A traditional vasectomy is just that, the vasectomy method that is most common and known. First, a local anesthetic is used to “numb” the sac and the two vas deferens (sperm transport tubes). Second, the traditional vasectomy requires a scalpel cut into the scrotum (sac that holds the testicles). Specifically, each vas deferens tube is incised, a section is removed, and both sides of the cut vas are sealed. Normally, they are sealed with sutures, cautery or metal clips. The seal separates the flow of sperm from the testicles into the ejaculate or semen. Finally, the incisions are closed with sutures.
The next type or method of vasectomy is the Open-End Vasectomy. This procedure is a variation on the traditional technique. When the incision is made, the cut end of the vas on the testicle side is left open without sealing. This is an option that many doctors believe creates a more reversible vasectomy. This option is one to consider and could be important for men who think a reversal is an option in the future.
No-scalpel vasectomy (nsv)
The third type of vasectomy was developed in China in the mid 1970′s. It arrived in the United States in the 1980’s. The No-Scalpel Vasectomy (NSV) technique uses two special non-traumatic instruments. Compared to the other two methods, it provides a quicker, safer and less tender option.