What are the types of vasectomy? There are a couple of ways to categorise the procedure methods: 1. Traditional Vs No-Scalpel - The traditional method involves using a scalpel to make an incision on each side of the scrotum to access the vas. The No-scalpel method uses blunt dissection and usually only involves one hole being made through which the vas from both sides is accessed. The no-scalpel technique results in lower complication rates such as bruising and bleeding. 2. Open-ended Vs Closed-ended - The open ended technique means that the end of the vas attached to the testicle is left open. Why does this matter? Well after a vasectomy the testicle is going to continue to make sperm and this sperm needs to go somewhere. By allowing it to be released into the scrotum we reduce the incidence of “congestion” or the feeling of pressure from sperm backing up (think of a kinked hose with the tap running). The closed-ended technique means the testicular end of the vas is clamped with a suture or a clip.