The act of inserting a lit cigarette, lit end down, into the tip of a man's penis, down his urethra. The idea is that this act will render the man infertile, like a vasectomy.
"I was getting head from this French broad and she refused to take her smoke out of her mouth. She knew what she was doing, but I was still worried she might try to give me the ol' french vasectomy."
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When a man stuffs his cock down a girl's throat and she then gets her head cut off by a guillotine, cutting the man's penis head off.
Jackie just gave Caleb The French Vasectomy and It looked awesome!