NoScalpel

Noscalpel refers to No-Scalpel Vasectomy (NSV), a surgical technique for male sterilization that avoids a conventional scalpel incision. In NSV a small puncture is made in the scrotal skin to access the vas deferens, which is then exteriorized, cut, and sealed. The skin entry typically heals with a minimal scar and may require little downtime. The procedure is usually performed under local anesthesia and is commonly done on an outpatient basis.

No-Scalpel Vasectomy uses specialized instruments to minimize tissue trauma. After exposing the vas deferens, it is ligated or cauterized and then separated from the surrounding tissue. The puncture wound is often closed with gentle pressure or simple closure, and large dressings are usually unnecessary. Patients are advised to avoid heavy activity for a few days, with contraception remaining effective after confirmatory semen analysis, typically several weeks to months after the procedure.

NSV originated in the late 20th century in China and was subsequently promoted by international health organizations as a safer, simpler alternative to conventional vasectomy, especially in resource-limited settings. Training programs and guidelines have helped standardize the technique, and NSV is now performed in many countries.

Compared to conventional vasectomy, NSV is associated with shorter procedure time, less bleeding, fewer complications, and faster recovery, though results depend on surgeon experience and patient factors. As with all vasectomies, long-term contraception should be confirmed with semen analysis.