No-scalpel technique for vasectomy.

This review aims to describe the development of the no-scalpel technique and to summarize the available results. An attempt is made to simplify the training of surgeons in the no-scalpel vasectomy technique. This technique uses the method described by Dr Li Shunqiang, utilizing a dedicated vas-grasping forceps; a sharp dedicated dissecting forceps, scissors and sutures are all that are required in addition. In a simple comparative study in Bangkok involving 1203 patients, it was found that the no-scalpel technique was faster. In the 19 cases of complications of symphysis and hemorrhage, 16 occurred using the standard technique (3.1 per 100 patients) and three from the no-scalpel technique (0.4 per 100 patients). The no-scalpel technique is probably more difficult to learn but requires fewer resources. The operation is nearly twice as fast as the standard technique with approximately one-eighth of its complications.