I have been performing the no-needle, no-scalpel vasectomy for over 10 years at this point. In my opinion, it’s the only type of vasectomy that should be considered. This method is faster, there’s much less discomfort, and has a very easy recovery as compared to the conventional vasectomy. It’s also the least invasive technique and requires no stitches or needles.
The procedure itself involves pushing the tube that carries the sperm up against the skin and using a spray gun to anesthetize the area. It is then grabbed through the skin and the vas deferens is isolated and brought above the skin surface.
Usually the procedure, which involves of course doing this to both sides through 1 small poke in the middle of the scrotum, is completed within 15 minutes. The poke in the scrotum is so small that I do not even put a bandage on it. It is virtually impossible to locate or feel.
The no-needle, no scalpel vasectomy is clearly the standard of care and there are literally no advantages to performing a vasectomy in any other way.