THE VASECTOMY MONTREAL CLINIC

No-Scalpel No-Needle Vasectomy

World-class training and support
Vasectomy Montreal doctors are leaders in No-Scalpel No-Needle vasectomy.

Doctor Elroy Shuker and our surgical team has world-class training and support, and we are proud to operate at the highest standard of surgical excellence.

Book online for your vasectomy procedure. No referral is required at our private vasectomy clinic.

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No-Scalpel Vasectomy Surgery

At the Vasectomy Montreal clinic, our doctors use the “No Scalpel Vasectomy” technique where instead of making two incisions using a scalpel, the doctor makes one tiny opening and grasps the tubes with specialized instruments.

No-scalpel vasectomies at the Vasectomy Montreal clinic provide a safe, simple and virtually painless alternative, with faster recovery time and lower complication rates compared to conventional vasectomies.

This elegant technique doesn’t use needles or scalpels. Only a tiny opening is required, rather than incisions, with no sutures. The small opening is often healed and closed on its own by the following day.

The no-scalpel technique differs from conventional procedure in the way in which the vas deferens is located, rather than how it is blocked. Studies show that no-scalpel vasectomies have a complication rate eight times lower than conventional approaches and involve less discomfort.

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

What is a Vasectomy?

The testicles produce sperm cells that travel through a tube called the vas deferens. The vas deferens (or “vas”) passes through the prostate before joining with the vas on the other side to become the urethra, which exits through the penis. The goal in a vasectomy is to block the right and left vas. In doing so, you will ejaculate semen without sperm. A man cannot make his partner pregnant without sperm.

What is a No-Scalpel Vasectomy?

No-Scalpel vasectomy is different from a conventional vasectomy in the way the doctor gets to the tubes, not in the way he blocks them. In a conventional vasectomy, the doctor makes two cuts into the skin and lifts out each tube in turn, cutting and blocking it. Afterwards, 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: | . Through this tiny opening both tubes are temporarily exposed and then blocked, using heat cauterization.

Benefits of No-Scalpel Vasectomy

Studies have shown an eight times lower complication rate, quicker healing, and less intra-operative discomfort for a no-scalpel vasectomy compared to the more conventional approach. Not all vasectomy providers prefer this technique, because it is much harder to learn how to do a vasectomy through a tiny central opening than it is to make larger cuts requiring sutures.
Our doctors perform an “Open-Ended” technique, where the vas from the bottom end is left open (uncauterized), while the end of the tube leading to the penis is cauterized. 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. 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. Not all vasectomists around the world perform this technique, and some prefer to cauterize both ends to ensure a successful vasectomy. At Vasectomy Montreal, our doctors are able to maintain our high success rates while also offering the potential benefits of an Open-Ended vasectomy.
After the vas tubes are separated, our doctors also carry out what many studies describe as a crucial step, called Fascial Interposition. This step involves securing a sheath of tissue over the one end of the cut tube to create a physical barrier between the two cut ends. The first image here shows the sheath attached with sutures, but our doctors may use tiny metal clips instead, as judged appropriate.

Please call us at 514-447-2332 with questions or to schedule. You may also choose to book online directly now.

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Important Questions Before Vasectomy

Is it the right time for my vasectomy?

You should be certain that you are content with the number of children you have. If you have a child under six months of age, you might want to wait because of the “Sudden Infant Death Syndrome (SIDS)”, a condition where a child can die after a few months of life for no apparent reason. Six months of age is often considered the threshold at which SIDS is least likely to occur. Although SIDS is not common (1 in 2000 infants), this might possibly affect the timing of your plans for vasectomy.

Should I Store Sperm?

Choosing to have a vasectomy is a serious decision because it is carried out with the intention of creating permanent sterility. Our experience with patients over the years has shown that some men who opt for a vasectomy later change their minds about their desire to have children. Reasons for this include death of a spouse, death of a child, divorce, separation, or just changing their minds.

The decision on whether to store sperm as a way to potentially conceive a child in the future is an important one. Conception using stored sperm is not certain, and the necessary medical in-semination process can be costly. Cryogenic sperm storage is a good insurance policy, but is not a fully reliable method. If you are concerned to ensure future ability to conceive a child, then the vasectomy itself should be reconsidered.

Possible Complications with Vasectomy

No-scalpel vasectomy is associated with few and infrequent complications, although with any surgical procedure there are occasional problems. Even though complications are rare, do not hesitate to consult with the Vasectomy Montreal clinic if you have any questions. Remember, early treatment (if any is needed) is always best. Our team is there for you before and after your procedure.

Most Common Complications Post-Vasectomy

Rates are quoted worldwide and do not represent our outstanding low rates of complication.

  • Bleeding (usually mild) into the scrotum (1/100).
  • Scrotal hematoma, which is where a larger bleed into the scrotum causes a grapefruit sized tender scrotum (1/2000).
  • Minor Infection rate requiring antibiotics (1/100).
  • Major infection requiring hospital admission for abscess treatment, with usually IV antibiotics and sometimes incision of the abscess (1/1000).
  • Epididymitis resulting in swelling of the epididymis, which is where sperm is normally stored (1/50). This almost invariably resolves with anti-inflammatories, ice and rest.
  • Sperm granuloma is a painful lump made of leaked sperm that develops at the site where the tube was cut (1/500). It also almost invariably resolves with anti-inflammatories, ice and rest.
  • Post-vasectomy pain syndrome is a rare complication of chronic pain in the scrotum that can persist (1/1000). Rarely, some men may not completely re-cover from this, or it may resolve on its own, or through another surgical procedure. Certain medications may be used to control the symptoms.
  • Post-vasectomy failure is a rare outcome, where men manage to impregnate their partner even after a successful vasectomy verified by semen tests showing no motile sperm (1/2000).

Keep it simple.

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