| Step
1 |
Step
2 |
 |
 |
| The scrotal skin and the cord infiltrated with local
anasthetic using 27G fine needle. The right vas deference located and clamped as shown above |
The skin over the vas punctured using a special fine forceps. |
| Step
3 |
Step
4 |
 |
 |
| The jaws of the forceps
opened the puncture stretched to expose the underlying vas. |
The vas lifted and
brought out through the puncture. |
| Step
5 |
Step
6 |
 |
 |
| The vas dissected
free from the covering fascia and vessels. |
The Vas clamped at two site and a segment transected using Hyfrecator diathermy .The two ends diathermised and one end covered with the Spermatic fascia. The left Vas is dealt with in a similar way using the same puncture. |
| Final
Step |
 |
| The
vasectomy is complete. The procedure lasts 15-20 minutes. |
