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Background: Simple ligation of the vas with suture material and excision of a small vas segment is believed to be the most common vasectomy occlusion technique performed in low-resource settings. Ligation and excision (LE) is associated with a risk of occlusion and contraceptive failure which can be reduced by performing fascial interposition (FI) along with LE. Combining FI with intra luminal thermal cautery could be even more effective. The objective of this study was to determine the surgical vasectomy techniques currently used in five Asian countries and to evaluate the facilitating and limiting factors to introduction and assessment of FI and thermal cautery in these countries.

The number of abortions carried out in Russia has declined dramatically over the past decade, thanks to a growing use of contraception that has been prompted, in part, by the government family planning program. However, Russia continues to have one of the highest rates of abortions in the world, with three out of five pregnancies ending in abortion. Rates of repeat abortion are of particular concern to health authorities, as two out of five abortion clients report having terminated another pregnancy within the previous two years.

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