An article was recently published in the medical literature and videos are being posted on the internet promoting no scalpel mini-incision vasectomy reversal.  The authors have adapted techniques that have been used for several years to perform no scalpel vasectomy.  The doctors and their patients anticipate reduced pain and more rapid recovery while preserving current success rates.  However, in my experience from redo reversals of previously failed vasectomy reversals from doctors who attempted small incisions, there was greater pain from the original reversal than from my redo reversal with a larger incision.  Rather than incision size, lack of pain and more rapid recovery seem to be related to the surgeon’s experience and to a more careful technique with attention to details.  Since the “official” no scalpel vasectomy reversal has only been used by a few surgeons over the past 2 years, it is too early to make any strong conclusions about it’s utility.  Lastly, in my experience, at least one third of cases will require the more technically demanding epididymovasostomy which cannot be performed through an incision smaller than one inch in length and many cases of vasovasostomy require longer incisions than a no scalpel technique allows for when there are large gaps between the two vas ends.  In conclusion, it is too early to say that no scalpel vasectomy is a preferred technique, and it may only be usable in 50 % of cases.  Please review more details on our website at www.vasectomyreversal.com .

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