The Gentle Touch Vasectomy
The No-Needle, No-Scalpel Vasectomy is also known as a Gentle Touch Vasectomy. It is a simple, safe, and effective form of permanent birth control for men. It is a gentle, office-based procedure that takes 10-20 minutes to complete.
A vasectomy works by blocking the tubes (vas deferens) that carry sperm from the testicles. This prevents sperm from entering the semen.
With the Gentle Touch Vasectomy technique, the skin and underlying tissue are anesthetized with a spray applicator. A single, small puncture is made in the scrotum under the penis. Through this tiny skin opening, we access the vas tubes. The vas is then divided, and the abdominal end is sealed off with a heat cautery. We use a small titanium clip or silk tie to bury the abdominal end of the vas in the surrounding fascia. This is known as fascial interposition. The testicular end is left open allowing the sperm to leak out and be recycled.
At the end of the procedure, the vas falls into its anatomical position. No sutures are required to close the skin.
You can go home directly after the procedure.
We offer an inhalation anesthetic that gives mild sedation and excellent pain control. This short-acting agent is very effective and is a good option for men who are anxious about the procedure.
Please bring a driver if you plan to make use of the sedation.
Vasectomy is permanent
Vasectomy is for life. After a vasectomy, a man will no longer be able to get a woman pregnant. If a man is unsure about not wanting more children some day or doesn’t know, vasectomy might not be a good choice for him. A surgical procedure does exist to reverse vasectomy; but this operation, “vasectomy reversal,” is expensive and does not always work. On average, only half of couples that try having children after reversal do have a child. We do not do reversals. For information about this, we can refer you to a urologist who does reversals.
Vasectomy is a very safe, low-risk procedure, but with any surgery, some complications can occur. Mild bruising is the most common reaction. We recommend wearing tight underpants or a jock strap for the first week after the vasectomy to decrease your chances of bleeding or swelling.
Other rare complications include; infection (very rare and can be treated with antibiotics), a painful bump on the vas (sperm granuloma), and bleeding into the scrotum causing a collection of blood (scrotal hematoma). Several weeks after the procedure some men experience pain in the testicles that usually only lasts a few days (about 5%). This resolved with oral anti-inflammatory medications, like Advil or Motrin. Chronic pain is very rare (about 0.1-1%).
Although unlikely, the continuing ability to get someone pregnant is also a risk of vasectomy.
• Not 100% reversible.
• Must use other forms of birth control until sperm-free.
• Does not prevent transmission of sexually transmitted infections (STI's).
• No (noticeable) change in the semen
• No change in sex drive or climax sensation
• No change in the testes
• No change in erections
• No need to use other methods of birth control
• You will be her hero!!!
Alberta health covers the basic vasectomy costs. We prefer to use the Gentle Touch Vasectomy technique that requires specialized equipment to deliver the local anesthesia. Combining the No-Needle technique with the No-Scalpel technique makes the procedure virtually pain-free. This combined technique also has the lowest complication rate.
Basic vasectomy with traditional needle anesthesia covered by Alberta Health: No charge
Gentle Touch Vasectomy with all the supplies you need for aftercare: $100
Gentle Touch Vasectomy with sedation and all the supplies you need for aftercare: $200
Frequently Asked Questions:
What is the difference between the No-Scalpel and the Classic vasectomy?
How well does it work?
Does vasectomy change your sex drive?
Will I be able to notice any change in my semen?
What happens to the sperm after a vasectomy?
What is the recovery like?
Why do I have to wait 3 months to get my semen checked?
How does the no-needle anaesthesia work?
How does the sedation work?
Special Message for Young Men with Fewer than Two Children
If you are less than 30 years old and you have had fewer than 2 children, please consider the following points before having a vasectomy:
- You may regret it. Men who have vasectomies when they are in their 20's, especially if they have had fewer than two children, may be the ones most likely to seek vasectomy reversal at a later date, often regretting their vasectomy decisions if their reversals are not successful.
- You may change. Many men who think they will never want children when they are in their early 20's are delighted with fatherhood when they are in their 30's. You may be totally convinced now that you will never want children, but people change, and you may have a much different outlook 10 years from now.
- Women change. Similarly, women who have no desire for children when they are in their early 20's may have a much stronger desire when they are in their 30's and when many of their friends are having children of their own.
- Relationships end. You may not be with the same partner ten years from now, and a new partner may have a much stronger desire for children than your present partner does.
- Considered a vasectomy as permanent and non-reversible procedure
- Consider sperm storage