Effectiveness of Vasectomy Techniques

Sokal, David C.; Labrecque, Michel

doi:10.1016/j.ucl.2009.05.008

Cited by 33 publications

(18 citation statements)

References 65 publications

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“…There was no statistical differences in terms of complications, operative time and failure rate in NSV performed with fascial interposition or ligation and excision only [9,10], although in one study, the failure rate in ligation and excision group was found to be high [11]. Excising a large segment (4 cm) of the vas deferens reduces the rate of failure but increases the chance of complications [12]. In the present study, about 2-3 cm of the segment of the vas was excised, and nonabsorbable 2-0 silk suture was used for ligation.…”

Section: Discussionmentioning

confidence: 99%

No Scalpel Vasectomy (NSV) with Ligation and Excision: A Single Centre Experience

Ali¹,

Sarma²,

Das³

2014

Indian J Surg

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No scalpel vasectomy (NSV) has proved to be a safe and simple procedure for permanent sterilization for men. Ligation and excision of the vas deferens followed by fascial interposition is the procedure of choice. It is believed that vas excision without fascial interposition has a risk of failure. The objective of this study was to evaluate the technique of NSV with ligation and excision only. No scalpel vasectomy performed in an urban centre was taken for this prospective study. Only ligation and excision procedure was applied in its execution. It was demonstrated and performed under the supervision of an expert. Information regarding early and late complications including failure was gathered. A total number of 3,392 NSVs were performed in an urban training centre between Apr' 2009 to Mar' 2013. The procedure applied was only excision and ligation of the vas deferens. The fascial interposition was not included in the procedure. Haematoma (1), bleeding (3), foreign body granuloma (1), scrotal pain (3), epididymitis (1) and sinus formations (1) were encountered. There was only one failure in the whole group of acceptors. NSV with ligation and excision is a simple and easy procedure to learn and perform. Complications and failures are negligible. The additional fascial interposition needs more surgical skill and is time-consuming, hence can be avoided where a large number of acceptors need to undergo NSV in a rural camp.

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Section: Discussionmentioning

confidence: 99%

No Scalpel Vasectomy (NSV) with Ligation and Excision: A Single Centre Experience

Ali¹,

Sarma²,

Das³

2014

Indian J Surg

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“…Other approaches to access vas deferens for vasectomy include pinhole or keyhole, lateral incisions and electro-cautery techniques but they are still investigational in nature. However, the technique used to expose the vas does not relate to effectiveness of the procedure, rather it is the ligation method used that affects its success (Sokal and Labrecque, 2009). The effectiveness of vasectomy is mainly gauged by post-vasectomy semen analysis and at times, by the rates of pregnancy (Sokal and Labrecque, 2009).…”

Section: Techniquesmentioning

confidence: 99%

“…However, the technique used to expose the vas does not relate to effectiveness of the procedure, rather it is the ligation method used that affects its success (Sokal and Labrecque, 2009). The effectiveness of vasectomy is mainly gauged by post-vasectomy semen analysis and at times, by the rates of pregnancy (Sokal and Labrecque, 2009). No-scalpel vasectomy provides additional advantage in terms of pain control and recovery.…”

Section: Techniquesmentioning

confidence: 99%

Urological Surgical Procedures Under Local Anesthesia

Ather¹,

Mushtaq²,

Sulaiman³

2012

Clinical Use of Local Anesthetics

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“…shown that: 1) the no-scalpel approach to expose the vas (known as the no-scalpel vasectomy, or NSV) reduces the risk of surgical complications over incisional techniques; 2) ligation of the vas and excision of a small segment between the ligatures (LE) is associated with an unacceptable risk of failure and should not be performed; 3) adding fascial interposition (FI) to LE reduces the risk of failure; and 4) cautery of the mucosa of the lumen of the vas combined with FI appears to achieve the most effective occlusion of the vas (1)(2)(3). Although NSV has been widely adopted (4,5), LE is still by far the most common vas occlusion technique performed in many parts of the world (5).…”

Section: Recent Developments In Vasectomy Havementioning

confidence: 99%

Vasectomy occlusion technique combining thermal cautery and fascial interposition

Labrecque

2011

Int. braz j urol.

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Introduction: Recent research on vasectomy shows that combining cautery and fascial interposition (FI) achieves the most effective occlusion of the vas and minimizes the risk of failure. We present a technique that combines cautery and FI and is suitable for low-resource settings. Surgical Technique: The surgical technique consists of 1) exposing the vas with the no-scalpel approach; 2) cauterizing the epithelium of lumen of the vas using a portable battery-powered cautery device; 3) performing FI by grasping internal spermatic fascia and applying a free tie with suture material on the fascia to cover the prostatic stump of the vas and separate the two ends of the cut vas; and 4) excising a small 0.5 to 1 cm of the testicular stump. Comments: To maximize vasectomy effectiveness, vasectomy providers should consider learning thermal cautery and FI to occlude vas deferens.

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Effectiveness of Vasectomy Techniques

Cited by 33 publications

References 65 publications

No Scalpel Vasectomy (NSV) with Ligation and Excision: A Single Centre Experience

No Scalpel Vasectomy (NSV) with Ligation and Excision: A Single Centre Experience

Urological Surgical Procedures Under Local Anesthesia

Vasectomy occlusion technique combining thermal cautery and fascial interposition

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