Doctors Neil Pollock and Jack Chang are engaged in teaching and developing the no-scalpel vasectomy method in Canada. They are frequently sought out by physicians around the world who request to come to Vancouver to study with them in hopes of learning their specific techniques.
Both of our doctors are clinical instructors at the University of British Columbia Faculty of Medicine, and both Dr. Chang and Dr. Pollock have traveled abroad on teaching missions to bring the latest vasectomy techniques to physicians around the world.
No-Scalpel, No-Needle, Minimally-Invasive
We use a no-scalpel vasectomy technique where instead of making two 1-inch incisions with a scalpel on each side, a single mid-line puncture just a few millimeters in size is made at the base of the penis and spread open gently to access both vas deferens.
We also offer a newer method of anesthesia called no-needle anesthesia, which eliminates the need for freezing the scrotum with a needle, which may cause a higher risk of injury to a blood vessel. Instead, a special spray applicator that uses air pressure is employed so that no sharp object enters the scrotum. This method is quick, safe, and comfortable for patients.
Optional Nitrous Oxide Sedation
If you are concerned about pain or feeling anxious about your procedure, we offer mild sedation with a nitrous oxide inhaler. The nitrous oxide only takes a minute to relax you and the effects are completely gone shortly after the procedure. You will be fine to drive home and go on with your day. Nitrous oxide is available upon request.
Open-Ended Vasectomy Technique
Our doctors perform an “open-ended” vasectomy technique, where the vas from the lower end of the tube is left open (uncauterized), while the upper end of the tube leading to the penis is cauterized. Historically, the lower end was closed off with cautery during a vasectomy because it was thought that leaving the lower end open could cause more complications or failures.
Instead, when the bottom end of the vas deferens is allowed to remain open, complications and failures are not increased. In fact, there appears to be less chance of post vasectomy pain and a higher chance of successful vasectomy reversal in the future. Specifically, when the lower end of a vasectomy is closed off, some patients experience build up pressure in the lower end and this pressure can cause swelling and inflammation in the epididymis, especially in the first 2 weeks.
With an open ended approach, sperm is allowed to “leak out” and eventually forms a small granuloma at the opening that serves as a metabolically active “recycling” centre that decompresses the epididymis. This constant recycling and removal of sperm may relieve pressure build up downstream, reduce damage, and increase vasectomy reversal success.
Fascial Interposition With Dissolving Sutures
Our doctors also carry out what many studies describe as a crucial step, called fascial interposition. This step involves securing a sheath of healthy tissue between the divided ends to create a physical barrier between the two cut ends.
We accomplish this using a dissolving suture so that no foreign bodies such as metal clips are left in your scrotum.
Semen Testing: Professional Labs All Over BC
No matter where you are traveling from, we conduct our semen analysis using only professional and accredited labs through Lifelabs.
Locations are available throughout British Columbia.
This ensures that your semen samples are put through the strictest standards of testing to provide the highest confidence in your results.