No-scalpel vasectomy in Medellín
Permanent male contraception, outpatient and under local anesthesia
A no-scalpel vasectomy is performed through a tiny puncture, takes about 15 minutes, and you go home the same day. MDE Care is not a clinic: we coordinate the consultation with the urologist, the procedure, the follow-up semen analysis and your stay if you are coming from another city or country.
Outpatient
you go home the same day
Is a vasectomy the right decision in your case?
Six questions change the guidance: your age, whether you have children, how firm the decision is, whether your partner knows about it, how you feel about the procedure and your scrotal history.
1. Are you 18 or older?
2. Do you have children?
3. How firm is your decision not to have children in the future?
4. Does your partner know about the decision?
5. How do you feel about the procedure?
6. Have you had surgery, a hernia or a varicocele in the groin or scrotum?
Your guidance
Answers missing
Complete the questions to see your guidance.
* Guidance based on the vasectomy guideline of the American Urological Association (AUA, 2026) and on Colombian Law 1412 of 2010. The final decision is made at the consultation with the urologist, with your informed consent.
How much a no-scalpel vasectomy costs in Medellín
Choose the anesthesia and what you need before and after. We show you the price of each part and the estimated total.
Procedure
Anesthesia
Before
After
Estimated total
Vasectomy with local anesthesia and your selection
COP 615,000 to COP 2,200,000
* Estimated market prices in Colombia, private consultation; confirmed in the formal quote. The semen analysis can be done in your city. Sperm freezing does not include annual storage.
What is a no-scalpel vasectomy?
It is the cutting and sealing of the vas deferens, the tubes that carry sperm from the testicles. In the no-scalpel technique, the urologist reaches each tube with a clamp that makes a tiny puncture in the skin instead of an incision. The American Urological Association guideline recommends it as the technique of choice.
The testicles keep producing testosterone, and erection, desire and orgasm do not change. Semen still comes out the same way; it simply no longer carries sperm.
It is considered a permanent method and does not cause immediate sterility: a follow-up semen analysis is needed to confirm the result. If you wish to have children in the future, there is microsurgical vasectomy reversal, although it does not always work.
From the consultation to your home, the same day
What usually happens at each stage, according to the guidelines and published patient information.
Before
Consultation with the urologist
Scrotal exam, answers to your questions and informed consent.
At the start
Local anesthesia
In the skin of the scrotum. Optional sedation if there is significant anxiety.
About 15 minutes
No-scalpel vasectomy
Tiny puncture, cutting and sealing of both vas deferens.
The same day
Home
With a scrotal support and a cold compress for the swelling.
Who can have a vasectomy?
It is a personal decision. These are the criteria the AUA guideline and Colombian law use to guide the consultation.
Good candidate
An adult man who has already decided not to have children or not to have more, and who understands that the method is considered permanent.
A prior conversation is advisable
Men without children or with doubts are at higher risk of regret later. The AUA guideline suggests discussing sperm freezing before the procedure.
Not performed
In anyone under 18: Colombian Law 1412 of 2010 does not allow surgical contraception in minors.
How effective a vasectomy is
It is one of the most effective contraceptive methods; the follow-up semen analysis is what guarantees the result.
Pregnancies in the first year
0.15%
Male sterilization, typical use (CDC, 2014). Compared with 0.5% for tubal ligation.
With confirmed azoospermia
1 in 2,000
Approximate risk of pregnancy once the semen analysis no longer shows sperm (AUA, 2026).
Failure requiring a repeat
Up to 1%
Of vasectomies need to be repeated because of a failure of occlusion (AUA, 2026).
First semen analysis
8 weeks
From that point the follow-up sample can be submitted (AUA, 2026).
The first days after a vasectomy
By stage
The same day
Home
It is performed in the office under local anesthesia and you go home the same day.
Day 1
Work without physical effort
You can return to work the next day if your job does not involve heavy physical effort.
Days 3 to 4
Scrotal support
Worn for 3 to 4 days; a cold compress reduces the swelling, which subsides in about 2 weeks.
Days 3 to 7
Normal activities
Most men return to their usual physical routine within this period.
About one week
Sexual activity
Resumed when you feel ready, usually around one week, using another contraceptive method.
From week 8
Follow-up semen analysis
A sample with no sperm, or with 100,000 or fewer non-motile sperm per milliliter, confirms the result.
Strenuous exercise
Avoid it for at least one month, and in the first days do not lift more than about 4.5 kg (10 lb).
Another method until the check
A vasectomy does not cause immediate sterility: keep using another method until the semen analysis confirms the result.
If motile sperm persist
If they still appear at 6 months, the AUA guideline recommends considering a repeat vasectomy.
Vasectomy risks, in figures
It is a procedure with few complications. These are the figures the American Urological Association guideline asks to explain at the consultation.
Effects and complications
- Symptomatic hematoma or infection1% to 2%
- Chronic scrotal pain affecting quality of life1% to 2%
- Failure of occlusion requiring a repeatUp to 1%
- Pregnancy with confirmed azoospermia1 in 2,000
No link
With prostate cancer
The AUA guideline (2026) states that no causal link has been established between vasectomy and prostate cancer.
Unchanged
Testosterone, erection and orgasm
A vasectomy does not change testosterone production, erection or orgasm.
Less
Hematomas and pain without a scalpel
In the 2014 Cochrane review, the no-scalpel technique had less bleeding, fewer hematomas, less infection and less pain than the incision technique, with the same effectiveness.
No-scalpel vasectomy, conventional vasectomy and tubal ligation
All three are permanent methods. The no-scalpel vasectomy causes the least discomfort and is the fastest; tubal ligation is performed on the woman and requires entering the abdomen.
No-scalpel vasectomy
Reference price
COP 300,000 (US$75) to COP 1,600,000 (US$400)
How it is done
A tiny puncture with a clamp, no incision
Anesthesia and duration
Local, about 15 minutes
Pregnancies in the first year
0.15%
Recovery
Normal activities in 3 to 7 days
Conventional (scalpel) vasectomy
Reference price
Quoted at the consultation
How it is done
One or two incisions in the scrotum
Anesthesia and duration
Local; longer than no-scalpel
Pregnancies in the first year
Same effectiveness as no-scalpel
Difference
More bleeding, hematomas, infection and pain
Tubal ligation
Reference price
Quoted at the consultation
How it is done
On the woman, by laparoscopy through the abdomen
Anesthesia and duration
General or spinal, about 30 minutes
Pregnancies in the first year
0.5%
Recovery
No lifting for 3 weeks
Already had a vasectomy and want to have children again?
Microsurgical reversal reconnects the tubes. Its results depend on the years since the vasectomy and on your partner's age.
Your vasectomy in Medellín, step by step
It is a short procedure: you can travel with only a few days of stay. The follow-up semen analysis is done weeks later and you can have it in your city.
Step 1
Contact by WhatsApp
You tell us about your case and the dates you can travel.
Step 2
Formal quote
Detailing what is included, in pesos or in dollars.
Step 3
Consultation with the urologist
Exam, answers to your questions and informed consent.
Step 4
No-scalpel vasectomy
Under local anesthesia, about 15 minutes; you return to your lodging the same day.
Step 5
First days
Relative rest, scrotal support and a cold compress; work without effort from the next day.
Step 6
Semen analysis in your city
From week 8; you send us the result and the urologist reviews it.
What MDE Care does for you
We are neither a clinic nor a directory. We support you from your first question to the results consultation.
Initial guidance
We review your medical order or the reason for your visit before booking.
The right specialist
We connect you with the urologist who performs the procedure you need.
Clear prices
You know the price and what it includes before booking.
Appointments and tests
We coordinate the schedule, the preparation and the timing of each step.
Logistics support
Lodging and transportation if you are coming from another city or country.
Follow-up
We coordinate the results consultation and follow-up visits.
About no-scalpel vasectomy
How much does a vasectomy cost in Medellín?
Where can you get a vasectomy in Medellín?
Is a vasectomy done under local anesthesia?
Is it an outpatient procedure and how long does it take?
When are you no longer fertile, and what is a vasectomy certificate?
Does a vasectomy affect erections or testosterone?
Can a vasectomy be reversed?
Do you need your partner's authorization?
Other urology pages
Request your appointment for a no-scalpel vasectomy
We coordinate the consultation with the urologist, the procedure and the follow-up semen analysis. Know the price before booking.