No-Scalpel Vasectomy by a Board-Certified Urologist
Safe, effective, and discreet vasectomy care performed by Dr. David Eiley, (Fellow of the Royal College of Surgeons of Canada), a board-certified urological surgeon with over 25 years of experience and one of the highest-volume vasectomy practices in the Greater Montreal area.
Your procedure is performed in a private, comfortable, state-of-the-art clinic with personalized care before, during, and after your vasectomy.
(Please note: Vasectomy services at our clinic are private and not covered by RAMQ.)
What Is a Vasectomy?
A vasectomy is a permanent male birth control procedure that prevents sperm from entering the semen. It does not affect testosterone levels, erections, libido, ejaculation, or sexual performance.
After a vasectomy:
- Sperm production continues normally
- Sperm are safely reabsorbed by the body
- Sexual function remains unchanged
Vasectomy is one of the most reliable and commonly chosen methods of long-term contraception.
No-Scalpel Vasectomy
Dr. Eiley performs vasectomies using the advanced no-scalpel technique, which is now considered the modern standard of care.
Benefits of the no-scalpel approach include:
- No scalpel and no stitches
- A tiny skin opening (approximately 5 mm) that heals naturally
- Minimal bleeding and swelling
- Lower complication rates
- Faster recovery compared to traditional techniques
Procedure time: Approximately 15 minutes
Setting: Office-based private clinic
Anesthesia: Local anesthesia only (no general anesthesia)
Is a Vasectomy Painful?
Most patients are surprised by how easy the procedure feels.
Local anesthesia is applied just under the skin (not into the testicles). You may feel a brief pinch lasting a few seconds, similar to a mosquito bite. Before continuing, the area is carefully tested to ensure it is fully numb.
Once numb, the procedure is typically painless and very well tolerated.
Vasectomy Effectiveness & Success Rate
- Effectiveness: Over 99.95%
- Failure rate: Approximately 1 in 2,000
- Removal of a segment of each vas deferens
- Sealing of both ends
- Placement of natural tissue between the cut ends
Important Follow-Up
You must continue using birth control for at least three months after the procedure. A post-vasectomy sperm test is required to confirm the absence of sperm and the success of the vasectomy.Why Choose Dr. David Eiley for Your Vasectomy?
While many physicians perform vasectomies, experience and specialization matter.
Patients choose Dr. Eiley because he offers:
- Board-certified urologic expertise (MD, FRCSC)
- Over 25 years of surgical experience
- Fellowship training in minimally invasive urologic surgery in the United States and Canada
- One of the highest vasectomy case volumes in the Montreal area
- Comprehensive post-operative care and follow-up
- A discreet, professional, and patient-focused clinic environment
Your care continues beyond the procedure itself, ensuring safety, comfort, and peace of mind.
Recovery & Aftercare
Recovery from a no-scalpel vasectomy is generally quick and straightforward.
Most patients can expect:
- Same-day discharge
- Light activities within 24–48 hours
- Return to desk-based or non-physical work in 1–2 days
- Mild soreness or swelling that resolves quickly
You will receive clear written aftercare instructions to support proper healing and recovery.
What to Expect on the Day of Your Vasectomy
Understanding what happens step by step helps reduce anxiety and ensures you feel prepared.
- Check-in and review
You’ll check in at the clinic and review key information with the medical team. Dr. Eiley will answer any last questions before the procedure begins. - Private procedure room
You’ll be brought into a discreet, comfortable procedure room where the area is prepared under sterile conditions. - Local anesthesia
A small amount of local anesthetic is applied just under the skin. You may feel a brief pinch for a few seconds. The area is tested to ensure complete numbness before proceeding. - The no-scalpel procedure
Using a tiny opening (about 5 mm), each vas deferens is accessed. A small segment is removed, the ends are sealed, and natural tissue is placed between them as an added fail-safe.
Procedure time: Approximately 15 minutes. - Aftercare instructions
You will receive clear instructions for the first 24–48 hours, including activity guidelines and how to manage normal soreness. No stitches are required. - Same-day return home
Most patients are finished within 30 minutes and return home shortly after the procedure. - Follow-up and confirmation
You’ll be reminded to continue contraception and complete a post-vasectomy sperm test to confirm success.
How Common Is Vasectomy?
In Canada, approximately 20% of fertile couples choose vasectomy as their method of birth control. The majority of vasectomies are performed by urologists, who specialize in the surgical management of the male reproductive system.
The no-scalpel technique is associated with fewer complications and faster recovery.
Is Vasectomy Permanent?
A vasectomy should always be considered permanent.
While some men later wish to have children, options may include:
- Vasectomy reversal
- Surgical sperm extraction
- Sperm banking (freezing sperm prior to vasectomy)
These options can be discussed during your consultation so you can make an informed decision.
Vasectomy vs Other Birth Control Options
Other birth control methods include:
- Condoms
- Intrauterine devices (IUDs)
- Hormonal implants
- Oral contraceptive pills
- Diaphragms
A consultation can help determine whether vasectomy is the right long-term solution for you and your partner.
Book Your Vasectomy Appointment in Montreal
Take control of your reproductive health with confidence.
Montreal Urology Clinic
Dr. David Eiley, MD, FRCSC
Fast appointments • Expert care • Discreet setting
Frequently Asked Questions
Will a vasectomy affect my sex drive or erections?
No. A vasectomy does not interfere with testosterone production, erections, libido, or ejaculation. Sexual function remains unchanged because the procedure only blocks sperm from entering the semen.
Is the no-scalpel vasectomy really painless?
Most patients describe the procedure as surprisingly easy. A small amount of local anesthesia is applied just under the skin, creating a brief pinch that lasts only a few seconds. Once numb, the procedure is typically painless.
How long does the vasectomy procedure take?
The procedure itself usually takes about 15 minutes. Including preparation and recovery time at the clinic, most patients are finished within 30–45 minutes.
What is recovery like after a vasectomy?
Most men return home the same day and resume light activities within 24–48 hours. Mild soreness or swelling is normal and resolves quickly with proper aftercare.
When can I return to work after a vasectomy?
Many patients return to desk-based or non-physical work within one to two days. Jobs involving heavy lifting or strenuous activity may require a few additional days of rest.
How effective is a vasectomy?
Once confirmed by a post-procedure sperm test, vasectomy is over 99.95% effective, making it one of the most reliable forms of birth control available.
When can I stop using other birth control methods?
You must continue using contraception for at least three months after the procedure until a sperm test confirms that no sperm are present.
Is a vasectomy reversible?
A vasectomy should be considered permanent. While reversal or sperm extraction may be possible, success is not guaranteed and depends on multiple factors.
Is vasectomy covered by RAMQ?
No. Vasectomy services at the Montreal Urology Clinic are private and not covered by RAMQ.
Why should I choose a urologist for my vasectomy?
Urologists specialize in male reproductive surgery. Choosing an experienced, high-volume urologist significantly reduces complication rates and improves outcomes.