open ended vasectomy

Okay, so we're ready to begin. I'm going to give you your freezing and you will feel a little bit of a snapping sensation When I give you the freezing there you go here little snap coming here And you're going to get a snap on the other side All right here little snap good one more snap on this side and

We'll be set good Yeah, just so you can see here. We've got a finger cut so I shot the anesthetic and Had my finger behind the vans and protected it with this finger cut so we're all set to begin the surgery and If you feel anything uncomfortable, you just let us know You'll feel a little bit of tugging and pulling, but you shouldn't feel anything sharp or anything uncomfortable and first you'll feel good of a Squeezing on the UL side and then it should ease away right there

Comfortable okay, everything's going very well

Half the vans out and we're just going to cauterize it now make a little opening in it now we cauterize it just till it blanches and

We transsect the vans with a pottery wand and now we're going to Interpose the fascia or bring a sheath of fascia over the vans To vary it and separate it from the other end

And now you can see that end is getting buried in the fascia it also ties off the vessels

And an alternate to doing fascia interposition this way is to deal with a metal clip My preference is just to use this dissolvable thread

Which leaves no foreign bodies in the scrotum because it dissolves

How are you doing? Excellent. We'll just have a look at the vans and now you can see it's left open this end is not cauterized and The end is buried under the sheet there We'll lower it in make sure that when we release the pressure. There's no bleeding and there isn't Ready to move to the other side and once again you might feel a little bit of pressure When I hold the vans which will ease away And here's the other vans coming out nicely

again we'll just Cauterize the abdominal end of the vans and see it going pale and now we'll bury that end in the sheath once again So this method is referred to as the no scalpel no needle open ended the

Outside of a couple drops of blood from the skin

This is essentially a bloodless painless Six and a half minute procedure That's it Opening is quite tiny just pinch it close it and it's virtually imperceptible and that's it