72e2d80b_for_Male_Reproductive_Medicine__Conventional_Vasectomy
[No-Scalpel Vasectomy] Another instrument is used to make a small perforation in the skin over the vas and spread the tissue. The vas is then pulled up and all the tissue around it is cleaned off. This is an important step because all the nerves must be moved away from the vas before it is clipped. [Conventional Vasectomy] 
The surgeon then must find the vas and surgically separate it from the other structures in the spermatic cord.
No Scalpel Vasectomy Los Angeles | Center for Male Reproductive Medicine
Conventional Vasectomy