No Scalpel Vasectomy in Plano, TX and McKinney, TX

What Is No Scalpel Vasectomy (NSV)?

No scalpel vasectomy is a safe and minimally invasive procedure that reduces vasectomy’s already low complication rate. Instead of 2 incisions in the scrotal skin, it is punctured and the vas is delivered with two special instruments. Over 15 million men have undergone NSV since 1974 and is becoming the standard vasectomy technique in the U.S. Watch the video below as Dr. Wierschem discusses and performs a live vasectomy on NBC for a national audience.

What’s better about the vasectomy performed by Dr. Wierschem?

With over 20 years of experience, Dr. Wierschem has performed well over 5,000 vasectomies.  He has also trained many doctors in the area on the procedure. His specialized microsurgery and vasectomy training at Cornell University in New York has provided him a unique talent for this procedure.  This and his considerable experience with other procedures of the penis and scrotum gives him an unmatched technical advantage. In addition, Dr. Wierschem will be the only other person in the room during the preparation and procedure which typically takes only 5-7 minutes.  And, enjoy music of your choice during the short procedure to help relieve any anxiety you may have.

No Scalpel Vasectomy

What are the Benefits of a No Scalpel Vasectomy?

  • Less discomfort
  • Much less complication rate
  • No sutures needed
  • Up to 50% quicker recovery

Is No Scalpel Vasectomy painful?

Since Dr. Wierschem uses a special nerve block anesthetic technique, the No Scalpel Vasectomy is an almost painless procedure. The MadaJet® device he uses delivers the lidocaine in a fine jet stream and provides a higher level of tissue anesthesia than a needle would.  You may experience mild discomfort when the local anesthesia is administered, however once it takes effect you should feel no pain. Some men feel a slight pressure or “tugging” sensation as the vasa are manipulated during the procedure.

All patients are given a prescription for pain medication following the procedure.  Likewise, medication to help with anxiety can be given prior to the procedure if indicated.

Is No Scalpel Vasectomy safe?

No scalpel vasectomy is a very low risk procedure and serious problems rarely happen, but complications are possible. Some complications include:

  • Bleeding (hematoma) and infections are the most common (although rare) complications of vasectomy. These occur in 3.1% of men undergoing a conventional vasectomy and less than 0.4% of men undergoing a No-Scalpel Vasectomy.
  • Failure of the procedure. Vasectomy is not guaranteed to be 100% effective. Even when the procedure is performed perfectly, recanalization, sperm finding their way across the blocked ends of the vas deferens, can occur. Although this is very rare (less than 0.2% of the time), it can occur months or even years later. This demonstrates the necessity of performing semen analyses some 6-8 weeks post-vasectomy to verify that the patient’s semen contains no sperm.
  • Sperm granuloma, a hard, sometimes painful lump, about the size of a pea, may form as a result of sperm leaking from the cut vas deferens. The lump is not dangerous and is almost always resolved by the body in time.
  • Congestion, a sense of fullness or pressure caused by sperm in the testes, epididymis, and lower vas deferens, may cause discomfort some 2 to 12 weeks after vasectomy. Like granuloma, congestion is not serious and usually resolves itself in time.

To reduce risk, we recommend to discontinue aspirin or non-steroidal anti-inflammatory drugs (NSAIDS) one week prior to vasectomy.

How should I prepare for a No Scalpel Vasectomy?

Dr. Wierschem will go over the specifics of how to prepare for your no scalpel vasectomy, but sure to follow these guidelines.

  • Shave the front of the scrotum prior to arrival
  • Bring a scrotal support to wear after the procedure
  • No aspirin, ibuprofen or NSAID’s 10 days prior to the procedure
  • Wash surgical area vigorously the morning of the procedure

How long does it take to recover from a no scalpel vasectomy?

After surgery you may be a little sore for a few days. Generally, two or three day’s rest is enough time for recovery before men can return to work and most normal, non-strenuous physical activity. Many men have their vasectomies on Friday so they can take it easy over the weekend and go back to work on Monday.

Sex can usually be resumed 7 days after the procedure. After a no scalpel vasectomy, there are always some active sperm left in your system. It takes about at least 25 ejaculations to clear them. You and your partner should use some other form of birth control until your doctor tests your semen and tells you it is free of sperm. We advise that you bring in a semen sample 6-8 weeks after your procedure so that the doctor can ensure that you are now sterile.  We will provide you with a specimen container and there is no cost for this and no appointment is needed. The only thing that will change is that you will not be able to make your partner pregnant. Your body will continue to produce the hormones that make you a man. You will have the same amount of semen and it won’t change your sex drive, your erections, or your climaxes.

Generally, discomfort is usually less with the no-scalpel technique, because there is less injury to the tissues. We also recommend using ice packs on the scrotum for 24 – 48 hours afterwards to minimize pain and swelling.

Are there long-term health risks?

Over 10 studies have evaluated more than 20,000 men who have had vasectomies, documenting their progress for up to 25 years after the procedure. The data indicates that men having a vasectomy are no more likely to develop cancer, heart disease or other health problems. In 1993, a panel assembled by the National Institutes of Health, the Association for Voluntary Surgical Contraception (AVSC International), and the National Cancer Institute reaffirmed the conclusion of most medical experts, that vasectomy is a safe and effective means of permanent birth control.

Can a vasectomy be reversed?

An estimated 2% to 6% of men undergoing vasectomy may request a reversal at a later date. In many cases, the cut ends of the vas deferens can be surgically reattached. However, this operation, a does not guarantee a return to fertility. Vasectomy reversal appears to be more successful if performed within 10 years of the vasectomy. Vasectomy should therefore be considered a permanent procedure.

To learn more about No Scalpel Vasectomy, contact our office.

Is the procedure covered by my insurance?

In most cases, insurance covers the procedure.  We have specialized staff that can help you learn the exact costs prior to your planned vasectomy.  We also have competitive cash pay pricing if needed.