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His Choice Vasectomy: No Scalpel Opening

The opening in the skin is not made with a scalpel. The opening is made with a no-scalpel skin dissector.

How can a vasectomy be done without a scalpel?

The scrotal skin opening is easily accomplished using a no-scalpel dissector which was specially designed to spread a small opening in the skin. The instrument is ‘pointy’ like the tip of an arrow. The pointed tip can be used to make a small opening by using a skin spreading approach rather than a skin cutting approach. Often this opening is much smaller than would result if a scalpel was used to make an incision. Before starting the vasectomy and after no-needle anesthesia has been administered a ‘test-pinch’ is administered with the no-scalpel dissector to ensure complete anesthesia. Once complete anesthesia has been insured one side of the no-scalpel dissector is inserted into the scrotal skin. This puncture is only superficial and will make a small opening through the skin layer only.   Then both tips are inserted into the opening and the tips are opened. This will cause the skin to spread open so the vas deferens can be identified, isolated, and divided. The no-scalpel dissector was specially designed for no-scalpel vasectomy. This is what makes it a no-scalpel technique.

Isolating the vas deferens

After the scrotal opening has been created the next step will be to isolate and deliver the vas deferens through the opening so the vas deferens can be divided.

The vas deferens is manipulated underneath the scrotal skin opening using the 3-finger technique. The vas deferens and its surrounding fascial (connective tissue) covering are identified and grasped with a no-scalpel ring forceps. The no-scalpel ring forceps was specialized designed for no-scalpel vasectomy. When used properly the no-scalpel ring forceps will secure the vas deferens immediately underneath the scrotal skin. The blood vessels are excluded from the grasp of the dissector when the no-scalpel ring forceps are used correctly.

Next Series: Finding and Dividing Vas Deferens

What Our Patients Are Saying

"Dr. Monteith prepared me mentally for the pre, during and post procedure journey. He also provided me with all the tools necessary for a comfortable recovery. I'm definitely confident in this Dr's work, and especially glad at how little pain I experienced throughout the process. It would be worth it to visit Dr. Monteith no matter what state you have to travel from, I drove from Virginia."

- J.R.

"Very comforting and knowledgeable experience not only was the staff pleasant so was the atmosphere! I drove 3 hours so i did my research. I was impressed with the information, visuals, and on hand knowledge about what the procedure was all about. I felt like an expert after i left! Not to mention the 45 min in and out time. I will be recommending this to all my colleagues thank you!"

- J.W.

"Dr Monteith, and his staff, were all very professional about my decision to have a vastectomy. They informed me of the risks, the surgery procedure, and the post-surgery care. The procedure itself was relatively painless. I would rate this as a 2/10. I highly recommend Dr Monteith; he even sent me a text message after the surgery to give me a personal update on my procedure. The procedure was quick."

- S.E.

"If you're in the market for a Vasectomy you need to give Dr. Monteith a serious look. Just compare the information on his website to the information you'll get from other options around the triangle. It's hard to get solid answers on cost, procedure and expectations up front from other offices but His Choice plays no games and has great informative well designed website. Dr. Monteith makes it easy!"

- J.P.

"Excellent care. I visited Dr. Monteith for a single visit appointment on a Friday. Very clean, comfortable office. Pleasant staff. The procedure was quick and I went back to work for a little while. The only pain I experienced was soreness beginning about 4 hours post procedure, lasting for 24 hours, then subsiding rapidly. I was fine by Monday. The office checked on me twice, no problems. I would recommend Dr. Monteith to anyone.

- M.D.

Ask Us A Question!

Your questions about our services will be answered directly and promptly by our staff or Dr. Monteith. We will not respond to general medical questions or if you are a patient of another practice and are contacting us because you are not getting answers from your physician.

If you have been a patient at our center and have specific questions about your medical care you should contact the staff directly at (919) 977-5060.

His Choice Vasectomy Raleigh
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