No Scalpel vasectomy

No scalpel vasectomy (also called keyhole vasectomy or NSV) is a vasectomy procedure variant in which a sharp hemostat is used to puncture the scrotum to access the vas deferens instead of giving an incision as in conventional vasectomy. This offers several benefits, the key being that there is no need for surgical sutures to close the skin. Because of the inherent simplicity of the procedure it affords itself to be used in public health programs worldwide. This method is used in over 40 countries for male sterilisation. No scalpel vasectomy was developed and first performed in China by Dr. Li Shunqiang with the aim of reducing men's fear related to the incision and increasing vasectomy use in China. In 1985, a team created by EngenderHealth visited his centre to learn the technique. One of the team members, Dr. Phaitun Gojaseni, introduced the no-scalpel technique in Thailand upon his return, while another member of the team, Dr. Marc Goldstein, introduced the technique to the United States at the NewYork–Presbyterian Hospital. Over time, the technique gained popularity and it is now a preferred method of male sterilization in many countries. No scalpel vasectomy was introduced in India in 1998. A team of Indian surgeons lead by Dr RCM Kaza travelled to Chengdu, China, to learn the technique under the aegis of EngenderHealth and the UN. They then introduced the procedure in India, under the National Rural Health Mission. The Government of India then proceeded to introduce the procedure in every district of India as an alternative to tubal ligation offered to women. World Vasectomy Day is celebrated on 7 November in India. No scalpel vasectomy is a day case (outpatient) procedure and the patient is fit to go home the same day. No scalpel vasectomy is for all practical purposes irreversible. The Government of India stipulates more stringent criteria: No scalpel vasectomy is performed under local anaesthesia. Usually lidocaine 2 percent is infiltrated into the vas deferens and the puncture site on the scrotum. This makes the procedure pain free. Some patients may prefer to receive regional anaesthesia.