https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6464377/ only found upsides in using the no-scalpel vasectomy:
Two randomized controlled trials evaluated the no‐scalpel technique and differed in their findings. The larger trial demonstrated less perioperative bleeding (OR 0.49; 95% CI 0.27 to 0.89) and pain during surgery (OR 0.75; 95% CI 0.61 to 0.93), scrotal pain (OR 0.63; 95% 0.50 to 0.80), and incisional infection (OR 0.21; 95% CI 0.06 to 0.78) during follow up than the standard incisional group. Both studies found less hematoma with the no‐scalpel technique (OR 0.23; 95% CI 0.15 to 0.36). Operations using the no‐scalpel approach were faster and had a quicker resumption of sexual activity. The smaller study did not find these differences; however, the study could have failed to detect differences due to a small sample size as well as a high loss to follow up. Neither trial found differences in vasectomy effectiveness between the two approaches to the vas.
so I wonder if there any upside in receiving a vasectomy using traditional incision approach instead of a no-scalpel vasectomy.
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