RESUMO
No scalpel vasectomy (NSV) is a new and refined technique with advantages over the conventional incisional technique. It requires no incision, no stitches; it is faster to perform and with less complications, and is equally effective. We present our experience in 100 patients submitted to NSV. The technique is described herein, as well as the anesthetic procedure and the instruments required for NSV.
PIP: The procedure for no-scalpel vasectomy is explained and diagrammed, and the results of a series of 100 operations performed in Barcelona are presented. No-scalpel vasectomy was developed in 1974 in Sichuan, China. The technique gained international attention after a 1985 visit by a group of international experts to Sichuan, and it is now being introduced into Europe. The technique requires two specially designed types of scissors, which are pictured and described. The remaining tools are all commonly employed in minor urologic surgery. The nerve structure of the scrotum and deferens are explained and the necessary anesthesia for each is described. The procedure for fixing and exteriorizing the deferent is then described. Any of the commonly used occlusive techniques may be used. A telephone survey about immediate postoperative problems and the activities undertaken in the first three days after vasectomy was conducted among 100 men who underwent no-scalpel vasectomy in Barcelona. No hematomas or infections were reported. The time required for no-scalpel vasectomy in the most recent 100 operations ranged from five to twelve minutes and averaged eight minutes. No-scalpel vasectomy involves new techniques and new surgical methods, and thus requires training. But its greater speed, simplicity, and freedom from side effects constitute advantages over traditional incisional techniques.
