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Vasectomy is a surgical form of male sterilization that involves severing and sealing the vasa deferentia, preventing sperm from mixing with semen during ejaculation. Because a vasectomy does not impact the testes' ability to produce testosterone, hormone levels, libido, and sexual function generally remain unchanged. While vasectomy is highly effective in preventing pregnancy, with a success rate near 99.85%, rare cases of recanalization (spontaneous reconnection) can occur. Although vasectomy...

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Updated: May 17, 2026

Optimizing the Modified No-Scalpel Vasectomy Technique

Optimizing the Modified No-Scalpel Vasectomy Technique

Published on: October 18, 2024

Update on vasectomy protocol.

Doron S Stember¹, Harris M Nagler

¹Department of Urology, Beth Israel Medical Center of Albert Einstein College of Medicine of Yeshiva University, New York, NY 10003, USA. dstember@CHPNET.ORG

Current Urology Reports

|October 25, 2012

Summary

This summary is machine-generated.

This review examines recent vasectomy literature and guidelines from the American Urological Association and European Association of Urology. It highlights variations in male contraception practices and sterility confirmation methods.

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Area of Science:

Urology
Reproductive Health
Male Contraception

Background:

Vasectomy is a common male sterilization procedure, with over 500,000 performed yearly in the US.
Significant variability exists among urologists regarding patient counseling, surgical techniques, and post-vasectomy sterility confirmation.

Purpose of the Study:

To provide an overview of the latest vasectomy literature.
To focus on recently published guidelines from major urological organizations.

Main Methods:

Literature review of vasectomy studies published within the past year.
Analysis of guidelines from the American Urological Association (AUA) and European Association of Urology (EAU).

Main Results:

Identified considerable variation in current vasectomy practices.
Highlighted recent guideline publications from the AUA and EAU.

Conclusions:

There is a need for standardized practices in vasectomy counseling, technique, and sterility confirmation.
Recent guidelines from major urological associations offer a framework for improving care.