DOI: https://doi.org/10.36347/sasjs.2026.v12i05.012

Pages: 397-402

Background: Vasectomy is a reliable and effective method of permanent male sterilization. Conventional vasectomy is widely practiced but is associated with postoperative complications such as pain, hematoma, and infection. No-scalpel vasectomy has emerged as a minimally invasive alternative with improved postoperative outcomes. Aim: To compare operative duration, postoperative morbidity, and failure rates between no-scalpel vasectomy and conventional vasectomy. Materials and Methods: This hospital-based comparative observational study with retrospective and prospective analysis was conducted in the Department of surgery at a tertiary care hospital India over a period of 12 months. A total of 156 patients undergoing vasectomy were included, with 78 patients each in the no-scalpel vasectomy and conventional vasectomy groups. Outcome measures included operative duration, postoperative pain, hematoma, sepsis, failure rate, and semen analysis findings. Statistical analysis was performed using SPSS version 27.0 and GraphPad Prism version 5, with p <0.05 considered statistically significant. Results: The mean operative duration was significantly lower in the no-scalpel vasectomy group (11.8 ± 2.4 minutes) compared to the conventional vasectomy group (19.6 ± 3.1 minutes) (p <0.001). Mild postoperative pain was more common in the no-scalpel group, while moderate and severe pain were predominantly observed in the conventional group (p <0.001). Postoperative complications such as hematoma, sepsis, and scrotal edema were significantly lower in the no-scalpel vasectomy group. Failure rates were low in both groups, with no statistically significant difference. Higher rates of azoospermia were observed in the no-scalpel vasectomy group. Conclusion: No-scalpel vasectomy is associated with shorter operative duration, lower postoperative morbidity, and comparable effectiveness when compared with conventional vasectomy, making it a preferable technique for permanent male sterilization