Difference in the Index of Complications of Performing Vasectomy by the Conventional Technique Versus “No Scalpel” Technique. A Prospective Cohort Study

Difference in the Index of Complications of Performing Vasectomy by the Conventional Technique Versus “No Scalpel” Technique. A Prospective Cohort Study | Research Square window.SnipcartSettings = { analytics: { enabled: false } }; (function() { var accessVector = localStorage.getItem('access_vector') || ''; window.dataLayer = window.dataLayer || []; if (accessVector) { window.dataLayer.push({ user: { profile: { profileInfo: { snid: accessVector } } } }); } })(); (function(w,d,s,l,i){w[l]=w[l]||[];w[l].push({'gtm.start':new Date().getTime(),event:'gtm.js'});var f=d.getElementsByTagName(s)[0],j=d.createElement(s),dl=l!='dataLayer'?'&l='+l:'';j.async=true;j.src='https://www.googletagmanager.com/gtm.js?id='+i+dl;f.parentNode.insertBefore(j,f);})(window,document,'script','dataLayer','GTM-K279D39R'); Browse Preprints In Review Journals COVID-19 Preprints AJE Video Bytes Research Tools Research Promotion AJE Professional Editing AJE Rubriq About Preprint Platform In Review Editorial Policies Our Team Advisory Board Help Center Sign In Submit a Preprint Cite Share Download PDF Research Article Difference in the Index of Complications of Performing Vasectomy by the Conventional Technique Versus “No Scalpel” Technique. A Prospective Cohort Study Douglas Gregório C. Silva, Gabriel Budin Affonso, Maurício Gonçalves Rubinstein, and 2 more This is a preprint; it has not been peer reviewed by a journal. https://doi.org/ 10.21203/rs.3.rs-6958188/v1 This work is licensed under a CC BY 4.0 License Status: Posted Version 1 posted You are reading this latest preprint version Abstract Background : Vasectomy is a quick, safe, definitive contraceptive method and is less expensive than uterine tube ligation. Nonetheless, it is noted that worldwide there is a predominance in the use of the second method. Many men link vasectomy to castration or a loss of masculinity, yet a substantial number are also anxious about the scalpel, the pain, and the discomfort involved in the procedure. In 1974, at the Chongqing Family Planning Scientific Research Institute located in China's Sichuan province, Li Shunqiang developed a new method of accessing the vas deferens without requiring scalpel incisions. The method called “no scalpel vasectomy (NSV)”, which left the blades aside, also had a smaller scar and a lower rate of complications such as infection and hematoma. Methods: In this context, we developed a prospective cohort study in which 60 randomly selected men who wished to undergo vasectomy were divided into two groups: those undergoing surgery using the conventional technique and those undergoing minimally invasive technique. The complication rates between each technique were then evaluated. The intensity of pain reported by the patients and the duration of each technique will also be compared. Results: The main complications studied were hematoma, infection and wound dehiscence. Others such as mild local discomfort, scrotal edema, need for conversion from minimally invasive to conventional technique and significant number of spermatozoa in the ejaculate after 45 days of vasectomy were described as "observed changes". There was a higher incidence of wound dehiscence and observed changes in the conventional technique. Conclusions : This study corroborates the conclusion of other more robust research that the minimally invasive/non-scalpel vasectomy technique presents fewer complications and should be recommended, despite requiring a greater learning curve. Vasectomy no scalpel vasectomy vasectomy complications Full Text Additional Declarations No competing interests reported. Cite Share Download PDF Status: Posted Version 1 posted You are reading this latest preprint version Research Square lets you share your work early, gain feedback from the community, and start making changes to your manuscript prior to peer review in a journal. As a division of Research Square Company, we’re committed to making research communication faster, fairer, and more useful. We do this by developing innovative software and high quality services for the global research community. Our growing team is made up of researchers and industry professionals working together to solve the most critical problems facing scientific publishing. Also discoverable on Platform About Our Team In Review Editorial Policies Advisory Board Help Center Resources Author Services Accessibility API Access RSS feed Manage Cookie Preferences © Research Square 2026 | ISSN 2693-5015 (online) Privacy Policy Terms of Service Do Not Sell My Personal Information {"props":{"pageProps":{"initialData":{"identity":"rs-6958188","acceptedTermsAndConditions":true,"allowDirectSubmit":true,"archivedVersions":[],"articleType":"Research Article","associatedPublications":[],"authors":[{"id":476736916,"identity":"f8637160-f16d-46f3-a98f-689cac72312a","order_by":0,"name":"Douglas Gregório C. 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Nonetheless, it is noted that worldwide there is a predominance in the use of the second method. Many men link vasectomy to castration or a loss of masculinity, yet a substantial number are also anxious about the scalpel, the pain, and the discomfort involved in the procedure.\u003c/p\u003e\n\u003cp\u003eIn 1974, at the Chongqing Family Planning Scientific Research Institute located in China's Sichuan province, Li Shunqiang developed a new method of accessing the vas deferens without requiring scalpel incisions. The method called “no scalpel vasectomy (NSV)”, which left the blades aside, also had a smaller scar and a lower rate of complications such as infection and hematoma.\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eMethods:\u003c/strong\u003e In this context, we developed a prospective cohort study in which 60 randomly selected men who wished to undergo vasectomy were divided into two groups: those undergoing surgery using the conventional technique and those undergoing minimally invasive technique. The complication rates between each technique were then evaluated. The intensity of pain reported by the patients and the duration of each technique will also be compared.\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eResults: \u003c/strong\u003eThe main complications studied were hematoma, infection and wound dehiscence. 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