No Scalpel Vasectomy

No Scalpel Vasectomy is a sterilization procedure for the Male who wants to complete his family. The advantages of this procedure are that it is essentially painless and done without the help of any incision. After this procedure, the tube transporting the sperms from the testis to the urethra or the urinary passage is blocked and cut so that the ejaculate does not bear the sperms anymore. No Scalpel Vasectomy is a form of permanent Sterilization and even though it can be reversed successfully by microsurgery (90% Success rates), the carry home baby rate or the rate of pregnancy is only 60%-70%. Hence I do not recommend that NSV be portrayed as a reversible procedure for sterilization in the male.  Here are some things that you may be interested in knowing about No Scalpel Vasectomy:

What does NSV Stand for ?

NSV stands for No Scalpel Vasectomy. NSV is significantly different from the conventional vasectomy in that there is no incision given to expose the vas or the tube carrying sperms from the testis to the urinary passage. The entire surgery is done through a small puncture made in the scrotum. The advantages that NSV offers over conventional vasectomy include:

  • Small puncture with minimal pain
  • Minimal trauma and bleeding
  • Minimal Post operative pain
  • Early ambulation and recovery
  • Half hour post-operative stay in the hospital
  • Ability to drive back home by car
  • Resumption of light work from the same day itself
  • No sutures placed hence no suture removal is needed
  • Only need to follow up once after 3 months

What are the advantages of getting NSV done here ?

  • Unique standard of care for Vasectomy
  • Highly trained and acclaimed surgeon with trained staff
  • Experience of hundreds of Vasectomies
  • NSV done in a modular operation theater with Laminar Air flow to minimize infections
  • No Needle No Scalpel Vasectomy is performed which is the latest in Vasectomy
  • In Line Vasectomy / Fascial Interpositioning are part of our technique
  • Facility for recanalization available in same facility with excellent results
  • Options for Cryo-preservation of sperm through our partner concerns

What are the steps for a NSV procedure ?

Once you visit the center for men’s health, the various available options for contraception will be put in front of you. Once you are convinced that NSV is the best option for you, we will request you to fill in the consent form along with other important details.

What are the pre-requisites for NSV ?

NSV is by all means a form of permanent sterilization. Hence, it must be certain that the individual opting for this procedure should meet the following criteria:

  • Above 18 years of age
  • Married with a completed family
  • Opting after consent of wife
  • Absence of any local infections
  • No prior sterilization
  • Willing to accept the risks and associated complications
  • Has normal investigations
  • Normal mental status

What are the investigations required prior to this procedure ?

Hemoglobin and urine routine examination may be required prior to the procedure. If there is history of bleeding disorders then one may require assessment of Bleeding Time and Clotting Time.

What are the post operative instructions given to the patients ?

Post-Operative Instructions include:

  1. Medication as Prescribed
    1. Tab. Zifi 200mg BD (1-0-1) X 5 days
    2. Tab. Hifenac SR 1 tab BD (1-0-1) X 5 days
    3. Tab. Rabium DSR 1 tab before Breakfast X 5 days
  2. Scrotal Support for 48 Hours
  3. You can drive back home by car on your own
  4. Rest on day of surgery
  5. Resume complete work after 48 hours
  6. Cycling resumed only after 1 week
  7. Keep operated area clean, dry and undisturbed
  8. Remove Bandage on the 3rd day
  9. Continue Normal Diet
  10. Use additional contraception for 3 months or 20 ejaculations (whichever earlier)
  11. You should be accompanied by someone who can serve as a witness

When does one need to return to Clinic after NSV ?

• After 3 months with semen Analysis
• In emergency, as and when required – Fever | Discharge | Swelling | Bleeding

What are the complications of NSV ?

No Scalpel Vasectomy is not a procedure that is free of complications. However when compared to tubal ligation for females this procedure has minimal complications which include:

  • Pain – managed with short term pain killers
  • Bleeding –  Managed by evacuation of hematoma under local anesthesia
  • Infection – Managed with antibiotics and occasionally incision and drainage under local anesthesia
  • Sperm Granuloma Formation
  • Fever – Managed with antibiotics and occasionally incision and drainage under local anesthesia
  • Chronic Scrotal Pain / Discomfort  – managed with long term pain killers / Surgery

Only if the patient understands the complications and is willing to accept them is the procedure carried out. Despite the risks, the good part is that most of these complications are manageable and have a cure.

Top Reasons why men should undergo NSV ?

  • It is a relatively complication free form of permanent sterilization
  • You take responsibility for planning the family rather than leaving the responsibility to your wife
  • There is no fear of future pregnancy
  • You contribute to the control of world population and future of the world
  • It increases you sexual appetite without any bad effects on sexual function

If you are convinced that NSV is what you need to live a health married life, we suggest that you volunteer for this life changing procedure. Be a man and book your surgery from one of the many facilities where Dr. Raman Tanwar operates.