No Scalpel Vasectomy


Dr. Sanford has performed the No-Scalpel Vasectomy for over 15 years. This procedure has yielded a very high patient satisfaction rate. The process involves an initial consultation to discuss the procedure with the patient, physical examination and informed consent. There is a California State Mandated waiting period of 30 days which the patient, in most cases, can waive to 3 days. (The consent can be signed on Tuesday for a Friday procedure.) The procedure can be performed in the office under local anesthesia. Additional instructions are given to the patient at the time of the pre-procedure visit.




Some basic information

National Institute of Health

Vasectomy does not affect a man's ability to have an erection or orgasm, or ejaculate semen. A vasectomy does NOT prevent the spread of sexually transmitted diseases (STDs). Your sperm count gradually decreases after a vasectomy. After about 3 months, sperm are no longer present in the semen. You must continue to use birth control to prevent pregnancy until your semen sample is totally free of sperm.


FDA guide to Sterilization methods





Scalpel versus no-scalpel incision for vasectomy.

Author: Cook, et. al



Currently, the two most common surgical techniques for approaching the vas during vasectomy are the incisional method and the no-scalpel technique. Whereas the conventional incisional technique involves the use of a scalpel to make one or two incisions, the no-scalpel technique uses a sharp-pointed, forceps-like instrument to puncture the skin. The no-scalpel technique aims to reduce adverse events, especially bleeding, bruising, hematoma, infection and pain and to shorten the operating time.


The no-scalpel approach to the vas resulted in less bleeding, hematoma, infection, and pain as well as a shorter operation time than the traditional incision technique. No difference in effectiveness was found between the two approaches.


Vasectomy: the other (better) form of sterilization

Author: Shih, et al.


Male sterilization (vasectomy) is the most effective form and only long-acting form of contraception available to men in the United States. Compared to female sterilization, it is more efficacious, more cost-effective, and has lower rates of complications. Despite these advantages, in the United States, vasectomy is utilized at less than half the rate of female sterilization. In addition, vasectomy is least utilized among black and Latino populations, groups with the highest rates of female sterilization. This review provides an overview of vasectomy use and techniques, and explores reasons for the disparity in vasectomy utilization in the United States.