Different Types of Vasectomy
There are three main different types of vasectomy:
- conventional vasectomy
- no-scalpel vasectomy
- minimally invasive vasectomy
Although all three types of vasectomy procedures cause permanent blockage of the vas deferentia there are minor variations in the techniques used to perform each type of vasectomy.
Some vasectomy procedures have been associated with higher rates of complication.
Conventional vasectomy is performed using a scalpel to make incisions in the scrotum. One incision in the middle of the scrotum or two incisions (one on each side) can be used. The incisions are usually 1.5-3.0 cm long and no specially designed vasectomy instruments are used.
Since the incisions are larger they often have to be closed with sutures. Complication rates are higher with conventional vasectomy procedures.
No-scalpel vasectomy (NSV) is a minimally invasive vasectomy that uses specially designed instruments to make smaller sized openings in the scrotal skin.
The NSV incision is usually less than 10mm and no skin sutures are required to close these smaller incisions. Two special instruments (vas ring clamp and vas dissector) are essential to NSV.
Technically, No-scalpel vasectomy only refers to how an opening is made in the scrotal skin.
A doctor can make 1 or 2 skin openings and can perform any of a variety of procedures to close or remove segments of the vas deferens and it be considered a No-scalpel vasectomy.
Minimally invasive vasectomy
Minimally invasive vasectomy uses the same instruments as No-scalpel vasectomy.
A minimally invasive vasectomy procedure is least invasive procedure: no scalpel, one skin opening, and no segments of the vas deferens are removed.
Which vasectomy technique is better?
Conventional vasectomy has shown to have higher complications than either no-scalpel or minimally invasive vasectomy.
For more information on conventional vs no-scalpel vasectomy risk.
Conventional vasectomy: Your grandfather’s vasectomy
Often men will recount vasectomy horror stories which were kindly shared with them by their fathers and grandfathers when they had their vasectomy procedures. Although any vasectomy can have a complication, many of these horror stories were the result of complications from conventional vasectomy.
No-scalpel vasectomy was developed in China in the 1970’s and was brought to the United States in the 1980’s. Initially slow to be accepted, no-scalpel vasectomy has become increasingly popular because of the lower risk of vasectomy related complications. Despite this there are some providers who continue to provide conventional vasectomy.
If your only option is conventional vasectomy then you should go for it. Although recovery may be longer most men wont have a complication with conventional incisional vasectomy; however, if you have an option to have a no-scalpel vasectomy, my personal advice...
If you call a vasectomy provider's office and either the staff cannot inform you which type of vasectomy procedure the doctor performs...or if the doctor only performs conventional vasectomy.....then I suggest you..
Run Forrest Run...!!!
Dr. Monteith performs minimally invasive vasectomy.
More specifically, Dr. Monteith performs His Choice Vasectomy.... a No-needle anesthesia technique performed through a single central No-scalpel scrotal skin opening.
After dividing each vas deferens, coagulation is performed to the prostatic (upper) end of the vas and the testicular (lower) end of the vas deferens is allowed to remain open. This is considered an open-ended technique. The two divided ends are then separated by fascial interposition.
This vasectomy procedure (division of the vas deferens + coagulation of the upper portion of the divided vas deferens + fascial interposition) has one of the lowest failure rates of commonly performed vasectomy procedures. The risk of a late failure is 0.05%.