Vasectomy
no-scalpel technique

What is a vasectomy?

A vasectomy is the most reliable method of permanent male contraception. During the procedure, the vas deferens — the two small tubes that carry sperm from the testicles to the urethra — are divided and sealed. This prevents sperm from reaching the ejaculate, while the volume, appearance, and sensation of ejaculation remain essentially unchanged.

Vasectomy is one of the safest and most effective forms of contraception available. It is a brief, office-based procedure performed under local anaesthesia. For men and couples who have completed their family planning, it offers a simple, one-time solution without the need for ongoing hormonal methods or repeated interventions.

The no-scalpel technique

The no-scalpel vasectomy (NSV) is a refined, minimally invasive approach. Instead of a conventional incision, a small puncture is made in the scrotal skin to access each vas deferens. This results in less tissue trauma, less bleeding, and a faster recovery compared to the traditional technique.

The procedure is performed in the practice under local anaesthesia and typically takes around 15 to 20 minutes. Most men describe only mild discomfort during the injection of the local anaesthetic. No stitches are required — the small puncture site heals on its own.

Recovery is usually fast and takes one to three days. In case of mild pain or swelling, a standard anti-inflammatory painkiller (NSAID such as ibuprofen) is usually sufficient. Most men return to desk work the following day and resume physical activity within a week.

What you should know

01.
A permanent decision

A vasectomy should be considered permanent. Reversal surgery exists but is not always successful, is not offered at this practice, and is not covered by insurance. Before proceeding, I recommend that you are certain you do not wish to have more children in the future. Please discuss this decision with your partner and consider any potential changes in your relationship or life circumstances.

02.
Follow-up semen analysis

You are not immediately sterile after the procedure. Sperm can remain in the downstream part of the vas deferens for several weeks. A follow-up visit with a semen analysis (Spermiogramm) is recommended at three months to confirm that no sperm are present. Until the result confirms sterility, alternative contraception must be used.

03.
Safety and effectiveness

Vasectomy has a success rate exceeding 99% and is one of the safest surgical procedures in urology. Serious complications are rare. The procedure does not affect testosterone levels, libido, or sexual function. Ejaculation occurs normally — only the sperm content is eliminated.