No-Needle, No-Scalpel Vasectomy

There are two types of vasectomy procedures. Dr. Fisch performs only no-needle, no-scalpel vasectomy because of its clear benefits over the traditional procedure.

In the video below, Dr. Fisch discusses the no-scalpel vasectomy procedure with Dr. Jennifer Ashton on CBS News.

Here is a discussion of the differences between traditional vasectomy and no-scalpel vasectomy.

No-Scalpel vs. Traditional Vasectomy

Traditional Vasectomy

In a traditional vasectomy, a physician makes one or two small cuts in the skin of the scrotum, which has been numbed with a local anesthetic. The vas deferen is cut, and a small piece may be removed. Next, the doctor ties or clips the cut ends and sews up the scrotal incision. The procedure is then repeated on the other side.

A “normal” or “traditional” vasectomy is typically more painful and has a slower recovery time. It can also be riskier, with possible complications such as bruising, swelling, epididymitis and infection.

No-Scalpel Vasectomy

In a no-scalpel vasectomy procedure, there’s no incision, only one tiny puncture of the scrotum. Dr. Fisch feels for the vas deferens 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. As a result, there’s less bruising and scarring. Post-vasectomy pain is virtually eliminated because there are no stitches.

How Does a No-Needle Vasectomy Work?

During a no-needle vasectomy, a long-acting, local anesthetic is delivered via a device that numbs the operating area instantly and painlessly.


Dr. Fisch uses a MadaJet, a specialized, needle-free device that painlessly injects anesthesia through the skin and numbs the tissue around the vas deferens. This virtually eliminates pain from vasectomy. Dr. Fisch also provides sedation to all patients, which helps to reduce anxiety.

No-needle vasectomy procedures are so “pain-free” that many men become too active too soon. This is one reason why Dr. Fisch advises patients post-vasectomy, so that any discomfort experienced in the later stage of recovery can be handled expeditiously.

All vasectomy patients have direct access to Dr. Fisch via cellphone.

Request a Vasectomy Consultation with Dr. Fisch