This is the final part of the long and interesting history of the vasectomy. The first non-scalpel vasectomy was not performed until 1985 in the United States by Dr. Mark Goldstein at the New York Presbyterian Hospital Cornell Medical Center. He was a member of the international team, sponsored by the Association of Voluntary Surgical Contraception that went to China to learn the procedure. The procedure was then introduced to other countries by the other team members.
In 1999 the no-needle vasectomy is introduced after 6 years of preparation. A spray jet injector was used for the local anesthesia. This technique was developed by Dr. Charles L. Wilson of Seattle, WA in consultation with the late Dr. Ralph Adam who was the inventor of the MadaJet device used in this technique. The local anesthesia given with 30 gauge needle is almost painless in the good hands, mild pain while given anesthesia is actually caused by the acidic lidocaine, but the application of Madajet does reduce the anxiety in the needle phobia patients.
A Study is published in China in 2003 about the long term effects of vasectomy on benign enlargement of the prostrate. (BPH) The study concludes that vasectomy reduces the incidence rate of BPH significantly.
Robotic vasectomy reversal is first performed on rats in 2004. A study was done using a new microsurgical robot that had FDA approval in 2000. It was used to perform two types of reversal procedures on rats. The robot does not have the shaking hands that humans do. The initial results were that the robotic group had less obstruction or blockage than the group where humans performed the procedure. The incidence of granulomas was also much lower in the robotic groups.
A 2005 publication of research into the “no needle” technique of using a high pressure injector to administer anesthetic shows results of less discomfort to patients and is much faster acting than needle administered anesthetic.
The Vasclip which was FDA approved in 2003, has its first independent study into the effectiveness and short term complications of the device published in2006. In 2007 the Vasclip website went dead. It was found that it was not easier to reverse this procedure than a regular vasectomy. Many men got the Vasclip thinking that it would be easier to reverse when they wanted to have children again. In many cases it did more damage to the vas deferens.
Dr. Shu has performed no scalpel vasectomy for 15 years. He invented two-finger technique in facilitating the local anesthesia and holding the vas during the surgery. In 2008, Dr. Steven Shu opened his own clinic, One Stop Medical Center in Edina and Shoreview, MN which is focused on in-office procedures including no-scalpel vasectomy. In 2009 Dr. Steven Shu also adds the “no needle” vasectomy. The clinic has been doing many more vasectomies every year after the procedure-oriented clinic gained more reputation and became the number one vasectomy clinic in Minnesota. Dr. Shu was an assistant professor in the University of Minnesota medical school from 2007-2012, teaching no scalpel vasectomy and other office procedures in the Smiley’s Clinic. You can read more about it at vasectomy.