Dr. McAuliff offers No-Scalpel, No-Needle Vasectomy at the Gentle Procedures DFW clinic location. He believes it to be the best method in practice today.

No-scalpel vasectomies at our clinic provide a virtually painless alternative to conventional vasectomy using a scalpel. Studies show that no-scalpel vasectomies have a complication rate eight times lower than conventional approaches and involve less discomfort. – especially when coupled with no-needle anesthesia, as we do.

Gentle Procedures Clinic is a leader in the introduction of the no scalpel and no needle vasectomy surgical procedure. Our surgical team has world-class training and support, and we are proud to operate at the highest standard of surgical excellence.

Please contact us with your questions, or to book an appointment.

You can schedule a consultation, or go ahead and book your procedure directly with a consultation session at the same appointment.

What is Different About a No-Scalpel Vasectomy?

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No-scalpel vasectomy is different from a conventional vasectomy in the way the doctor gets to the tubes, not in the way he blocks them. In addition, an improved method of local anesthesia, the no-needle method, helps make the procedure virtually painless.

In a conventional vasectomy, after the scrotum has been numbed with a local anesthetic, the doctor makes two cuts in the skin and lifts out each tube in turn, cutting and blocking them. Then the doctor stitches the cuts closed.

In a no-scalpel vasectomy the doctor locates the tubes under the skin and holds them in place with a small clamp. Instead of making two incisions, the doctor makes one tiny puncture with a special instrument. The same instrument is used to gently stretch the opening so the tubes can be reached. This line accurately represents the actual size of the puncture. (I) Through this tiny opening both tubes are temporarily lifted out and then blocked using heat cauterization.

The first image below (at left) shows how the vas tubes are accessed via the small opening. The centre image gives you an idea of the actual size of the cut that will be made during your no-scalpel vasectomy. The third image is just shown so you can compare the no-scalpel technique with the cuts made for a conventional vasectomy.

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Pulling out one of the two vas tubes

No stitches are needed to close the tiny opening

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Conventional Vasectomy: Two moderate incisions stitched closed.

Ensuring Sterilization – Fascial Interposition

vasectomy garland texas clinicThen Dr. McAuliff carries out what many studies describe as a crucial step, called fascial interposition. This step involves tying the sheath or covering of the vas over one end of the cut tube with a dissolving thread, to create a natural barrier between the two cut ends.
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Fascial interposition can be carried out using titanium metal clips which are left permanently in the scrotum, or with dissolvable thread. Dr. McAuliff’s preference is to use the dissolvable thread, so as not to leave any foreign bodies in the scrotum.

The fine tubes are then gently placed back into the scrotum and the tiny opening heals within days and soon becomes invisible. There is very little bleeding with the no-scalpel technique. No stitches are needed to close the tiny opening, which heals quickly, without a scar.

No-Needle Anesthesia – Spray Application

Our clinic also offers a different method of anesthesia called “No-Needle Anesthesia”, which eliminates the need for a needle entering the scrotum. This is accomplished by using an air pressure device (Mada-jet) which is quicker, safer, and more comfortable for patients.

The animated image here shows both standard anaesthetic injection with a syringe and the no-needle option with an air injector. You can compare the two techniques and see how the air injector pushes the anaesthetic through the pores in the scrotal skin with a burst of air.

Benefits of No-Scalpel Male Vasectomy

Studies have shown an eight times lower complication rate, quicker healing, and less intra-operative discomfort for a no-scalpel vasectomy compared to the more conventional approach. Not all vasectomy providers prefer this technique, but we feel that it is clearly preferable to do a vasectomy through a tiny central opening versus making larger cuts requiring sutures and a more complex recovery.

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Dallas Vasectomy Basics – How Does Vasectomy Prevent Pregnancy?

Sperm are made in a man’s testes. During sexual climax, the sperm travels through two tubes (the right vas and left vas) in the scrotum, mix with semen (from the prostate and seminal vesicles), and come out of the penis. In a vasectomy, these tubes are blocked so the sperm cannot reach the semen. As a result, you will ejaculate semen without sperm.

A man cannot make his partner pregnant without sperm.

Also keep in mind that the sperm makes up a minute portion of the ejaculate, approximately 1% of the volume. Therefore, you will not notice any change in the ejaculation post-vasectomy. Your sexual experience, erections, performance, ejaculations are essentially unchanged. Only change is: No more sperm, no more pregnancy!

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To understand what happens during a No-Scalpel Vasectomy procedure, review this diagram to see how the male anatomy normally functions. The testicles produce sperm that travel through a pair of tubes called the Vasa Deferens. You can easily feel them through the scrotal skin, like firm spaghetti-sized tubes on either side of the penis. These tubes carry sperm from the testicles to the penis.

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The vasectomy procedure simply interrupts the flow of sperm by cutting the sperm tubes and blocking their ends. Before making the decision to have your NSV, please review the preparations, procedure, and recovery to see what you can expect from Dr. McAuliff and your NSV from start to finish. Vasectomy is the most reliable form of birth control.

Open-Ended Type Vasectomy

Our Dallas vasectomy doctor performs an “Open-Ended” vasectomy technique, where the vas tube from the bottom end is left open (uncauterized), while the end of the tube leading to the penis is cauterized. As detailed above, fascial interposition is also performed to ensure the success of your vasectomy.

While studies are not conclusive, it is postulated that leaving one end open may permit sperm to leak out, resulting in less post-operative discomfort; this is because there is no sudden pressure back-up to the testicles. The leakage does not increase risk of pregnancy, as the other end of the vas is sealed. Sperm are simply reabsorbed back into the testicles in a natural process that causes no pain or pressure.

Studies also indicate that it reduces the time it takes for a vasectomy, and vasectomy reversal may also be easier to perform later, if desired. We do not recommend getting a vasectomy if you think you may eventually want a reversal. You should consider vasectomy as a permanent contraceptive method.

Not all vasectomists around the world perform this open ended technique, and some prefer to cauterize both ends. At Gentle Procedures Dallas our doctor is able to maintain our high success rates while also offering the potential benefits of an Open-Ended vasectomy.

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Possible Risks and Complications with a Vasectomy Procedure

There are no life-threatening complications associated with NSV (No-Scalpel Vasectomies). The minor complications that can arise are generally short-lived and resolve with ice, rest, anti-inflammatories, and time. Long term safety with NSV is considered excellent, although all of the following are possible:

  • Mild discomfort: Some men report a mild aching sensation to the scrotum for a few hours to a few days after the procedure.
  • Mild bleeding into the scrotum (1/400): May form a small tender swelling for a few days.
  • Scrotal hematoma (1/1000): A major bleed into the scrotum causing a grapefruit size tender scrotum which may take months to heal.
  • Infection (1/500): May present as redness and tenderness at the healing site opening or non specific tenderness within the scrotum, which may require oral antibiotics. (More serious infection is possible i.e. abscess formation that may require intravenous antibiotics 1/1000).
  • Epididymitis (1/100): Tender swelling of the epididymis, the tube connecting the vas deferens and the testes.
  • Sperm granuloma (1/500): A small, potentially uncomfortable, bead-like structure made of leaked sperm that may develop at the site where the tube was cut and blocked.
  • Post Vasectomy Pain Syndrome (1/1000): A rare complication of a persisting dull ache in the testicle where the inflammation does not settle down. It may resolve on its own or may need another surgical procedure.
  • Failure (less than 1/1000): Because a doctor has inadequately blocked one or both tubes, or because one or both tubes have rejoined

Does a Vasectomy Hurt?

With no needle anaesthesia and our no scalpel technique the pain is minimized. You will likely have some aching or other minor discomfort in the day or two after your surgery, but you can be sure that our gentle vasectomy procedure ensures the best possible result with the least amount of pain.

It will only hurt a little bit – and not during the procedure.

Laser Vasectomy in Dallas Fort Worth?

Laser vasectomy is not a real medical procedure. We are not aware of any vasectomy doctors in Dallas, in Texas, or anywhere, that offer laser vasectomy.

Sometimes no-scalpel no-needle vasectomy is confused with laser vasectomy. Some people may assume that because no needle and no scalpel are used a laser may be the tool applied to the operation – but this is not the case.

As detailed above our method involves the use of specialized instruments that obviate the need for scalpels and needles. The traditional scalpel is replaced with devices for puncturing a small hole and holding men’s vas tubes during the no-scalpel vasectomy procedure.

The needle is replaced with an air jet applicator which permits anaesthetic to be applied through the scrotal skin without a puncturing needle. We call this “no-needle anesthesia”. The image at right shows our air injector.

Laser Vasectomy Doesn’t Exist

The scalpel-less and needle-free vasectomy method used by Dr. McAuliff at our Dallas vasectomy clinic is the most modern, comfortable, and effective vasectomy method available today.

Lasers are not used for vasectomy – but if a good laser vasectomy technique is developed we will definitely examine its potential benefits relative to our current methods.

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