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.