Vasectomy Techniques: What are the Benefits? Which one is better: Open-Ended or Clipped/Tied?
What Vasectomy Techniques Are Used at New York Urology Specialists?
Typically, we use the no-scalpel vasectomy technique in over 95% of vasectomies.
Occasionally, we perform traditional vasectomy when necessary. The benefit of no-scalpel vasectomy is decreased pain, faster recovery, and less risk of infection.
For most patients, we ‘snip’ or cut the vas, ligate or suture the ends of the vas and fulgurate the lumen on each end. This is considered ‘close-ended vasectomy“. This approach is associated with the lowest risk of vasectomy failure in the largest studies to date.
Occasionally, at patient request, we also perform an open-ended vasectomy. Because the studies of open-ended vasectomy are not as large, it is not clear if the failure rate is similar to or higher than that achieved with closed-ended technique.
Closed-ended vasectomy with fulguration.
There is a number of different ways to perform a vasectomy. The most common approach to vasectomy is to cut the vas, and then to tie off or clip each end to prevent recanalization “closed-ended vasectomy“. Following this, an additional step involves burning or fulgurating the lumen of each end, which is thought to further decrease the risk of recanalization of the vas and decreases the failure rate.
What is Better Open-Ended or Closed-Ended Vasectomy?
An open-ended vasectomy leaves the scrotal end of vas untied (open). This has been theorized to decrease the risk of chronic testicular pain that occurs in some men (<5%). While there is inconclusive evidence whether it, in fact, is beneficial, we do perform open-ended vasectomy for men who prefer an open-ended approach.
There is no conclusive evidence that the risk of chronic testicular pain is lower with open-ended vasectomy.
Where to Get No-Scalpel Vasectomy in NYC?
At New York Urology Specialists, we offer no-scalpel vasectomy procedure for men.
We perform a no-scalpel vasectomy, vasectomy reversal, cosmetic circumcision, circumcision revision, penile frenuloplasty, and offer treatment for phimosis, balanitis, penile irritation, and redness. We treat sexual and erection problems and offer comprehensive STD testing for infections. We offer confidential appointments. Our prices are affordable with or without insurance.
Read RealStories: No-scalpel vasectomy for a 27-year-old man with 1 child.
Read RealStories: No-scalpel, no-needle vasectomy for a 31-year old man with 2 children.
Read RealStories: Vasectomy for a 47-year-old man with 1 child; newly single.
What You Need to Know:
- No scalpel vasectomy: Who is a good candidate?
- Vasectomy Cost
- Vasectomy vs Condom Use
- Vasectomy vs Tubal Ligation
Why Choose New York Urology Specialists for your Vasectomy?
- All vasectomies are performed by a board-certified urologist experienced in performing vasectomies, not an assistant. Our vasectomy dr is one of the most experienced specialists who perform no-scalpel, no-needle vasectomy in NYC.
- We are one of the few practices in the region to offer no-needle, no-scalpel vasectomy.
- We offer vasectomy under local anesthesia which avoids the risks, costs, and recovery from general anesthesia. Most men are able to return to office work and other normal activities the next day.
- Extensive Experience: Hundreds of successful no-scalpel vasectomies performed under local anesthesia at the Vasectomy Center at New York Urology Specialists.
- We are one of the few practices in the region to offer a full range of options for the treatment of sexual and erection problems in men.
- We are conveniently located within a 30-60 minute commute to men who are seeking vasectomy in Manhattan, Brooklyn, Queens, Staten Island, Westchester, Long Island, Bronx, and New Jersey.
What does Vasectomy Scar Look Like?
You can find pictures of circumcision as well as before and after treatment images in our image gallery.
Scheduling Appointments for Vasectomy at New York Urology Specialists
Vasectomy With Fast Recovery at New York Urology Specialists
At New York Urology Specialists, our urologists are specially-trained in no-scalpel, no-needle vasectomy procedure.
We also address common sexual and genital concerns in men. We understand the challenges that sexual and penile problems such as pain in the penis, cuts on the foreskin, irritation, and curvature create for our patients, their relationships, and their self-esteem. We help you find a treatment for penile problems including appearance concerns, foreskin problems, premature ejaculation, erectile dysfunction that fit your needs, lifestyle, and your preferences.
We Treat Some of the Most Complex Penis, Scrotal, and Foreskin Problems Including:
- The foreskin that cannot be pulled back
- Scrotal hydrocele treatment
- Circumcision Revision
- Testicular implants
- Male infertility
- Penile Pain During Sex
- Impotence in men with diabetes.
- Erectile dysfunction in men for whom medications do not work.
Schedule an Appointment with Dr. Shteynshlyuger:
Dr. Alex Shteynshlyuger is a fellowship-trained, board-certified urologist with expertise in no-scalpel vasectomy.
He also specializes in the evaluation and treatment of sexual and erection problems in men using modern, effective, and proven treatment methods. We offer circumcision, circumcision revision, penile frenuloplasty, penoscrotal web repair, testicular implants, inflatable penile implant, shockwave therapy for ED, and treatment for Peyronie’s disease.
He is highly recommended by top primary care physicians in the New York area. If you or someone you know has been experiencing urological symptoms, make an appointment to take advantage of Dr. Shteynshlyuger’s expert advice. Please feel free to contact us with any questions.
This post is also available in: Spanish