What is a vasectomy?

A vasectomy is a simple, safe and effective form of permanent contraception. It is a quick and popular procedure (20,000 per year in Ontario) that is performed in a doctor’s clinic with local anaesthesia in less than 15 minutes. A vasectomy prevents the sperm from entering the semen by blocking the tubes (vas deferens) that carry sperm from the testicles.


The single site created in the skin measures 2-3mm and serves as access to both the right and left vas tubes. The divided vas tube prevents sperm from entering the semen.

No Needle and No Scalpel ? How ?

How is it performed?

A No-Needle No-Scalpel Vasectomy can be performed in a doctor’s clinic without the use of a knife or needle.

‘No-Needle’ refers to the local anaesthesia (freezing) technique known as jet injection, which works with air pressure and does not require the use of a needle. It creates a minor pop sensation similar to that of a small rubber band against the skin.

Once the area is numb, the tubes are first located (one at a time) under the skin and held in place with a small clamp.

Instead of making two incisions as in conventional vasectomies, a tiny puncture is made with a special instrument, which also stretches the opening just enough to reach and lift out the tubes (vas deferens) on each side.

The tubes are cut, and the upper end (leading to the penis) is cauterized, or closed, and tucked back into its sheath (using a tiny titanium hemoclip), while the other end (testicular) is left open. This refers to the Open-Ended vasectomy. This open lower end will serve as an outlet for the sperm to exit. This will minimize the accumulation of sperm in the lower end of the divided vas deferens, and reduce the level of post-vasectomy discomfort.

In comparison to some of the more conventional vasectomy methods, this type of vasectomy combines the most effective technique with the lowest risk of complications, the quickest recovery time and the least amount of pain.

For more information please view Dr. Stein’s video video