Dr. Karpman's No-Scalpel Vasectomy (NSV) Technique using two incisions

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Dr. Karpman is our resident expert, and answers questions in the Ask the Doctor section. His website addresses are californiavasectomyreversal.com and elcaminourology.com. The following photo set is from one of Dr. Karpman's patients who was willing to participate in this section. It shows the progress of vasectomy healing on a day by day basis, starting from minutes after the procedure was performed. The vasectomy was performed mid November 2007.

click on the photo for an enlarged image.

Day 1

This picture was taken immediately after the procedure. (Day 1)

Dr Karpman says:- "I did this vasectomy today using a non-scalpel technique and two small incision sites located high on the scrotum. You can see how small the incisions should be for a vasectomy. One dissolvable suture on each side is used to close the tiny incisions (optional). Total surgery time was approximately 7 minutes. The patient read a magazine the entire time and didn't even flinch.

Immediate post-operative photos demonstrate virtually no swelling and very hemostatic (no bleeding) closure.

Day 2

This picture was taken the day after the procedure (day 2).

Patient's comments when emailing the picture:- "Here is day 2 and there is no swelling or pain. Excellent job doc."

Day 3

This picture was taken on day 3. Note the very slight bruise developing above the left incision.

Patient's comments when emailing the picture:- "Here you go - day three, feeling good and I wanted to know if it is alright to lift weights at the gym?"

Day 4

This picture was taken on day 4.

Dr. Karpman's comments:- "It's very hard to see any bruising. The incisions are healing appropriately, and there is no swelling at all."

Day 5

This picture was taken on day 5.

Dr. Karpman's comments:- "Minimal bruising on the left side, but compared to the photos of the midline incision you really see a big difference in how the two different approaches fare post-operatively. Not only is there significantly less bruising at the same time post-operatively than with the midline incision, but the smaller incisions heal much better than the larger one."

Many thanks to our contributor for submitting these pictures and allowing us to use them. If you are having a vasectomy, please consider the idea of taking some pictures during your recovery for us to post, as we feel that it will help men know what is, and isn't normal. We aren't looking for just extreme bruising and swelling picture as shown on some pages of this section, but also pictures of straightforward vasectomy with normal recovery as above. As with the above pictures, complete anonymity is guaranteed, and for the purposes of taste and decency, photo's will be edited to be shown in a clinical context. If you are happy to participate, please visit the section index page for photographer's tips and the email address to send your pictures to.

Thanks for viewing this page, and I hope you will consider joining the contributor above by submitting pictures you think will be of help to your fellow men!

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