Vasectomy Without Cuts

Vasectomy is the fourth most used form of contraception in the United States, after condoms, the female pill and tubal ligation. When compared to the latter, vasectomy is just as effective, but simpler, faster, safer and cheaper. It takes less time off work and is performed under local anesthesia. Post-operative complications are less serious and rarer than with tubal ligation¹.

Currently, the recommended technique (used by Dr. Alexandre Miranda) is the non-scalpel vasectomy, as it has the following characteristics less chance of bleeding, pain during surgery, scrotal pain, infection and bruisingcompared to the traditional technique (with two small cuts). In addition, there is a faster recovery for returning to daily and sexual activities².

Sharlip ID, Belker AM, Honig S, et al. Vasectomy: AUA guideline. The Journal of urology. 2012;188:2482-2491.
Cook LA, Pun A, Gallo MF, Lopez LM, Van Vliet HA. Scalpel versus no-scalpel incision for vasectomy. The Cochrane database of systematic reviews. 2014;3:CD004112.

In the technique used by Dr. Alexandre Miranda the vas deferens (the tubes that connect the testicles to the urethra and through which the sperm pass) are accessed through the scrotum in one place, without any cuts. No stitches are required at the end of the procedure.

Advantages

Less pain

10x fewer complications

No points required

Faster recovery

Frequently Asked Questions

How will the vasectomy affect me?

Vasectomy is not castration. It just stops the flow of the tube that carries the sperm from the testicles to where it is mixed with your semen. Your penis and testicles will not be affected. All sexual and hormonal functions will continue unchanged, as will your voice, body hair and sexual interest. Studies show that patients who have had a vasectomy have more sex than those who haven't (1).

Cook LA, Pun A, Gallo MF, Lopez LM, Van Vliet HA. Scalpel versus no-scalpel incision for vasectomy. The Cochrane database of systematic reviews. 2014;3:CD004112.

Can I stop other contraceptive methods after the vasectomy?

No! Sperm can remain alive in the vas deferens, just above where it was cut and attached.

Is vasectomy a painful procedure?

No. You may feel some discomfort the moment the anesthetic is applied. Once it has taken effect, no pain is felt. During the procedure, some men may feel slight "tugging" due to the manipulation of the vas deferens. After the procedure you may be a little sore for a few days. Usually 2 to 3 days is the rest time needed to return to normal activities; only sexual activity should be resumed after 7 days.

Does vasectomy have any long-term risks?

Several studies have analyzed the long-term risks of vasectomy and none of them have shown any risks. Men who underwent vasectomy were NOT more likely to develop cancer, heart disease, sexual dysfunction (impotence) or any other health problems.

Can vasectomy be reversed?

In many cases, yes. However, it is a microsurgery with a result that is not guaranteed. Vasectomy should therefore be considered an irreversible sterilization procedure. If you're thinking of having it reversed now, it may not be the right time. Think about it a little more.

Safe and effective birth control

Vasectomy is one of the safest and most effective definitive methods of birth control. It is safer and more effective than ligation performed by women.

The no-cut vasectomy technique is different from the traditional one: it doesn't require the use of a scalpel. The surgeon uses specific instruments to make a small hole through which the vas deferens (the tubes through which sperm pass) are cut, ligated and cauterized. The hole is so small that no stitches are needed to close it.

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