Revision sheet

Vasectomy: no-scalpel access

8 steps, each one the authored title and caption from the interactive animation, with the frame captured from that step. Read it before the case, or print it and work through the steps in order.

Teaching only, not for diagnosis or treatment decisions. The text on this sheet is the animation's own step copy, reproduced verbatim.

Open the animation All revision sheets Download the PDF

UrOops3D · UroRef · © Nity G

  1. 01

    Consent, palpation, local anaesthetic

    Vasectomy: no-scalpel access. Step 1: Consent, palpation, local anaesthetic. Captured frame from the interactive animation.
    • Consent and the contraceptive plan are confirmed.
    • Both vasa are palpated at the top of the scrotum, each rolled between finger and thumb, and local anaesthetic is infiltrated round each one.
  2. 02

    Three-finger hold and ring clamp

    Vasectomy: no-scalpel access. Step 2: Three-finger hold and ring clamp. Captured frame from the interactive animation.
    • The right vas is lifted from behind by the middle finger and fixed under the median raphe by finger and thumb.
    • The ring-tipped fixation clamp is closed round it through the skin.
  3. 03

    Puncture

    Vasectomy: no-scalpel access. Step 3: Puncture. Captured frame from the interactive animation.
    • The sharp-tipped curved haemostat pierces the skin on the raphe over the vas.
    • Its tips are spread to open a small hole down to the vas.
    • No scalpel is used.
  4. 04

    Delivery and isolation

    Vasectomy: no-scalpel access. Step 4: Delivery and isolation. Captured frame from the interactive animation.
    • One blade spears the wall of the vas and a loop is delivered through the opening.
    • The clamp takes the loop.
    • The sheath is opened and stripped back so that a segment of bare vas is isolated.
  5. 05

    Clip, divide, cauterise

    Vasectomy: no-scalpel access. Step 5: Clip, divide, cauterise. Captured frame from the interactive animation.
    • A clip on each end of the segment, and the segment between them divided out and sent for pathology.
    • Both cut ends and their lumens are cauterised.
  6. 06

    Sheath over one end, return

    Vasectomy: no-scalpel access. Step 6: Sheath over one end, return. Captured frame from the interactive animation.
    • The sheath is closed over the abdominal end, so that the testicular end lies outside it.
    • The ends drop back into the scrotum; nothing is bleeding.
  7. 07

    The other side

    Vasectomy: no-scalpel access. Step 7: The other side. Captured frame from the interactive animation.
    • The left vas is held, clamped and delivered through the same opening, and divided and occluded in the same way.
    • The second segment goes to the pot.
  8. 08

    Haemostasis, closure, advice

    Vasectomy: no-scalpel access. Step 8: Haemostasis, closure, advice. Captured frame from the interactive animation.
    • Haemostasis at the opening, one absorbable stitch to the skin, a dressing and a support.
    • He is not yet sterile: contraception continues until semen analysis shows clearance.

Derived from scrotal/VasectomyScene.tsx at build time: every step title and caption above is the authored ProcedureDef text, reproduced verbatim, and this page shares its readable-points renderer with the animation itself. 8 of 8 steps have a captured frame.

Text fingerprint c2b6961d4fe98d8e. A caption edit without a re-capture fails the production check, so the sheet and the animation cannot drift apart silently.