Frequently, our office staff receives calls regarding the so-called "No Scalpel" Vasectomy technique, or also known as 'scalpel-less' technique.  The question often arises is "Do Denton Urology doctors do this technique?"  At present, we do not perform this technique for several reasons.  I can only really speak for myself (Dr. Casey) but first of all, I do not believe the no-scalpel method is necessarily a bad technique, but rather I just do not see any real benefit from it over the technique I employ which uses two very small (about 1 cm) incisions.  The incisions I create are 'stitched' with one single stitch of absorbable suture and the small incisions heal rapidly, and leave no scar on the scrotal skin that is ascertainable several months later.  I also believe the small incision allows me to visualize the vas deferens (which is grabbed 'blindly' with the no-scalpel technique) and other structures near the vas and I simply feel this is safer.  Another issue I believe needs to be considered, is that the company who manufactures the no-scalpel equipment markets their technique as somehow superior, which I have already asserted is (I believe) false.  They tout it as something superior to the public so that patients will then apply pressure to their urologists all across the country so each Urology office in the nation will be obliged to purchase a very expensive set of equipment...  In other words, it is my opinion that it is more-or-less a marketing ploy by the manufacturers of such equipment...  I don't blame this corporation for trying to make a buck, and best of luck to them, but I simply believe there is no actual benefit medically or cosmetically to the patient who has such a technique done for his vasectomy over my standard technique.

Thanks for your questions, and we welcome any and all such queries in the future!

-- Sincerely,

David L. Casey, MD
Denton Urology

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Remember, if you have an emergency, the ER is always available.  True medical emergencies should be reported by calling 911.  If you need to speak with the on-call physician for a surgically urgent question, please dial (940) 387-2241.  Please note the Email Rules regarding such calls.

Dr. Casey can be reached for less urgent questions via Medem's Secure Messaging/Online Consultation (link on CV Page)

This page was authored by Dr. David L. Casey.  It reflects his opinions with these procedures, and Dr. Admire's instructions and/or precautions may be somewhat different.

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