No-Scalpel Vasectomy Treatment
If your family is complete and you’re considering a vasectomy, the least invasive technique, by far, is the no-scalpel no-needle vasectomy. Compared to a conventional vasectomy, this method is faster, safer, less painful, and requires no stitches or needles. Maze Health specializes in the revolutionary no-needle/scalpel vasectomy for patients in Westchester, New York City, Connecticut, and New Jersey.
Maze’s Unique Approach
At Maze Men’s Health, led by Michael A. Werner, MD, a board-certified urologist specializing in sexual and reproductive health, we perform the no-needle, no-scalpel vasectomy — the safest, most comfortable, and least invasive vasectomy technique available today. Using a needle-free jet injector to deliver anesthesia and a tiny skin opening (no stitches), this advanced method minimizes pain, bleeding, and recovery time. Maze’s open-ended approach further reduces pressure in the testicular system, lowering the risk of post-vasectomy pain syndrome while making future reversal technically easier if ever desired.
Serving men from Westchester, New York City (NYC), Connecticut, and New Jersey, Maze provides a superior vasectomy experience designed for comfort, precision, and long-term peace of mind.
The Science: What a Vasectomy Actually Does
Understanding male anatomy helps clarify how simple — and effective — a vasectomy really is. Sperm are made in the testes, mature in the epididymis, and travel through the vas deferens to mix with seminal fluid from the prostate and seminal vesicles. During a vasectomy, the vas deferens is divided and sealed, interrupting the flow of sperm into the semen.
Importantly, sperm account for only about 5% of ejaculate volume. That means ejaculation, orgasm, and pleasure remain exactly the same after the procedure. The only difference? There are no sperm in the semen — you’re “shooting blanks.”
Why the No-Needle, No-Scalpel Vasectomy Is Superior
Traditional vasectomies involve needle injections and scalpels. Maze’s advanced method eliminates both. Here’s why it’s the gold standard:
- Needle-Free Anesthesia: Using a Madajet device, anesthesia is delivered painlessly through the skin, spreading evenly and deeply with less anesthetic and minimal bleeding.
- No-Scalpel Technique: A sharp-tipped clamp gently spreads the skin instead of cutting it, resulting in a tiny puncture, no stitches, and nearly invisible healing.
- Shorter Procedure Time: The entire process takes about 20 minutes.
- Fewer Complications: Less trauma to surrounding tissue means lower risk of infection, swelling, or hematoma.
- Open-Ended Design: The testicular end of the vas remains open, preventing pressure buildup that can cause post-vasectomy pain and easing potential reversals.
This combination of innovations makes the Maze vasectomy faster, safer, and virtually painless.
Step by Step: How It’s Performed
- The vas deferens is gently pushed against the skin of the scrotum.
- No-needle anesthesia numbs the area instantly.
- A tiny skin opening is created with a specialized tool, no scalpel required.
- The vas deferens is carefully isolated, divided, cauterized, and sealed on one end.
- The open (testicular) side allows microscopic sperm drainage and reabsorption, reducing discomfort and long-term risk.
- Both vasa are treated, typically through the same small opening.
Patients usually can’t even find the incision site afterward — that’s how minimal it is.
Comfort and Anxiety Management
At Maze, comfort is part of the experience. Alongside local anesthesia, we offer options to make the procedure even more relaxing:
- Nitrous Oxide (“Laughing Gas”): Fast-acting, self-administered gas that calms nerves and reduces pain perception within minutes. Effects wear off in 5–10 minutes, and if you haven’t taken oral medication, you can safely drive home.
- Oral Medication: For patients who prefer, a light sedative or anti-anxiety medication (like a benzodiazepine) can be taken an hour before. If used, you’ll need a ride home.
- Combination Option: Many choose both nitrous oxide and oral medication for maximum relaxation.
Nitrous oxide has been used safely in medicine for over 100 years, offering a non-opioid, fast-recovery solution for anxiety during minor procedures.
Recovery: Back to Normal Quickly
Most men return to work within 24 hours. Tenderness, swelling, or minor bruising are common and short-lived. Applying ice packs intermittently for the first day helps minimize discomfort.
Sexual Activity:
You can resume sexual activity 5–7 days after the procedure, but you’ll need to continue using contraception until Maze confirms you’re sperm-free.
Clearing the System:
Even after vasectomy, existing sperm remain in the reproductive tract. Around 6 weeks post-procedure, you’ll provide a semen sample for analysis. If no sperm are seen, you’re cleared for unprotected sex. If sperm remain, you’ll repeat testing in 2–3 weeks after additional ejaculations.
Risks and Complications: What You Should Know
Complications are rare:
- Hematoma (1 in 150): Minor blood collection that resolves naturally.
- Infection: Extremely uncommon and treatable with oral antibiotics.
- Delayed Failure (1 in 1,000): Spontaneous reconnection of the vas deferens, though this remains one of the lowest failure rates of any permanent birth control.
- Post-Vasectomy Pain Syndrome (PVPS): Maze’s open-ended technique dramatically reduces risk by relieving pressure in the epididymis. If discomfort does occur, it’s typically temporary and treatable.
Your Sex Life After Vasectomy
A vasectomy doesn’t change your sex life — except to eliminate pregnancy worry.
- Libido: Unchanged. Testosterone production remains intact.
- Erection: The nerves and blood supply responsible for erections are entirely separate from those involved in sperm transport.
- Ejaculation: Semen volume appears normal since 95% of fluid comes from the prostate and seminal vesicles, not sperm.
- Pleasure: Many men report improved confidence and intimacy post-vasectomy.
Common Myths, Debunked
|
Myth |
Reality |
|---|---|
|
“It kills my sex drive.” |
False — Testosterone and libido remain unchanged. |
|
“It causes erectile dysfunction.” |
False — The nerves and arteries for erections are separate from the vas deferens. |
|
“I won’t ejaculate anymore.” |
False — Semen volume stays nearly identical. |
|
“It increases cancer risk.” |
False — Large-scale studies show no link between vasectomy and cancer. |
How to Become a New Patient
Pre-consultation
Schedule a free phone consult to review candidacy, costs, and your questions.
Pre-op visit
Meet with Dr. Werner, review your medical history, and finalize your plan (we’ll handle insurance pre-auth if applicable).
Procedure day
60 minutes in office, no-needle anesthesia, no stitches, optional nitrous.
Follow-up
Semen analysis at 6 weeks (and again if needed) until cleared.
About Dr. Werner and Maze
About Dr. Werner
About Maze
Maze facility
Areas served
Patient Stories
I followed instructions to rest the first two days and had NO pain.
After many conversations with my girlfriend, I decided to take responsibility for our birth control. As a 46 year old divorced medical professional with 4 children and in a long term committed relationship, this was the right decision. I was scared to death to have a vasectomy and in fact I am even afraid of needles for blood work. I made my appointment because I knew that if I didn’t set it up I wouldn’t go through with it.
I was given an appointment within a few days. The office staff was amazing and the surgical coordinator was so helpful with all of my questions. My consult with Dr. Werner could not have been any better. He is so personable and nice, and put my mind at ease promising that he would adjust the medications for me because he could tell how anxious I was.
I then came back a few days later for my pre screening. As I mentioned I am petrified of blood draws. The phlebotomist and medical tech, Ben, drew my blood and I didn’t even feel it. On the day of the procedure I took the medications as prescribed and barely felt or remember a thing. I followed the instructions to rest the first two days and had NO pain! I can honestly say that I would recommend Dr. Werner and his staff to anyone who is ready to have a vasectomy and take on the responsibility of birth control in their relationship.
MO, Age 46
Dr. Werner and his staff are absolutely the best.
Dr. Werner and his staff are absolutely the best. I have been a patient for 2 years and I actually enjoy my appointments because everyone is so nice and knowledgeable. I had a vasectomy and it was an easy procedure at this office with no pain and a very quick recovery. I have no problem recommending to other men that they get this procedure if they have finished having children.
Maze offers other good quality services, such as counseling, fitness testing, testosterone treatment, and sperm banking.
If you’re hesitant about vasectomy procedures or seeking treatment for male issues, I can say that this office makes you feel comfortable and at ease. Not once did I ever feel awkward. Professional and caring, the way a doctor’s office should be.
BR, NY, Age 52
I am in disbelief that I was symptom free all weekend.
I’m just writing in to thank you for such a seamless, painless, and gratifying vasectomy experience last Friday. I am in disbelief that I was symptom free all weekend and cannot visually see any evidence of the procedure! How is this possible???
R, NYC, Age 48
I felt no pain during or after the procedure!
I went to Maze Men’s Health because I was interested in the needle-less and scalpel-less technique used by Dr. Werner. The staff was great. Very friendly and professional. You felt comfortable and welcome from the moment you stepped inside the office door. Dr. Werner is great. Photos and diagrams were used to thoroughly explain the procedure. And he is an engaging man so you feel he is going to do the best job possible. He treated me as if I were a family friend. The prep for the procedure was quick and the actual operation lasted no more than 20 minutes. During that time Dr. Werner was cracking jokes, we were having a great conversation and the next thing I knew he was finished. I felt no pain during or after the procedure. This is written on day 2 and I have no pain or swelling in the area. I HIGHLY recommend Maze for anyone thinking about a vasectomy or any other services that they provide. Thanks Dr. Werner!!!
A, CT, Age 52
The entire experience was stress-free....and painless.
Before I moved to Westchester, I had decided to undergo a traditional vasectomy but chickened-out at the last minute. Once I moved, I was traveling on the Metro North train and noticed an ad for the no-needle, no-scalpel vasectomy at Maze Men’s Health. I immediately called to find out more information.
From the moment I met Dr. Werner, he made me feel completely at ease in what could potentially have been a very high anxiety situation. Although I was worried about the pain, there was absolutely no pain at all!
I couldn’t believe how easy the process was. From the first call through follow-up after the procedure, the entire experience was stress-free. I would definitely recommend Dr. Werner to anyone considering a vasectomy.
V, NY, Age 43
Dr. Werner and the entire Maze staff was FANTASTIC.
My experience with Dr. Werner and the entire Maze staff was fantastic. From the front desk, to billing, to the clinical staff and right up to Dr. Werner himself, my experience has been excellent. From consultation, pre-op, procedure and post visits everyone has been tremendously professional and great to work with. Today I’m 1000% healed up and extremely happy I came to see Dr. Werner in the first place.
M, NY, Age 38
Frequently Asked Questions
How long does the no-scalpel vasectomy take?
About 20 minutes; most patients say the recovery is easier than a dental procedure.
When can I drive?
Same day if you only used nitrous (no oral meds). If you took oral meds, arrange a driver.
Is the incision visible?
It’s a tiny opening—no stitches—and often hard to find afterward.
Is it reversible?
Reversal is possible but not guaranteed. Consider this permanent; some patients bank sperm before.
Will insurance cover it?
Many plans reimburse most or all costs. Our team handles claims and pre-authorization.