No Needle Vasectomy and No Scalpel Vasectomy

Vasectomy is now described as "painless" or "nearly painless" by most patients
You can also visit our vasectomy web site for more information.

Men's most common fears and concerns addressed here.


Vasectomy is a nearly painless surgical procedure to cut and close off the tubes (vas deferens) that deliver sperm from the testes; it is usually performed as a means of contraception. The procedure typically takes about 10 minutes.  There is no change in sexual function after a vasectomy.

Vasectomy techniques have evolved to include  the less painful and less invasive No Scalpel Vasectomy and No Needle Vasectomy.  About 500,000 vasectomies are performed annually in the United States. A vasectomy is less invasive than a tubal ligation (the procedure used to prevent a woman's eggs from reaching the uterus) and more easily reversed. An increasing number of couples choose it as a means of permanent birth control.

New advances in vasectomy, including anesthesia with the new No Needle Vasectomy method, result in a faster, nearly painless procedure.  The No Scalpel vasectomy technique, thought to be the best vasectomy technique, results in less pain and faster healing. The doctors at Associated Urologists of Orange County are proud to be one of the first groups in California using the No Needle No Scalpel vasectomy technique.  We believe our extensive experience helps ensure the best vasectomy results.

Male Reproductive System

To understand a vasectomy, it is helpful to understand the male reproductive system and how it functions. The testicles, or testes, are the sperm- and testosterone-producing organs. They are located in a sac at the base of the penis called the scrotum. Each testicle is connected to a small, coiled tube called the epididymis, where sperm are stored for as long as 6 weeks while they mature. The epididymes are connected to the prostate gland by a pair of tubes called the vas deferens. The vas deferens are part of a larger bundle of tissue, blood vessels, nerves, and lymphatic channels called the spermatic cord. During ejaculation, seminal fluid produced by the prostate gland mixes with sperm from the testes to form semen, which is ejaculated from the penis.


1.  Arrange to have the day off of work.
2.  You should have someone drive you home from the procedure.
3.  Bring an athletic supporter (to support the scrotum and minimize swelling)
4.  Avoid anti-inflammatory drugs, such as ibuprofen and aspirin, before surgery
(they thin the  blood and can cause increased bleeding).


A urologist performs a vasectomy on an outpatient basis in the office. The procedure takes about 10 minutes. The patient typically remains clothed from the waist up and lies on his back. The scrotum is numbed with local anesthetic.  In our office, this is usually administered with the "No Needle Technique."   The vas deferens is gathered under the skin of the scrotum, and a small opening (usually 1 centimeter or less) is made. 

Associated Urologists of Orange County now perform No Needle Vasectomy.    Anesthesia can be given without a needle, resulting in a nearly painless procedure.

When a no-scalpel vasectomy or standard vasectomy is done, the vas deferens is then pulled through the small opening or incision, cut in two places, and a 1-centimeter segment is removed. Each end of the vas deferens is surgically tied off or clipped, and placed back in the scrotum.  Most urologists cauterize the ends of the vas deferens, but others find that cauterization complicates reversal and is unnecessary.  The incision is sometimes sutured and the procedure is repeated on the other side of the scrotum. 

No-Scalpel Vasectomy

In the no-scalpel vasectomy, a surgical clamp is used to hold the vas deferens while a puncture incision (instead of a cut) is made with special forceps. The forceps are opened to stretch the skin, making a small hole through which the vas deferens is lifted out, cut, sutured or cauterized, and put back in place.  The puncture incision does not require suturing. Some urologists recommend the no-scalpel method because they find it is quicker and minimizes postoperative discomfort and the risk for bleeding and infection.

Call us for an appointment (714) 639-1915 to discuss if a No Needle
No Scalpel vasectomy is right for you.

Click here to print a copy of our vasectomy information sheet.
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More information about vasectomy can be found at
Dr. Garo M. Tertzakian MD
Dr. Matthew L. Greenberger MD
Dr. William F. Pearce MD

Associated Urologists of Orange County

Doctors specializing in Urology with expertise in incontinence, bladder suspension ("bladder lift") and urethral sling procedures, kidney stones, no needle no scalpel vasectomy, vasectomy reversal orange county, laparoscopy and laparoscopic kidney and prostate surgery, prostate diseases including prostate cancer and enlarged prostate (BPH), cryoablation (or cryotherapy) of prostate and kidney, robotic (da Vinci) prostate surgery. Associated Urologists of Orange County strive to be the best urology doctors in the Orange County area.  Urologists upholding AUA Best Practice Guidelines.

Adult and pediatric urology, urologic surgery, in Orange County, California
serving Anaheim, Garden Grove, Irvine, Orange, Santa Ana and Tustin.

Our office accepts most major insurance including Aetna, Anthem Blue Cross, Blue Shield, Cigna, Health Net, Pacificare, United Health, Medicare.

The information on this site is solely for purposes of general patient education, and may not be relied upon as a substitute for professional medical care. Consult your own physician for evaluation and treatment of your specific condition.

1801 N Broadway, Santa Ana, California 92706
Phone:  (714) 639-1915
Associated Urologists of Orange County
In a Minimally Invasive Way