What are the contraindications for no-scalpel vasectomy (NSV)?

Updated: Jan 19, 2016
  • Author: M David Stockton, MD, MPH; Chief Editor: Edward David Kim, MD, FACS  more...
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See the list below:

  • Contraindications to no-scalpel vasectomy (NSV) include the following:

    • Anatomic abnormalities, such as the inability to palpate and mobilize both vas deferens or large hydroceles or varicoceles

    • Past trauma and scarring of the scrotum

    • Acute local scrotal skin infections

  • Extreme care and consideration must be taken with patients who are taking anticoagulants or antiplatelet medications.

  • Provision and review of both written and verbal informed consent is paramount. Men and their spouses must understand that vasectomy should be considered a permanent sterilization procedure. Belief that reanastomosis microsurgery provides a good backup plan for fathering future children should be strongly discouraged.

  • Surgical complications, failure rates, alternative methods of birth control, and possible chronic postoperative pain should also be discussed, and all questions should be answered.

  • Emotional instability or equivocal feelings about permanent sterilization are contraindications to vasectomy.

  • Compliance with postoperative follow-up and postprocedure semen analysis is of utmost importance.

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