Weill Cornell Medicine Urology
Weill Cornell Medicine Urology
No-scalpel Vasectomy

No-scalpel Vasectomy

Header Text: 

A vasectomy, no matter the technique, is a simple, effective, inexpensive, easy-to-perform method of contraception.

Body: 

Vasectomy is a simple and effective method for providing permanent contraception. Vasectomy is the surgical interruption of the two tubes (vas deferens) that carry a man's sperm from his testicles to his ejaculatory ducts, where the sperm are stored before departure from his body during orgasm. A vasectomy prevents sperm from being added to the man's ejaculation fluid (semen); therefore, he can no longer make a woman pregnant. The sperm containing fluid that is blocked by vasectomy constitutes only 2-3% of a man's semen volume, therefore, a man and his partner will not notice any changes in the amount or appearance of his semen.

Body Column 2: 

A minimally invasive technique, the No-Scalpel Vasectomy (NSV) has decreased the incidence of local complications and enhanced the popularity of vasectomy as a means of birth control. Since Dr. Marc Goldstein introduced the No-Scalpel Vasectomy into the United States in 1985, the Center for Male Reproductive Medicine and Microsurgery at Weill Cornell Medicine has played a leading role in the development of research protocols, manuals, videos, books and training programs for standardizing NSV technique. The NSV starts with a more effective technique to anesthetize the scrotum and vas using a high pressure jet injector instead of a needle. Two special instruments are used for the NSV procedure instead of using a scalpel. It is an elegant technique for delivering the vas deferens through a tiny puncture hole, which is dilated, pushing the potential blood vessels and nerves aside instead of cutting across them. Once the vas is delivered, its ends are sealed several ways to prevent failure. The puncture wound contracts and is virtually invisible at the end of the procedure. No sutures are necessary to close the puncture hole.

A vasectomy, no matter the technique, is a simple, effective, inexpensive, easy-to-perform method of contraception. Over 500,000 men in North America choose vasectomy each year. It is important for the patient to understand how the procedure is done, and all potential complications that might arise, both short-term and long-term.

Candidates for Vasectomy

Summary: 

Vasectomy should be considered permanent. Men considering vasectomy should be certain that they do not want to father a child under any circumstances. It is important to talk to one's partner; to make the decision together.

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No-scalpel Vasectomy - Symptoms & Evaluation

Summary: 

A medical history and physical examination should be performed. The patient should be questioned regarding medications, drug allergies, and any history of bleeding disorders.

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No-scalpel Vasectomy - Treatment Options

Summary: 

A standard vasectomy is performed through one or two small scrotal incisions. Most vasectomies are done right in the doctor's office, or in a clinic. The ideal vasectomy results in minimal bleeding and almost no intra-operative pain.

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Physicians & Faculty

Dr. Peter N. Schlegel, MD, FACS | Cornell Urology

Peter N. Schlegel

M.D., F.A.C.S.

212.746.5491
212.746.5491
Aetna-Weill Cornell POS, Medicaid, Medicare, Rockefeller University-CoreSource
The LeFrak Center for Robotic Surgery
Dr. Marc Goldstein, M.D., F.A.C.S. | Weill Cornell Medicine

Marc Goldstein

M.D., F.A.C.S.

212.746.5470
212.746.5470
Aetna-Weill Cornell POS, Medicaid, Medicare, Rockefeller University-CoreSource
Brady Urologic Health Center
Dr.  Darius Paduch, M.D., Ph.D.

Darius A. Paduch

M.D., Ph.D.

212.746.5309
212.746.5309
AETNA-HMO, AETNA-PPO, Aetna-Weill Cornell POS, EBCBS PPO/EPO, Medicaid, Rockefeller University-CoreSource
The LeFrak Center for Robotic Surgery
Dr. James A. Kashanian, M.D.

James A. Kashanian

M.D.

212-746-5309
212-746-5309
AETNA [Medicare], AETNA-HMO, AETNA-PPO, Aetna-Weill Cornell POS, Affinity Access, Affinity Essential, Affinity Health Plan, Blue Priority Network, CIGNA, EBCBS HMO, EBCBS Mediblue, EBCBS Pathway X, EBCBS Pathway X Enhanced, EBCBS PPO/EPO, Emblem Select Care, Empire BCBS HealthPlus, Empire BCBS HealthPlus (CHP), Fidelis Care, GHI, Health First, Health Insurance Plan of NY (HIP), Health Insurance Plan of NY (HIP) [Medicaid], Health Insurance Plan of NY (HIP) [Medicare], Medicaid, Medicare, Oxford Freedom, Oxford Health Plans [Liberty], Oxford Health Plans [Medicare], Oxford Health Plans [Metro/Core/Charter], Rockefeller University-CoreSource, UHC Community Plan - Essential Plan, UHC Community Plan - Medicaid Plan, UHC Compass, UHC Compass-HMO, UHC Medicare, United Empire Plan, United Healthcare Commercial, VNSNY CHOICE Medicare, VNSNY CHOICE SelectHealth
The LeFrak Center for Robotic Surgery

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