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non scalpel vasectomy

Gregory Lowe
Vasectomy provides a long-term effective sterilization for men and is performed on nearly 500,000 men annually in the United States. Improvements in technique have led to a decreased failure rate and fewer complications, although significant variations in technique exist. Use of cautery occlusion with or without fascial interposition appears to have the least failures. A no-scalpel approach lowers risk of hematoma formation, infection and bleeding post-operatively. A patient can be considered sterile when azoospermia is achieved or the semen analysis shows less than 100,000 non-motile sperm per milliliter...
April 2016: Translational Andrology and Urology
Muammer Altok, Ali Feyzullah Şahin, Rauf Taner Divrik, Umit Yildirim, Ferruh Zorlu
OBJECTIVES: There is no trial comparing bipolar cautery and ligation for occlusion of vas in non-scalpel vasectomy. This study aimed to compare the effectiveness of these vasectomy occlusion techniques. MATERIALS AND METHODS: Between January 2002-June 2009, patients were allocated in alternate order. We recruited 100 cases in cautery group and 100 cases in ligation group. Non-scalpel approach was performed during vasectomy and fascial interposition was performed in all cases...
November 2015: International Braz J Urol: Official Journal of the Brazilian Society of Urology
K Sivagnanam, Sonali Sarkar, Ganesh Kumar, Sitanshu Sekhar Kar
BACKGROUND: Only 0.7% of men participate in the sterilization programme in Tamil Nadu. Various strategies were adopted to achieve a target of 10%. We aimed to assess the motivational strategies adopted by the health staff of Sathya Vijayanagaram block of Thiruvannamalai district in Tamil Nadu to improve the acceptance of non-scalpel vasectomy among the beneficiaries and to describe the sociodemographic characteristics of the acceptors of the technique. METHODS: This qualitative study, conducted in November-December 2010, involved in-depth interviews of the health staff of Cheyyar Health Unit district...
November 2014: National Medical Journal of India
Hong-Liang Yu, Li-Wei Bo, Xiao-Cui Liu, Xiao-Bei Kong, Feng-Xia Zhu, Xiao-Guo Yang, Jian-Ping Liu
OBJECTIVE: To assess the long-term effect and safety of non-occlusive intra-vas device (IVD) for male contraception in comparison with no-scalpel vasectomy (NSV). METHODS: We conducted a follow-up investigation on 100 males who had received IVD and another 50 who had undergone NSV 6 years before. We compared the rates of sperm absence and complications between the two groups. RESULTS: Follow-up visits were successfully performed on 95 males (95%) of the IVD group and 44 (88%) of the NSV group...
April 2013: Zhonghua Nan Ke Xue, National Journal of Andrology
Ira D Sharlip, Arnold M Belker, Stanton Honig, Michel Labrecque, Joel L Marmar, Lawrence S Ross, Jay I Sandlow, David C Sokal
PURPOSE: The purpose of this guideline is to provide guidance to clinicians who offer vasectomy services. MATERIALS AND METHODS: A systematic review of the literature using the search dates January 1949-August 2011 was conducted to identify peer-reviewed publications relevant to vasectomy. The search identified almost 2,000 titles and abstracts. Application of inclusion/exclusion criteria yielded an evidence base of 275 articles. Evidence-based practices for vasectomy were defined when evidence was available...
December 2012: Journal of Urology
H R Farrokh-Eslamlou, M Eslami, I Abdi-Rad, B Eilkhanizadeh
The aims of this prospective, non-comparative study were to determine time to azoospermia and vasectomy success rate based on the results of semen analysis. A total of 334 men seeking vasectomy at a clinic in Urmia city, Islamic Republic of Iran were followed bi-weekly up to 24 weeks after vasectomy or until azoospermia was confirmed via semen analysis. The cumulative life table rate for azoospermia was 93/100 men (95% CI: 88.1 to 97.9). The median time to azoospermia was 10 weeks. By week 24 of follow-up, 3...
June 2011: Eastern Mediterranean Health Journal, la Revue de Santé de la Méditerranée Orientale
Dirk Michielsen, Rob Beerthuizen
A systematic Medline/PubMed and Cochrane Library review of the literature was carried out with regard to technique, effectiveness, safety and complications of male sterilisation. Vasectomy is an outpatient procedure which can be performed under local anaesthesia. The vas deferens is accessed by means of either a conventional incision with a scalpel or by using the 'no-scalpel technique'. A closed-ended vasectomy (by means of suture ligature, surgical clips or electrocautery) or the open-ended alternative is then carried out...
April 2010: European Journal of Contraception & Reproductive Health Care
S Shakeri, A R Aminsharifi, M Khalafi
PURPOSE: To assess the feasibility of the fascial interposition (FI) technique to improve the results of non-scalpel vasectomy (NSV) through a cost-effective modification. PATIENTS AND METHODS: The outcome of the FI technique for NSV in 954 consecutive candidates treated by two surgeons was evaluated retrospectively. 726 (76%) of the clients had undergone NSV with FI (FI group) and for the other 228 (24%) NSV by simple ligation and excision (LE) without FI (NFI group) was performed...
2009: Urologia Internationalis
Paul Dassow, John M Bennett
Vasectomy remains an important option for contraception. Research findings have clarified many questions regarding patient selection, optimal technique, postsurgical follow-up, and risk of long-term complications. Men who receive vasectomies tend to be non-Hispanic whites, well educated, married or cohabitating, relatively affluent, and have private health insurance. The strongest predictor for wanting a vasectomy reversal is age younger than 30 years at the time of the procedure. Evidence supports the use of the no-scalpel technique to access the vasa, because it is associated with the fewest complications...
December 15, 2006: American Family Physician
M Rajalakshmi
The development of steroid-based oral contraceptives had revolutionized the availability of contraceptive choice for women. In order to expand the contraceptive options for couples by developing an acceptable, safe and effective male contraceptive, scientists have been experimenting with various steroidal/non-steroidal regimens to suppress testicular sperm production. The non-availability of a long-acting androgen was a limiting factor in the development of a male contraceptive regimen since all currently tested anti-spermatogenic agents also concurrently decrease circulating testosterone levels...
November 2005: Indian Journal of Experimental Biology
Timothy Black, Colin Francome
OBJECTIVE: To compare the intra-operative experience and postoperative sequelae between the standard Marie Stopes scalpel vasectomy procedure and electrocautery non-scalpel vasectomy (ENSV) techniques. DESIGN: Randomised prospective comparative study. SETTING: Marie Stopes vasectomy centres in the UK. PARTICIPANTS: A total of 325 men undergoing vasectomy between January and June 1999. INTERVENTION: Random allocation to the two study arms plus questionnaires at 4 and 14 weeks postoperatively...
April 2003: Journal of Family Planning and Reproductive Health Care
V Kumar, R M Kaza
The prospective study was carried out to evaluate the success rates of combining a check tug and fascial interposition while performing a no-scalpel vasectomy. A total of 2150 male acceptors visiting the family welfare clinic of Lok Nayak Hospital, Delhi, from July 1992 to June 1995 and opting for a no-scalpel vasectomy, underwent a combination of check tug and fascial interposition during the procedure. These men were followed-up for failure rates as shown by semen analysis, 3 months and at least 20 ejaculations following the procedure...
April 2001: Journal of Family Planning and Reproductive Health Care
S Leungwattanakij, A Lertsuwannaroj, K Ratana-Olarn
A prospective, non-randomized, partially blinded, controlled trial was conducted to evaluate the efficacy of irrigation with normal saline solution (NSS) during no-scalpel vasectomy (NSV) compared with NSV alone in 62 men. In the NSS irrigation group, an Angiocath 24-gauge needle was inserted into the distal vas lumen, and 20 mL NSS solution was used to irrigate the vas manually on both sides. Post-operative follow-up included urine samples collected immediately and semen samples for sperm count at 2, 6 and 12 weeks post-vasectomy...
August 2001: International Journal of Andrology
N K Lohiya, B Manivannan, P K Mishra, N Pathak
The vas deferens is a site which can be exploited for male contraception without undue side effects. The only effective technique available for male contraception is vasectomy, being practiced world wide, despite that it is a permanent surgical procedure and its successful reversal is not assured. Although no-scalpel vasectomy minimizes surgical procedures, the fate of its reversal is akin to that of vasectomy. Several occlusive and non-occlusive vasal procedures which claim to be reversible without surgical intervention, possess more disadvantages than advantages...
June 2001: Asian Journal of Andrology
N K Lohiya, B Manivannan, P K Mishra
The feasibility of a spacing method for contraception, using Styrene Maleic Anhydride (SMA) as a vas occlusive agent, has been assessed in male langur monkeys. The vas deferens of 6 animals were occluded with 60 mg SMA in 120 microL DMSO. After 150 days, the occlusion was reversed by a technique which involved palpation, percutaneous electrical stimulation, forced vibratory movement, suprapubic percussion and per-rectal digital massage of the vas segments. The vas deferens were then re-occluded with SMA and reversed by the non-invasive method after three consecutive azoospermic samples...
February 2000: International Journal of Andrology
J Martinez-Manautou, D Hernández, F Alarcón, S Correu
Since government approval of the Mexican Family Planning Program in 1977, the Mexican Social Security Institute (IMSS) has been one of the major family planning service providers in Mexico. No-scalpel vasectomy, a refined surgical vasectomy technique developed and widely used in China, has been introduced in 20 countries, including Mexico. This paper will describe the experience of the IMSS in introducing the no-scalpel vasectomy technique into its service delivery system, and will review the clinical and programmatic experience, and the impact of no-scalpel vasectomy on client and provider attitudes toward vasectomy...
June 1991: Advances in Contraception: the Official Journal of the Society for the Advancement of Contraception
K Ratana-Olarn
Though vasectomy plays an important great role in the national family planning program, its popularity has been very low in the past requiring a lot of promotion. During the promotion phase of 1972 to 1984, various methods were used with the stress on mobile vasectomy campaign. However, after 1984, there was evidence of deceleration of vasectomy rate. In this phase, non-scalpel vasectomy has been promoted including the training courses for physicians in provincial hospitals and local health centers. It is expected that vasectomy will gain better acceptance in the future...
November 1991: Journal of the Medical Association of Thailand, Chotmaihet Thangphaet
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