Prevention of Wound Infection Following Vasectomy

Randall, P E; Ganguli, L. A.; Keaney, M.G.L.; Marcuson, R. W.

doi:10.1111/j.1464-410x.1985.tb06430.x

Cited by 13 publications

(8 citation statements)

References 7 publications

(9 reference statements)

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“…Contrary to dogma, infection may even present in otherwise healthy individuals [1–3,10–12]. Oral transmission of pathogens has been shown in multiple studies, and care should be taken by the surgeon to educate the patient about possible sequelae [7].…”

Section: Discussionmentioning

confidence: 99%

Unique Infective Complication After Routine Vasectomy: A Case Report

Ramaswamy

Kaminetsky

2011

The Journal of Sexual Medicine

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Introduction We present a case of a 51-year-old gentleman who, after undergoing routine vasectomy, presented with an infected wound 7 days after the procedure—one day after receiving oral sex from his wife. Aim We hope to present a unique case of an infected wound after oral sex. Group A Streptococcus (GAS) was cultured from the patient's wound and the asymptomatic wife's pharyngeal mucosa. Main Outcome Measures To educate and expose a rare but potentially devastating postvasectomy complication that, without prompt and aggressive treatment, can lead to significant morbidity. Methods The patient was promptly treated and after hydration, broad spectrum antibiotics, and supportive care, patient showed excellent recovery. The wife was also treated with oral antibiotics. Results Infective complicated are relatively uncommon after routine vasectomy. When present, the vast majority of the infections are treated with a simple course of oral antibiotics. There is strong evidence that establishes oral contact as a vector for transmission of virulent pathogens. Some have linked orogenital transmission of GAS since the 1970s. Conclusion To our knowledge, this is the first reported case of oropharyngeal transmission of GAS that led to rapidly progressive infection of the scrotum following vasectomy. Care should be taken to minimize exposure during postoperative healing.

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Section: Discussionmentioning

confidence: 99%

Unique Infective Complication After Routine Vasectomy: A Case Report

Ramaswamy

Kaminetsky

2011

The Journal of Sexual Medicine

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“…Infection following vasectomy occurs in up to 38% of patients (average (Appell & Evans, 1980;Randall et al, 1983Randall et al, , 1985 and the possibility must be mentioned to the patient if he is to be satisfied with the outcome of surgery.…”

Section: Infectionmentioning

confidence: 98%

The short- and long-term effects of vasectomy

Moore

1996

Sexual and Marital Therapy

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“…Auch hier wird für die "No-scalpel-Vasektomie" eine niedrigere Komplikationsrate angegeben, eine Korrelation zu der Erfahrung des Operateurs besteht nicht [1].In einer prospektiven Studie wurde gezeigt,dass ein Bad mit Chlorhexidinlösung 1-2 Tage vor der Vasektomie die Infektionsrate von 37,8 auf 6,7% senken konnte [12].Neben oberflächlichen Wunddehiszenzen sind hierbei auch lokale Abszesse und Fadenunverträglichkei-ten einzuordnen. In 2 Fällen wurde in der Literatur die Ausbildung einer FournierGangrän als Maximalform der Infektion nach Vasektomie beschrieben [13,14].…”

Section: Intraoperative Und Frühe Postoperative Komplikationenunclassified

Die ambulante Vasektomie

et al. 2003

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Vasectomy is the simplest and most effective method of permanent sterilization in men. In most cases, the surgical technique includes conventional vasoresection with incision of the scrotal skin or no-scalpel vasectomy as a minimally invasive method. The most important complications following surgery are haemorrhage and haematoma (1.2%), infection (3.5%), epididymitis/epididymo-orchitis (2.1%), sperm granuloma (2-70%), and chronic pain (3-8%). No long-term negative organic effects have been proven in clinical studies. The surgeon's experience and the technique applied are essential for the postoperative course, whereas performing vasectomy either on an in-patient or out-patient basis does not seem to have an influence. To evaluate the success of the vasectomy, follow-up spermiograms are obligatory. If immotile spermatozoa are present further follow-ups are necessary. Vasectomy needs to be reperformed if motile spermatozoa are detected. The chance of an unsuccessful vasectomy is below 1%. Unprotected intercourse must not be performed before two consecutive spermiograms show azoospermia.

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Prevention of Wound Infection Following Vasectomy

Cited by 13 publications

References 7 publications

Unique Infective Complication After Routine Vasectomy: A Case Report

Unique Infective Complication After Routine Vasectomy: A Case Report

The short- and long-term effects of vasectomy

Die ambulante Vasektomie

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