Fascial Interposition Technique for Vasectomy: Is It Justified?

Shakeri, Saeed; Aminsharifi, A.R.; Khalafi, Mohammad

doi:10.1159/000209373

Cited by 3 publications

(4 citation statements)

References 33 publications

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“…In a mobile camp where a large number of vasectomies were performed, the fascial interposition component has been avoided in order to save time. 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].…”

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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“…La utilización de otros métodos anticonceptivos puede abandonarse si el espermiograma muestra azoospermia o un recuento ≤ 100.000 espermatozoides 100% inmóviles 7,12 . Es importante recalcar que entre un 10 y un 40% de los pacientes presentará espermatozoides inmóviles en el primer espermiograma a los 3 meses 7,15,16 . En nuestra serie el 29% de los pacientes presentó un espermiograma con un recuento ≤ 100.000 espermatozoides 100% inmóviles.…”

Section: Discussionunclassified

“…La falla temprana del procedimiento, ya sea por recanalización temprana o debido a una doble ligadura del mismo conducto deferente, se describe en un 0,2-5,3% de los casos y está relacionada con la experiencia del cirujano y la técnica quirúrgica utilizada 12,13 . La electrocoagulación de ambos extremos del conducto deferente con la interposición de fascia son las únicas medidas que han mostrado una disminución del riesgo de falla de la vasectomía (presencia de espermatozoides móviles o un recuento mayor a 100.000 espermatozoides en el eyaculado) después de 3-6 meses [12][13][14][15] . En nuestra serie, un paciente (0,3%) presentó un 80% de espermatozoides móviles en el espermiograma de control a los 3 meses.…”

Section: Discussionunclassified

Vasectomía Sin Bisturí: Resultados De Una Cohorte De 309 Pacientes

Sanchez

et al. 2014

Rev Chil Cir

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No-scalpel vasectomy Introduction: Vasectomy is a safe and effective technique of male fertility control. Despite this, in the world are carried out more than double female sterilization in comparison with vasectomies, that is more pronounced in less developed countries. Aims: To present our experience and results in patients undergoing a no-scalpel vasectomy. Methods and Material: A total of 309 patients undergoing a no-scalpel vasectomy between June 2009 and May 2010 were included. For each case was record age, operative time, sperm count at 3 months post vasectomy and peri-operative morbidity. Results: 309 vasectomies were performed, 281 patients (91%) were controlled with at least one sperm count. Azoospermia was obtained in the first sperm count at 3 months in 189 patients (67%). In 81 patients (29%) were observed ≤ 100,000 sperm 100% immobile. 9 patients (3.2%) needed a second semen analysis and 2 patients a third one for less than 100,000 sperm that were 100% immobile. 6 patients (2%) consulted by minor complications such as postoperative pain, epididymitis or hematoma with spontaneous resolution. Conclusions: Vasectomy is a safe and reproducible method of male contraception, presenting an effectiveness rates higher than others contraceptive methods. There are no absolute contraindications for performing the procedure. A sperm count should be done at 3 months of the procedure. The early failure rate in our study is 0.3%.

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“…While most of the studies have concentrated on technical aspects, complications and success rates (19–29), little attention has been paid to post-operative short-term (within a week) morbidity like pain, hematoma, and swelling from the point of view of clients. The increasing popularity of the no-scalpel technique itself shows that improvements in technique and social marketing can dramatically increase the acceptance of this method (30).…”

Section: Discussionmentioning

confidence: 99%