Surgical Experience of No-scalpel Vasectomy: An Underutilized Procedure

Introduction: No-Scalpel Vasectomy is a safe and effective technique of male fertility control. It is a minor procedure with minimal side effects and thus increases the patient acceptance, who have a vital role in decision making for family planning. Aims: to present our experience and results in patients undergoing no-scalpel vasectomy, their motivating factors, the failure rate of vasectomy, complications and its effect on sexual desire and performance. Material and Method : A total of 204 patients undergoing a no-scalpel vasectomy between march 2015 and august 2019 were included. Details about their motivational factors, socio-demographic profile were noted and post vasectomy complications were recorded and assesed. Results : No immediate or delayed complications of haematoma, wound infection, scrotal sinus, vasectomy failure, sperm granuloma and chronic scrotal pain was observed. Only one patient presented with pain and stitch granuloma which was excised later. None of our patients presented with any psychological and sexual problems in the follow-up. Conclusions : Men are often reluctant to consider vasectomy because of inaccurate information and myths. No-Scalpel Vasectomy is a safe procedure, but adequate motivation and education about the procedure is a must with follow up and sperm count at 3 months.