No-Scalpel Vasectomy in NYC

Over 30 Years of Expertise Helping Men with Birth Control

A typical vasectomy is performed right in our urology office and in less than 25 minutes. The procedure requires that two small incisions be made on the patient’s scrotum in order to access the vas deferens. Dr. Hillel Marans utilizes an even less invasive procedure that is often referred to as a no-scalpel vasectomy or a keyhole vasectomy.

How Does It Work?

Dr. Hillel Marans uses the technique advocated by the American Urological Association guidelines to block the vas deferens. Rather than making a sizable incision on the scrotum, the no-scalpel vasectomy is performed entirely through a puncture made in the scrotal sac. This hole is so small that stitches are rarely ever required after the procedure is complete. Topical anesthetic is applied to ensure that no pain is felt during the vasectomy.

The process is much the same as a standard vasectomy with the ultimate goal being to prevent the patient from having children in the future. To achieve sterilization, the vas deferens must be severed. These two tubes are responsible for transporting a man’s sperm to his semen, which is stored in the testes. By cutting the vas deferens, it becomes impossible for this sperm to travel outside of the body and potentially fertilize a woman’s eggs.

During a keyhole vasectomy, each of these tubes are gently manipulated until they protrude through the puncture site. Once Dr. Marans has a clear visual of the area, the vas deferens are cut and blocked permanently.

Vasectomy FAQ

What are the Benefits of a No-Scalpel Vasectomy?

Any type of vasectomy presents a number of advantages to each potential patient. NYC Men who are looking to avoid future children in a way that is safe, effective, and affordable are often considered primary candidates for this kind of procedure.

Aside from the regular benefits of a vasectomy, the no-scalpel procedure also allows for:

• Shorter recovery time
• Reduced risk of complications such as infection or bleeding
• The ability to resume sexual activities much sooner
• No scarring
• The ability to perform the procedure from one of our convenient urology clinic locations

How Can You Prepare for Your Vasectomy?

Dr. Marans typically requires men near Manhattan to do 4 things before vasectomy.  Here’s how you can prepare:

• Shave and wash the scrotum (to prevent infection and to allow easier access)
• Bring a pair of tight-fitting underwear or athletic supporter (to support the scrotum and minimize swelling)
• Arrange for a ride home (to minimize exertion and movement that exacerbates swelling)
• Avoid anti-inflammatory drugs, such as ibuprofen and aspirin, before surgery (they thin the blood and can cause excessive bleeding)

What to Expect After Your Vasectomy?

Patients should expect a mild amount of discomfort following their no-scalpel vasectomy. This pain should begin to gradually decrease almost immediately, though a majority of our patients report feeling little to no pain at all. If no narcotic pain medication or sedatives are taken prior to the NYC no scalpel vasectomy procedure, the patient can even drive home. If minor procedures have not been a problem in the past you most likely will be able to drive

We recommend that patients rest for at least one or two days post-procedure. Shortly after this period you should be able to return to regular activities. If you are unsure about whether or not it is safe to engage in any routine task, please consult with Dr. Marans.

Will a Vasectomy Affect my Sex Life?

There is no change. The erection and orgasm are the same, the amount of fluid and consistency of ejaculate are not different.

Can a Man Have Unprotected Sex After a Vasectomy?

Normally, Dr. Marans will have you wait a few months and ejaculate 25-30 times during that time period. A test is done as a follow-up to confirm the absence of sperm.