S S Schmidt1. 1. Department of Urology, University of California School of Medicine, San Francisco, USA.
Abstract
OBJECTIVE: To determine the incidence of complications, including recanalization, in a series of 6248 consecutive vasectomies performed with a section-fulguration-fascial interposition technique. PATIENTS AND METHODS: Over a 38-year period, 6248 vasectomies were performed by one surgeon (S.S.S.) as a clinic procedure under local anaesthesia with no resection of a vasal segment. The mucosa of the cut ends of the vas was destroyed by cauterization and the fascial sheath of the vas was interposed as a barrier. Semen specimens were examined until two specimens, one month apart, showed no sperm. RESULTS: Complications were minimal, with few cases of haematoma or wound infection. Spermatic granulomas were uncommon. No post-vasectomy pregnancies were reported and no patient showed a persistence of sperm. CONCLUSION: The section-fulguration-fascial interposition technique of vasectomy was uniformly effective, with few post-operative problems.
OBJECTIVE: To determine the incidence of complications, including recanalization, in a series of 6248 consecutive vasectomies performed with a section-fulguration-fascial interposition technique. PATIENTS AND METHODS: Over a 38-year period, 6248 vasectomies were performed by one surgeon (S.S.S.) as a clinic procedure under local anaesthesia with no resection of a vasal segment. The mucosa of the cut ends of the vas was destroyed by cauterization and the fascial sheath of the vas was interposed as a barrier. Semen specimens were examined until two specimens, one month apart, showed no sperm. RESULTS: Complications were minimal, with few cases of haematoma or wound infection. Spermatic granulomas were uncommon. No post-vasectomy pregnancies were reported and no patient showed a persistence of sperm. CONCLUSION: The section-fulguration-fascial interposition technique of vasectomy was uniformly effective, with few post-operative problems.
Entities:
Keywords:
Americas; California; Developed Countries; Diseases; Family Planning; Incidence; Male Sterilization; Measurement; North America; Northern America; Pain; Research Methodology; Signs And Symptoms; Sterilization, Sexual; Treatment; United States; Vasectomy--complications
Authors: Brian Eisner; Timothy Schuster; Phillip Rodgers; Muzammil Ahmed; Gary Faerber; Gary Smith; Dana Ohl Journal: Ann Fam Med Date: 2004 May-Jun Impact factor: 5.166
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