The No-Scalpel Vasectomy Technique at Our Winnipeg Clinic

Dr. Jay offers No-Scalpel, No-Needle Vasectomy in-office at the Buenafe Clinic location.

No-scalpel vasectomies at our clinic provide a safe and virtually painless alternative to conventional vasectomy using a scalpel. Studies show that no-scalpel vasectomies have a complication rate eight times lower than conventional approaches and involve less discomfort – especially when coupled with no-needle freezing, as we offer.

Buenafe Clinic is a leader in the introduction of the no scalpel and no needle vasectomy surgical procedure in Manitoba. Our clinic team has world-class training and support, and we are proud to operate at the highest standard of surgical excellence.

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What is Different About a No-Scalpel Vasectomy?

No-scalpel vasectomy is different from a conventional vasectomy in the way that Doctor Buenafe gets to the tubes, not in the way he blocks them. In addition, an improved method of local anesthesia, the no-needle method, helps make the procedure virtually painless.

In a conventional vasectomy, after the scrotum has been numbed with a local anesthetic, the doctor makes two cuts in the skin and lifts out each tube in turn, cutting and blocking them. Then the doctor stitches the cuts closed.

In a no-scalpel vasectomy the doctor locates the tubes under the skin and holds them in place with a small clamp. Instead of making two incisions, the doctor makes one tiny puncture with a special instrument.

The same instrument is used to gently stretch the opening so the tubes can be reached. This line accurately represents the actual size of the puncture. (I) Through this tiny opening both tubes are temporarily lifted out and then blocked using heat cauterization.

The first image below (at left) shows how the vas tubes are accessed via the small opening. The centre image gives you an idea of the actual size of the cut that will be made during your no-scalpel vasectomy. The third image is just shown so you can compare the no-scalpel technique with the cuts made for a conventional vasectomy.

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No-scalpel procedure: Pulling out one of the two vas tubes

No-scalpel procedure: No stitches are needed to close the tiny opening

Conventional vasectomy: Two moderate incisions stitched closed.

Ensuring Sterilization – Fascial Interposition

Then Dr. Buenafe carries out what many studies describe as a crucial step, called fascial interposition.

This step involves tying the sheath or covering of the vas over one end of the cut tube with a small titanium clip or a dissolving thread (same result), to create a natural barrier between the two cut ends.

Fascial interposition can be carried out using titanium metal clips which are left permanently in the scrotum, or with dissolvable thread. There are many different techniques used to block the vas, even among no scalpel vasectomy physicians.

We offer the comfort and speed of a no-scalpel vasectomy procedure with appointments available fast.

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No-Needle Anesthesia – Spray Application

Our clinic also offers a different method of anesthesia called “No-Needle Freezing”, which eliminates the need for a needle entering the scrotum. This is accomplished by using an air pressure device which is quicker and more comfortable for patients.

The No-Needle Anesthesia approach is safe and simple with increased patient satisfaction. Many patients of the Dr. Buenafe Clinic prefer the No-Needle Anesthesia approach for their vasectomy surgery due to the reduced pain during the procedure and lowered fear they feel prior to the surgery. The No-Needle Anesthesia procedure provides patients with a virtually painless way to obtain a vasectomy. At the Buenafe Clinic, you have the option to have your vasectomy done the traditional way with a small needle or using the no-needle anesthesia technique.

The animated image here shows both standard anaesthetic injection with a syringe and the no-needle option with an air injector. You can compare the two techniques and see how the air injector pushes the anaesthetic through the pores in the scrotal skin with a burst of air.

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Winnipeg Vasectomy Basics – How Does Vasectomy Prevent Pregnancy?

Sperm are made in a man’s testes. During sexual climax, the sperm travels through two tubes (the right vas and left vas) in the scrotum, mix with semen (from the prostate and seminal vesicles), and come out of the penis. In a vasectomy, these tubes are blocked so the sperm cannot reach the semen. As a result, you will ejaculate semen without sperm.

A man cannot make his partner pregnant without sperm.

Also keep in mind that the sperm makes up a minute portion of the ejaculate, approximately 1% of the volume. Therefore, you will not notice any change in the ejaculation post-vasectomy. Your sexual experience, erections, performance, ejaculations are essentially unchanged. Only change is: No more sperm, no more pregnancy!

To understand what happens during a No-Scalpel Vasectomy procedure, review this diagram to see how the male anatomy normally functions. The testicles produce sperm that travel through a pair of tubes called the Vasa Deferens. You can easily feel them through the scrotal skin, like firm spaghetti-sized tubes on either side of the penis. These tubes carry sperm from the testicles to the penis.

The vasectomy procedure simply interrupts the flow of sperm by cutting the sperm tubes and blocking their ends. Before making the decision to have your NSV, please review the preparations, procedure, and recovery to see what you can expect from start to finish.

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Dr. Jay Performs Open-Ended Vasectomy in Winnipeg

Our Manitoba vasectomy doctor performs an “Open-Ended” vasectomy technique, where the vas tube from the bottom end is left open (uncauterized), while the end of the tube leading to the penis is cauterized. As detailed above, fascial interposition is also performed to ensure the success of your vasectomy.

While studies are not conclusive, it is postulated that leaving one end open may permit sperm to leak out, resulting in less post-operative discomfort; this is because there is no sudden pressure back-up to the testicles. The leakage does not increase risk of pregnancy, as the other end of the vas is sealed. Sperm are simply reabsorbed back into the testicles in a natural process that causes no pain or pressure.

Studies also indicate that it reduces the time it takes for a vasectomy, and vasectomy reversal may also be easier to perform later, if desired. We do not recommend getting a vasectomy if you think you may eventually want a reversal. You should consider vasectomy as a permanent contraceptive method. If indeed you are thinking about a potential eventual vasectomy reversal procedures before your vasectomy surgery is performed, you should defer your decision until you can be certain of your future intentions around fatherhood.

Not all vasectomists around the world perform this open-ended technique, and some prefer to cauterize both ends. At Buenafe Clinic our doctor is able to maintain high success rates while also offering the potential benefits of an Open-Ended vasectomy.

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Possible Risks and Complications with a Vasectomy Procedure

There are no life-threatening complications associated with NSV (No-Scalpel Vasectomies). The minor complications that can arise are generally short-lived and resolve with ice, rest, anti-inflammatories, and time. Long term safety with NSV is considered excellent, although all of the following are possible:

Mild discomfort: Some men report a mild aching sensation to the scrotum for a few hours to a few days after the procedure.
Mild bleeding into the scrotum (1/400): May form a small tender swelling for a few days.
Scrotal hematoma (1/1000): A major bleed into the scrotum causing a grapefruit size tender scrotum which may take months to heal.
Infection (1/500): May present as redness and tenderness at the healing site opening or non specific tenderness within the scrotum, which may require oral antibiotics. (More serious infection is possible i.e. abscess formation that may require intravenous antibiotics 1/1000).
Epididymitis (1/100): Tender swelling of the epididymis, the tube connecting the vas deferens and the testes.
Sperm granuloma (1/500): A small, potentially uncomfortable, bead-like structure made of leaked sperm that may develop at the site where the tube was cut and blocked.
Post Vasectomy Pain Syndrome (1/1000): A rare complication of a persisting dull ache in the testicle where the inflammation does not settle down. It may resolve on its own or may need another surgical procedure.
Failure (less than 1/1000): Because a doctor has inadequately blocked one or both tubes, or because one or both tubes have rejoined.
Reactive hydrocele (1/10,000): A swelling in the scrotum that occurs when fluid collects in the thin sheath surrounding a testicle.

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Laser Vasectomy in Winnipeg, MB?

Laser vasectomy is not a real medical procedure. We are not aware of any vasectomy doctors in Winnipeg, in Manitoba, or anywhere, that offer laser vasectomy.

Sometimes no-scalpel no-needle vasectomy is confused with laser vasectomy. Some people may assume that because no needle and no scalpel are used a laser may be the tool applied to the operation – but this is not the case.

As detailed above our method involves the use of specialized instruments that eliminate the need for scalpels and needles. The traditional scalpel is replaced with devices for puncturing a small hole and holding men’s vas tubes during the no-scalpel vasectomy procedure. The needle is replaced with an air jet applicator which permits anaesthetic to be applied through the scrotal skin without a puncturing needle. We call this “no-needle freezing”.

Laser Vasectomy in Manitoba is Not Real

The scalpel-less and needle-free vasectomy method used by Dr. Jay Buenafe at our Winnipeg vasectomy clinic is the most modern, comfortable, and effective vasectomy method available today.

Lasers are not used for vasectomy – but if a good laser vasectomy technique is developed we will definitely examine its potential benefits relative to our current methods.