Procedure
Vasectomy is a form of permanent birth control for men. It is a minor procedure performed in the office under local anesthesia that blocks the vas deferens (transport tubes) which will prevent the transport of sperm. The procedure itself consists of two parts. The first is access to the vas deferens itself and the second is occlusion (blockage) of the vas deferens.
1. Access to Vas Deferens
No-scalpel vasectomy gains access to the vas deferens through a small puncture wound in the scrotal skin decreasing risk of bleeding and infection.
Conventional vasectomy is usually performed through two incisions with a scalpel in the scrotum to deliver the vas deferens. This has been thought to be associated with some increase in complications such as bleeding and infection.
2. Occlusion (blockage) of Vas Deferens Techniques
Dividing vas deferens
Cauterization of vas deferens lumen/ends
Removing segment of vas deferens
Ligation of vas deferens with suture
Ligation of vas deferens with surgical clip
Placing the vas deferens ends in different tissue planes