
other side Vas.
• Antiseptic spray which also seals the skin wound is sprayed (This stings
momentarily). A small plaster size dressing is applied. External skin opening
does not require any sutures in majority of cases but surgeon may elect to
do so if there is any
bleeding from the superficial layers.
Benefits of NSV:
• Less trauma to other scotal tissues and much less complications
• Fast recovery period and early return to work
• During the whole operation testicles are not interfered with at all.
Post Operative complications and their
Complications resulting from vasectomy are not frequent and are mostly treated
very easily if these do occur. Following complication may occur:-
Swelling and Bruising
Following are important possible post-operative complications, which are fortunately
very rare. There may be other general complications, still rarer which are
explained in ‘Frequently Asked Questions’ section.
• Some superficial bleeding after the operation is common over scrotal
and penis area but this resolves very quickly spontaneously. In rare cases
there may be some internal bleeding or oozing causing large swelling of the scrotum
Called Haematoma. Again this usually settles itself although the healing process
may delay somewhat. Very rarely the haematoma may need evacuation. Surgeon
usually observe this at the post operative check appointment; otherwise patient
report it if this appears at a later stage
• All surgical wounds can get infected if not kept clean. Vasectomy wound
infected too. This is easy to treat mostly with Antibiotics.
• Failure of the operation may occur very rarely, by natural re-joining
of the Vasa (tubes) This may occur soon after the operation or in even rarer
cases this may happen late, several months or weeks after the operation. It
is therefore very important to have post-operative sperm count after about 3
of operation, while other contraception must continue until advised by the
Surgeon. Unfortunately if late re-joining takes place after negative sperm count,
can only be detected
accidentally when pregnancy has taken place.
• Post-operative pain is usually easily treated by simple analgesia, but
rarely there may be chronic testicular pain lasting many weeks or months after
Post Operative Care:
• Go directly home and rest, elevating your feet.
Walk only minimally and stay off your feet for first 24 hours. This reduces
chances of swelling.
• Any discomfort is usually mild and simple pain relievers such as ‘Neurofen
plus’ should be used if necessary. Take two tablets after reaching home
after the operation to control the pain after the local anesthetic wears off.and
after that every 4-6 hourly only if needed.
• Apply an ice pack to the scrotum periodically during the first 24 hours
the procedure to ease swelling if necessary.
• Wear triangular / tight underwear instead of boxer’s shorts to
help apply pressure against the procedure area and for support of the scrotum
for the first
week or two.
• You should collect your semen (usually at home) and take it to hospital
lab within 2 hours to be examined under a microscope, at approximately 4 months
i.e. 16 weeks after the surgery. You will then be informed of the result
by telephone, If you call us about a week later, and also in writing; which is
method. If there are no sperms in the sample as confirmed by the test report
you may stop other contraception. Sometimes it is necessary to repeat the test
to ensure that there are no sperms shown in the sample. Some people may continue
passing sperms for upto 7 months but that is rare. Continue
no motile or non-motile sperms are seen
in the sample and your Surgeon advises you to stop it.
• Contact your doctor if you experience fever and chills, increasing pain,
drainage (sign of infection), a growing mass (sign of internal bleeding or
infection), or other concerns.
at Our Clinic
is a simple, effective and safe minor surgical method of male sterilisation.
It is carried out under a minor surgery clinic at the practice. This
is now one of very widely acceptable means of contraception in the
UK and worldwide in couples who have decided that their family is
complete. Decisions to have vasectomy must be made very carefully
because it is intended to be a permanent method.Although reversal
may be possible under exceptional circumstances but the success rate
of this is very poor.
NSV and why it is preferred?
There are more than one ways to perform vasectomy. At our clinic, we operate
by ‘No Scalpel Vasectomy’ (NSV) technique. In the recent years
not only in the UK but all over the world this has been a preferred method
of performing vasectomy by surgeons. Over the past several years we have
used both techniques, i.e. conventional method and NSV, and we found that
benefits of NSV are much clearer compared with the conventional method.
Dr. Sajiv K. Gupta
The Waverley Practice
37 Waverley Crescent
For Appointment contact
Dr SK Gupta:
Click here for
Tel. 020-8319 7614
Fax 020-8316 6353
for location Map