1. Small incision in the scrotum under LA A piece of vas at least 1cm removed after clampingCut ends are ligated & folded upon themselvesSutured so that cut ends face away from each otheroSterility not immediate (at least 30 ejaculations)oSperms are stored in reproductive tract upto 3 monthsoSperms destroyed intra luminally by phagocytosiso2 semen analysis- no sperm man declared sterile

2. COMPLICATIONS OF VASECTOMY Local pain, skin discolouration, bleeding Infection, trauma to artery ,gangrene Ab formation, autoimmune disease Failure rate Granuloma formation Spontaneous recanalization Spermatocele formation Haematoma 3. Non Scalpel VasectomyLocal Anaesthesia isgivenVas deferens fixed bya ring forceps so thatonly minimal amountof tissue is present inthe ring 4. Skin directly overlying the vas in the ringforceps is puncturedPuncturing hole isenlarged to abouttwice the diameter ofvas deferens 5. Delivering the vasout of thepuncture hole 6. Ligaturing the endsof vas & excising asmall segmentTied ends are pushedback into scrotumOpposite vas is alsomanipulated 7. At the end of theprocedure a tinypuncture holeresults, whichdoesnt require anyclosure 8. POST OPERATIVE CARE Wear a T bandage for 15days Avoid bathing 24hrs after the operation Keep the site clean & dry Avoid cycling or lifting heavy weights for 15 days Use contraceptives until aspermia has been established Have stitches removed on 5th day after operation 9. DISADVANTAGES OF NSVHaematoma formationSepsis 10. ADVANTAGES OF NSVNo incision, no stitchMinimal dissection using only 3 instrumentsChance of complications reduced from 2% th 0.3%Safer, convenient, acceptable methodCheaper compared to tubectomy 11. In spite of all these advantages,male sterilizations account foronly 15% of all sterilizations inIndia !!!!!!!