216:) is injected to create a wheal. The no-scalpel vasectomy uses two specific instruments designed by Dr. Li Shunqiang. One is a ringed clamp and the other is a dissecting forceps. The ringed clamp is used to isolate and encircle the vas. The dissecting forceps is used to puncture the scrotal skin, spread tissues, and pierce the vas deferens to deliver it outside the scrotum. The vas deferens is then occluded.
94:. The NSV approach offers several benefits, including lower risk for bleeding, bruising, infection, and pain. The NSV approach also has a shorter procedure time than the conventional scalpel incision technique. Both approaches to vasectomy are equally effective. Because of the inherent simplicity of the procedure it affords itself to be used in
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may still be present for 10–20 ejaculations, and some doctors may schedule a follow-up visit to confirm the success of the procedure. Additionally, there is approximately a 1 in 2,000 chance of pregnancy following a vasectomy, as some sperm may be able to cross the severed vas deferens.
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No-scalpel vasectomy has less pain, bleeding and infection than conventional vasectomy. No-scalpel vasectomy can also be done in less time and the individual is able to return to sexual activity sooner than traditional vasectomy surgery. However,
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No-scalpel vasectomy was developed and first performed in China by Dr. Li
Shunqiang with the aim of reducing men's fear related to the incision and increasing vasectomy use in China. In 1985, a team created by
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No-scalpel vasectomy was introduced in India in 1998. A team of Indian surgeons led by Dr RCM Kaza travelled to
Chengdu, China, to learn the technique under the aegis of EngenderHealth and the
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visited his centre to learn the technique. One of the team members, Dr. Phaitun
Gojaseni, introduced the no-scalpel technique in Thailand upon his return, while another member of the team, Dr.
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Sharlip, Ira D.; Belker, Arnold M.; Honig, Stanton; Labrecque, Michel; Marmar, Joel L.; Ross, Lawrence S.; Sandlow, Jay I.; Sokal, David C. (December 2012).
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The eligibility criteria for the no-scalpel vasectomy and the conventional vasectomy procedure are the same, although may vary from clinic to clinic.
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The vas deferens is isolated by three-finger technique on both sides. The ideal entry point for the needle is midway between the top of the
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123:. Over time, the technique gained popularity and it is now a preferred method of male sterilization in many countries.
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The
American Urological Association recommends occlusion by one of the following methods to achieve highest efficacy:
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and the puncture site on the scrotum. This makes the procedure pain free. Some patients may prefer to receive
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Cook, Lynley A.; Pun, Asha; Gallo, Maria F.; Lopez, Laureen M.; Van Vliet, Huib A. A. M. (30 March 2014).
90:. This is different from a conventional or incisional vasectomy where the scrotal opening is made with a
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Open ended vasectomy with one end of the vas open; the other end with cautery and fascial interposition
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Folding back or folding and tying each end of the vas deferens so they do not face one another
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then proceeded to introduce the procedure in every district of India as an alternative to
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Shattuck, Dominick; Perry, Brian; Packer, Catherine; Chin Quee, Dawn (23 December 2016).
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379:"A Review of 10 Years of Vasectomy Programming and Research in Low-Resource Settings"
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Fascial interposition or burying one end of the cut vas deferens under tissue
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496:"A Urologist Answers Questions About the No-Needle, No-Scalpel Vasectomy"
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procedure in which a specifically designed ringed clamp and dissecting
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The most commonly used methods to occlude the vas deferens include:
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programs worldwide. This method is used in over 40 countries for
165:) procedure and the patient is fit to go home the same day.
135:. They then introduced the procedure in India, under the
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No-Scalpel
Vasectomy: An Illustrated Guide for Surgeons
119:, introduced the technique to the United States at the
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322:"Scalpel versus no-scalpel incision for vasectomy"
449:. New York: Engender Health. 1997. Archived from
248:Cautery with or without fascial interposition
32:Non-scalpel vasectomy, NSV, Keyhole vasectomy
16:Vasectomy via puncture made without a scalpel
8:
326:The Cochrane Database of Systematic Reviews
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42:Urology, Family Medicine, General Surgery
272:Complications are rare and can include:
176:No-scalpel vasectomy is performed under
127:History of no-scalpel vasectomy in India
574:"Complications of No-scalpel vasectomy"
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153:is celebrated on 7 November in India.
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234:Tying with either sutures or clips
184:2 percent is infiltrated into the
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338:10.1002/14651858.CD004112.pub4
293:(long-term pain of the testes)
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137:National Rural Health Mission
121:NewYork–Presbyterian Hospital
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544:10.1016/j.juro.2012.09.080
528:"Vasectomy: AUA Guideline"
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598:Sterilization (medicine)
82:is used to puncture the
613:Contraception for males
395:10.9745/GHSP-D-16-00235
286:Surgical site infection
254:Extended electrocautery
208:. Usually, 100 mg
501:UNC School of Medicine
578:drvijayantgovinda.com
476:"World Vasectomy Day"
64:non-scalpel vasectomy
603:Male genital surgery
580:. 25 September 2016.
204:and the base of the
190:regional anaesthesia
60:No-scalpel vasectomy
24:No-scalpel vasectomy
240:of one or both ends
157:Technical procedure
151:World Vasectomy Day
141:Government of India
532:Journal of Urology
147:offered to women.
100:male sterilisation
538:(6S): 2482–2491.
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68:keyhole vasectomy
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62:(also called
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506:. Retrieved
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88:vas deferens
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460:17 November
238:Cauterising
214:epinephrine
172:Anaesthesia
29:Other names
592:Categories
298:References
180:. Usually
163:outpatient
618:Vasectomy
552:0022-5347
403:2169-575X
346:1469-493X
291:Orchalgia
212:(without
210:lidocaine
182:lidocaine
76:vasectomy
38:Specialty
560:23098786
508:22 April
421:28031302
364:24683021
282:(bruise)
280:Hematoma
276:Bleeding
80:hemostat
412:5199180
355:6464377
106:History
92:scalpel
84:scrotum
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202:testes
139:. The
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454:(PDF)
447:(PDF)
266:sperm
206:penis
196:Steps
48:[
556:PMID
548:ISSN
510:2022
462:2016
417:PMID
399:ISSN
360:PMID
342:ISSN
330:2014
540:doi
536:188
407:PMC
391:doi
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334:doi
72:NSV
70:or
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