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Vasectomy - Overview

Alternative Names

Sterilization surgery – male; No-scalpel vasectomy; NSV

Definition of Vasectomy:

A vasectomy is surgery to cut the vas deferens, the tubes that carry a manâ ' s sperm from his scrotum to his urethra. The urethra is the tube that carries sperm and urine out of the penis. After a vasectomy, sperm cannot move out of the testes. A man who has had a successful vasectomy cannot make a woman pregnant.

Description:

Vasectomy is usually done in the surgeon's office using local anesthesia. You will be awake but not feel any pain.

  • After your scrotum is shaved and cleaned, your surgeon will give you a shot of the anesthesia into this area to numb it.
  • Your surgeon will then make a small incision (cut) in the upper part of your scrotum, and tie off and cut apart the vas deferens. Your surgeon will use stitches or a skin glue to close your incision.

You may have a vasectomy without an incision. This is called a no-scalpel vasectomy (NSV).

  • Your surgeon will find the vas deferens by feeling your scrotum and then give you a shot of the anesthesia into this area to numb it
  • Your surgeon will then make a tiny hole in the skin of your scrotum and seal off the vas deferens. The surgeon will either by pull your vas deferens through the tiny hole or insert a clip into the hole to seal it. You will not need stitches.
  • Reviewed last on: 2/7/2009
  • Louis S. Liou, MD, PhD, Assistant Professor of Urology, Department of Surgery, Boston University School of Medicine. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

References

Cook LA, Pun A, van Vliet H, Gallo MF, Lopez LM. Scalpel versus no-scalpel incision for vasectomy. Cochrane Database Syst Rev. 2007 Apr 18;(2):CD004112.

Dassow P, Bennett JM. Vasectomy: an update. Am Fam Physician. 2006 Dec 15;74(12):2069-74.

Peterson HB. Sterilization. Obstet Gynecol. 2008 Jan;111(1):189-203.

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