Midline No-Scalpel Vasectomy: A Safer, Faster, and More Comfortable Option

A recent study published in the Journal of Pharmacy and Bioallied Sciences (May 2025 by Dhakariya et al) compared the midline no-scalpel vasectomy (NSV) technique to the traditional scalpel-based approach. The findings reaffirm what many experienced vasectomy providers already know: midline NSV offers shorter operative times, less intraoperative bleeding, lower complication rates, and quicker return to daily activities — all while maintaining excellent contraceptive effectiveness.

Unlike traditional vasectomy, which requires incisions on each side of the scrotum, the midline NSV involves a single, tiny puncture at the center of the scrotum (the raphe). This approach reduces trauma, lowers the risk of infection, and results in less postoperative discomfort.

I have been performing midline minimally invasive no-scalpel vasectomies for over 10 years. Over time, I have continually refined my technique to reduce patient discomfort while maintaining a high success rate. This includes minimizing tissue handling, precise isolation and occlusion of the vas deferens, applying fascial interposition and using and open ended technique.

Vasectomy in my practice can be done with the patient awake under local anesthesia in the comfort of my office — a quick, nearly painless procedure involves placement of a single dissolvable skin suture, enabling the patient to shave the next day.  For patients who prefer sedation or have specific medical or anatomic concerns, I also offer vasectomy under anesthesia at a nearby surgery center.

This study’s findings only reinforce what I’ve seen in practice: midline NSV is a safe, effective, and patient-friendly option for permanent male contraception. If you’re considering a vasectomy and want a streamlined, low-complication experience, midline NSV may be appropriate  for you.

Author

Eric K. Seaman MD Dr. Seaman is a urologist specializing in the field of Male Reproductive Medicine and Surgery. Dr. Seaman Completed his Male Infertility Fellowship under the direction of Larry I. Lipshultz MD at Baylor College of Medicine Houston in 1996. Since that time he has focused his practice on the sub-subspecialty focus area of Male fertility and infertility.