No-Scalpel Vasectomy: An Illustrated Guide for ... - EngenderHealth

FIGURE 29. Steps in completing vasectomy by fascial interposition(a) The operator gently pinches and pullsup on the scrotum with the thumb andindex finger(b) The prostatic end of the vas passesbetween the fingers into the scrotum(c) The uncut ligature at the prostatic endis pulled through the puncture wound(d) With the tip of the dissecting forceps,the fascial sheath is grasped and held(e) The fascial membrane is tied about2 to 3 mm below the tie at theprostatic end(f) The stump at the prostatic end isallowed to slip back into the scrotumEngenderHealth Surgical Approach and Occlusion of the Vasa 45