Instruments & Anesthetic Agents
In this image: No-Scalpel Vasectomy Instrument Kit
Ringed Clamp
In this image: The Ringed Clamp is used to grasp and manipulate the vas deferens.
In this image: A close up of the tip of the Ringed Clamp.
Dissecting Forceps
In this image: Dissecting Forceps are used to dissect the skin and vas sheath. Note the sharply pointed tips used for dissection. These are not scissors; the opposed tips function as a hemostat and can be used to grasp and manipulate tissues.
In this image: A close up of the Dissecting Forceps.
Cautery Unit
In this image: The Cautery Unit is used to cauterize the vas lumen and free ends after resection of a portion of the vas deferens.
Hemostat and Toothed Forceps
In this image: Hemostat and Toothed Forceps are used to grasp and control the vas deferens at various points during the procedure.
Anesthetic Agents
In this image: Anesthetic and needle.
Use a 10cc syringe containing a 50:50 mixture of 1% lidocaine without epinepherine and 0.25% bupivicaine. This combination offers both immediate and long-acting (6-8 hours) anesthesia. A 25- or 27-gauge, 1-1/2" long needle is preferred for administration of the anesthetic.
Important: Avoid the use of epinepherine in vasectomy. If used, it would temporarily aid in hemostasis, but when its vasoconstrictive effects wear off (likely after the procedure is finished), bleeding may ensue. The risk of post-procedure bleeding far outweighs the benefit of temporary hemostasis during the procedure.