No Scalpel Vasectomy, No needle vasectomy, Painless Vasectomy

About Dr. Harry Fisch

Dr. Harry Fisch, a board-certified urologist and microsurgeon who is also one of the nation's leaders in the diagnosis and treatment of Men's health issues including painless vasectomy, no needle vasectomy, and no scalpel vasectomy in New York.

Dr. Fisch has been featured in the media in USA Today, The New York Times, and the Washington Post, and has appeared on television's 60 Minutes, 20/20, CNN, Today, and many others. He has been on the "Best Doctors in America" list and was voted one of New York Magazine's Top Doctors for the past 10 consecutive years.

Dr. Fisch administers sedation with every
procedure to maximize comfort and
decrease anxiety.


MADELON (212) 879-0800

Introduction To Vasectomy:

A vasectomy is a medical procedure in which the two tubes that carry sperm from the two testicles to the urinary tract are tied and sealed by a vasectomy specialist or a vasectomy doctor in order to restrict sperm from passing into the seminal stream and fertilizing a woman’s egg.

Although the vasectomy is considered a permanent form of birth control it is reversible in most cases. Due to the fact that the vasectomy is widely considered by doctors to be the safest as well as most convenient form of surgical sterilization it has continued to grow in popularity throughout the world since its initial introduction in the 19th century.

Statistics show that around 600,000 men, in the United States alone, will receive a vasectomy each year. 85% of these vasectomies will be performed by vasectomy specialists and vasectomy doctors and 15% are performed simply by family practitioners.

It is not uncommon for males that receive a vasectomy to request that their sperm be frozen in case their situation or desires change in the future and they once more desire children.

Vasectomy Procedure:

The procedure for a vasectomy involves the surgical interruption of the tubes which transport the sperm to the urinary tract from the testicles. In order to reach the vas deferens the vasectomy specialist will create a small opening in the front surface of the scrotum. Then after a local anesthetic makes the area numb the vas deferens are cut or cauterized. Lastly, the vas deferens are clipped or tied. Once the procedure is finished the man should continue to use contraception during intercourse in order to assure infertility until his semen reveals that no sperm are present. This change will not be noticeable by the patient and can only be detected by a specific microscopic analysis of the semen by a specialist.

No Scalpel Vasectomy: A Painless Vasectomy

The no scalpel vasectomy is a less invasive medical option. This unique procedure was developed by Chinese specialists in the 1970’s and was begun to be practiced in the 1980s by American doctors. The main benefit of this procedure is that it eliminates the necessity to cut the patients skin in order to reach the vas deferens.

This is accomplished by using special instruments which allow the specialist to identify the tubes and isolate them with a clamp after anesthesia has been applied. The specialist will then create a minuscule puncture in the skin and then stretches the hole in order to reach the vas deferens. The vas deferens are then cut and blocked one at a time.

In comparison to the more traditional method of vasectomies, there is little bleeding or scaring of the scrotum and no stitches are required. The no scalpel vasectomy is a painless vasectomy

 No Scalpel Vasectomy

The Vasectomy Center's No Scalpel Vasectomy Procedure:

No scalpel vasectomy is an improved vasectomy method, devised by a Chinese surgeon, has been widely used in China since 1974. This so-called nonsurgical or no scalpel vasectomy was introduced into the United States in 1988, and many doctors are now using the technique here.

At the Vasectomy Center of New York we use a refinement of the no-scalpel method that doesn’t involve any needles at all. An instrument called a MadaJet delivers a stream of anesthetic so fine that it penetrates the skin and numbs a dime-sized patch of scrotal skin. Then the vasectomy doctor feels for the vas under the skin of the scrotum and holds it in place with a small clamp. A special instrument is used to make a tiny puncture in the skin and stretch the opening so the vas can be cut and tied.

This approach produces very little bleeding, and no stitches are needed to close the punctures, which heal quickly by themselves. The newer method also produces less pain and fewer complications than conventional vasectomy. No scalpel Vasectomy New York, No-Needle Vasectomy New York Information

The Existing technique vs. The Vasectomy Center's Non Invasive, No Scalpel Vasectomy:

No Needle Vasectomy:

With the new, no needle approach to vasectomy, the physician can anesthetize the surgical area with a jet anesthetic device, which delivers the numbing agent without use of a needle.

No Needle Vasectomy:

With the new, no needle approach to vasectomy, the physician can anesthetize the surgical area with a jet anesthetic device, which delivers the numbing agent without use of a needle.

Vasectomy No Scalpel

About No Needle Vasectomy:

The no needle vasectomy utilizes a specialized device which enables the doctor to perform a vasectomy without the use of needle for anesthesia. This specialized device delivers anesthesia through the skin and numbs the tissue directly around the vas deferens. This procedure offers many benefits in comparison to more traditional methods in which it was necessary to enter a small needle through the scrotum to deliver a local anesthetic. Often men receiving a vasectomy find the idea of a needle injected in their scrotum to be uncomforting as well as intimidating.


It is recommended by vasectomy doctors to rest and avoid strenuous exercise for several days after the procedure. It is often suggested to wear a supportive jockstrap in order to assure comfort. Patients which experience swelling are recommended to place ice on their scrotum in order to diminish the symptoms.

Effectiveness Of Vasectomy Procedure:

According to reports by the “Royal College of Obstetricians and Gynaecologists” the vast majority of vasectomies preformed are an effective means of prevention. Statistics show that only 1 out of every 2000 vasectomies is unsuccessful and the male is still able to procreate after the procedure. This success rate is significantly higher than the alternative female surgical sterilization procedure which is referred to as tubal ligation. Statistics show that 1 out of every 200 to 300 tubal ligations are unsuccessful as a contraceptive for women which is drastically higher than the male vasectomy.

The main cause of pregnancy for individuals after receiving a vasectomy is due to having unprotected sex too soon after the procedure has taken place. There are very few cases which result in pregnancy after the recanalization of the vas deferens. In order to be positive that the vasectomy was successful, most specialists as well as doctors recommend that the semen specimen of the patient be evaluated by specialists after the procedure is complete. Often men avoid this post procedure verification test due to inconvenience, inability to remember or simply positivity of sterility.

Vasectomy Reversal:

Although a vasectomy is considered a permanent method of birth control the procedure is still capable of being reversed. The overwhelming majority of men are quite content with the procedure yet a minority of men will regret as vasectomy in the future. This change in outlook is mostly due to circumstantial changes including wanting to start a family with a new partner or following a relationship breakdown or divorce. First performed by Earl Owen in the early 1970s, the procedure for reversing a vasectomy is referred to as a vasovasectomy.

A vasovasectomy is a form of microsurgery in which the surgeon attempts to reconnect the vas deferns and allow the sperm to the ejaculate. Both blockage of the vas deferens as well as the development of anti sperm antibodies due to the vasectomy reduce the chances of a successful reversal. Another factor which plays an important role in determining the success of the procedure is the amount of time which has passed between the vasectomy and the reversal.

Despite the numerous preventive factors, statistics reveal that the average success rate of pregnancy after a vasectomy reversal procedure is around 55% as long as it performed within 10 years of the vasectomy. The statistics for a successful pregnancy diminish by half if the vasectomy reversal is performed past 10 years of the vasectomy. Studies also reveal that the number of sperm as well as motility are usually far lower when compared to pre vasectomy levels. There is evidence that men who have had a vasectomy may produce abnormal sperm as well have an increased risk of producing children with birth defects due to the high rates of aneuploidy and diploidy in their sperm cells. For these reasons, even if the vasectomy reversal procedure is performed successful, fertility is not guaranteed.


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