CUA guideline:Vasectomy

Zini, Armand; Grantmyre, John; Chan, Peter

doi:10.5489/cuaj.4017

Cited by 16 publications

(12 citation statements)

References 36 publications

(40 reference statements)

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“…Vasectomy is the most reliable and also the best method of contraception, under the decisive precondition that the family planning of the man is definitively finished [ 9 ]. The complication rate is low in the hands of an experienced surgeon [ 10 ].…”

Section: Discussionmentioning

confidence: 99%

Impact of vasectomy on the sexual satisfaction of couples: Experience from a specialized clinic

2017

CEJU

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IntroductionVasectomy is the simplest, safest, and most effective form of definitive fertility control in men [1]. Vasectomy is used for 10% of contraception worldwide but only for 2% in Germany [2]. The aim of this study was to investigate the impact of vasectomy on the sexual satisfaction of sterilized men and their partners.Material and methodsVasectomized men and their partners were surveyed by means of the IIEF (International Index for Erectile Function) and the FSFI (Female Sexual Function Index) questionnaires. A total of 294 couples were surveyed; 90 men answered the IIEF, and 74 women answered the FSFI. The results of the questionnaires were compared to a historical comparison group. The men were also surveyed with a not validated questionnaire, which was returned by 95 men. The two-sample t-test for independent samples, the chi-squared test, and the Wilcoxon-Mann-Whitney test were carried out.ResultsThe vasectomized men had significantly better results than the healthy historical comparison group in the IIEF domains of erectile function, orgasm, sexual desire, and intercourse satisfaction. For the female partners of the sterilized men, there were almost no significant differences in any questions of the FSFI in comparison to the control group. A significant difference was observed only in the domain ‘arousal’.ConclusionsVasectomy does not have a negative impact on the sexual satisfaction of the affected couples. In fact, sexual satisfaction improved for the sterilized men, while the satisfaction of the women was not reduced by the vasectomy.

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Section: Discussionmentioning

confidence: 99%

Impact of vasectomy on the sexual satisfaction of couples: Experience from a specialized clinic

2017

CEJU

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“…Clinical variables based on the American Urological Association vasectomy guidelines, Canadian Urological Association guidelines and a systematic review on the safety and effectiveness of vasectomy, were also collected and include mention of early and/or late failure rate, mention of early complications (hematoma, infection, sperm granuloma, epididymitis–orchitis, and congestive epididymitis), mention of late complications (chronic scrotal pain and delayed vasectomy failure), mention of potential complication with prior varicocele, mention of pre-op sperm banking or in vitro fertilization following vasectomy, mention of post-vasectomy semen analysis or initial ineffective period, mention of reversal possibility, and mention of lack of sexually transmitted infection protection. ( Supplementary Table 2 ) ( Schwingl & Guess, 2000 ; “Vasectomy Guideline - American Urological Association,” 2015; Zini et al, 2016 ). All clinical variables were scored as no (0) or yes (1), and the total percentage meeting criteria for each item was computed.…”

Section: Methodsmentioning

confidence: 99%

Assessing Vasectomy-Related Information on YouTube: An Analysis of the Quality, Understandability, and Actionability of Information

et al. 2022

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This study aims to critically appraise the quality of vasectomy-related health information currently available on YouTube to better address patient information needs moving forward. A YouTube search was performed using the keyword “vasectomy.” The first 100 videos were assessed, with irrelevant and duplicate videos excluded. Two independent reviewers evaluated the remaining videos using the DISCERN instrument for evaluating the quality of information and the Patient Education Materials Assessment Tool for Audiovisual materials (PEMAT-A/V) for assessing the understandability and actionability of materials. Source characteristics and markers of bias and misinformation were also collected. Seventy-eight videos were included in the study, with a mean duration of 6.6 minutes and mean of 216,672 views. The median DISCERN score was poor at 28 (IQR 22–33) out of a possible 80 with mean PEMAT-AV Understandability and Actionability scores of 67.6% (±16.7%) and 33.8% (±36.2%), respectively. A medical doctor was present in 61 (78.2%) of the videos, of which 53 (86.9%) were urologists and 38 (62.2%) promoted their personal practice or institution. False statements regarding vasectomy were made in 14 (17.9%) videos. Notably, no significant difference was noted in quality, understandability, or actionability of videos created by those with personal promotion to those without. The quality of information regarding vasectomy on YouTube is poor and reaches a wide audience. Continued appraisal and creation of YouTube videos that contain quality, understandable and actionable information by urologists is necessary to ensure patients are well-informed.

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“…The recommended techniques of the two surgical steps of the vasectomy procedure (isolation/exposition and occlusion of the vas deferens) were extracted by the author from the following vasectomy practice guidelines: the European Association of Urology (2012) 9 , American Urological Association (2012, 2015) 10 , the Faculty of Sexual & Reproductive Healthcare (FSRH), the standard-setting organisation for family planning and sexual health in United Kingdom (2104) 11 , and the Canadian Urological Association (2016) 12 . The level of evidence, strength of recommendation and the most relevant underlying evidence from systematic reviews supporting the recommendations was also extracted.…”

Section: Methodsmentioning

confidence: 99%

“…In the early 2000s, randomized trials 1, 2 , comparative studies 3– 5 , systematic reviews 6, 7 and expert consultations 8 showed that specific surgical techniques are associated with better safety and effectiveness of the procedure. More recently published North American and European practice guidelines on vasectomy based their recommendations on these findings 9– 12 .…”

Section: Introductionmentioning

confidence: 99%

Are evidence-based vasectomy surgical techniques performed in low-resource countries?

Labrecque

2019

Gates Open Res

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Background: Research evidence published 10 to 15 years ago has shown that the type of vasectomy surgical technique performed can influence the effectiveness and the safety of the procedure. The objective of this study was to determine if evidence-based vasectomy surgical techniques are integrated in the vasectomy programs of selected low-resource countries. Methods: The surgical techniques recommended to perform the two steps of the vasectomy procedure (isolation/exposition and occlusion of the vas deferens) were extracted from current evidence-based clinical practice guidelines. Documents describing male sterilisation standards and practice from Kenya, Rwanda, India, Nepal, Mexico, Honduras, Colombia and Haiti were reviewed to assess adequacy with international guideline recommendations. Results: Best recommended techniques are 1) a minimally invasive technique including the no-scalpel technique (known as the no-scalpel vasectomy (NSV)) to isolate and expose the vas deferens, and 2) cautery of the mucosa of the vas preferably combined with interposition of the fascia (FI) to occlude the vas deferens. The NSV is largely adopted and performed to isolate the vas in selected low-resources countries. Ligation and excision (LE) of a small segment of the vas deferens combined with FI is the most common vas occlusion technique mentioned in the country standards. Cautery as recommended in the guidelines is seldom used in selected countries. Conclusions: Effective and adapted vasectomy vas occlusion techniques are available, but are still underused in many low-resource countries. Providing the most effective vasectomy surgical techniques increases users’ confidence and satisfaction regarding male sterilization and may lead to higher acceptability and uptake.

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CUA guideline:Vasectomy

Cited by 16 publications

References 36 publications

Impact of vasectomy on the sexual satisfaction of couples: Experience from a specialized clinic

Impact of vasectomy on the sexual satisfaction of couples: Experience from a specialized clinic

Assessing Vasectomy-Related Information on YouTube: An Analysis of the Quality, Understandability, and Actionability of Information

Are evidence-based vasectomy surgical techniques performed in low-resource countries?

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