There are two ways to categorise a vasectomy procedure. Traditional or No-Scalpel The traditional way to perform a vasectomy uses a scalpel to make an incision on each side of the scrotum, giving access to the vas. The no-scalpel technique only involves one access hole via blunt dissection to access the vas from both sides. The no-scalper method has less chance of complications like bruising and bleeding and offers a quicker recovery time. Open-ended or Close-ended Open-ended vasectomy leaves the vas attached to the testis open to allow sperm release into the scrotum. The open-ended method reduces congestion and pressure, using a kinked hose on a running tap as a metaphor.  Close-ended vasectomy clamps the testicular end of the vas with a clip or suture.