Review of Vasectomy Complications and Safety Concerns

Yang, Fang; Li, Junjun; Dong, Liang; Tan, Kun; Huang, Xiaopeng; Zhang, Peihai; Liu, Xiaozhang; Chang, Degui; Yu, Xujun

doi:10.5534/wjmh.200073

Cited by 17 publications

(19 citation statements)

References 82 publications

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“…37 In fact, these tubules can reconnect the stumps of the vas deferens and create a channel for sperm, leading to functional recanalization of the vas deferens and failure of vasectomies. 35,38 Most sperm granulomas are asymptomatic, and they often disappear. 35,39 They typically present as a palpable mass or are detected during surgical reversal of vasectomies, but some may present with pain.…”

Section: Inflammationmentioning

confidence: 99%

Ultrasound of the Normal and Abnormal Vas Deferens

Kerr

Middleton²

2022

Ultrasound Quarterly

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The extrapelvic portion of the vas deferens is readily visible with ultrasound but often overlooked. Several publications have described the scanning technique and the normal anatomy of the vas deferens. Sonographic evaluation of the vas deferens provides critical information in the workup of male infertility. Obstruction, inflammatory conditions, and neoplasms of the vas deferens can also be diagnosed with ultrasound. Knowledge of the normal and abnormal appearance of the vas deferens improves scans of the scrotum and expands the conditions that can be recognized and accurately diagnosed with ultrasound.

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Section: Inflammationmentioning

confidence: 99%

Ultrasound of the Normal and Abnormal Vas Deferens

Kerr

Middleton²

2022

Ultrasound Quarterly

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“…2,7,8,14,17,18 RISKS ASSOCIATED WITH VASECTOMIES Complications associated with vasectomies include hematoma formation, infection, post-vasectomy pain syndrome, congestive epididymitis, and sperm granuloma. 2,14,19,20 Incidence rates of infections such as Fournier's gangrene, sexually transmitted infections (STIs), and endocarditis, as well as hematoma formation are between 0.2-1.5% and 4-22%, respectively. The incidence of post-vasectomy pain syndrome is 1-14%, whereas incidence for sperm granulomas is the highest at 40%.…”

Section: Demographics and Vasectomy Utilizationmentioning

confidence: 99%

“…The incidence of post-vasectomy pain syndrome is 1-14%, whereas incidence for sperm granulomas is the highest at 40%. 19,20 Vasectomies have been associated with no increased risk for other conditions such as prostate cancer, cardiovascular disease, sexual dysfunction, changes in reproductive hormones or development of antisperm antibodies. 20 A final, and, perhaps, one of the more concerning risks associated with vasectomies is failure of the procedure resulting in an unplanned pregnancy.…”

Section: Demographics and Vasectomy Utilizationmentioning

confidence: 99%

“…19,20 Vasectomies have been associated with no increased risk for other conditions such as prostate cancer, cardiovascular disease, sexual dysfunction, changes in reproductive hormones or development of antisperm antibodies. 20 A final, and, perhaps, one of the more concerning risks associated with vasectomies is failure of the procedure resulting in an unplanned pregnancy. Failure of this procedure, associated with late re-canalization, unprotected sexual activity before clearance, and technical errors occurs in <1% of all cases, 2,7,21 however, patients must be aware of this possibility and follow the advice of their provider.…”

Section: Demographics and Vasectomy Utilizationmentioning

confidence: 99%

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Vasectomy Regret or Lack Thereof

Anderson

Lucero

Vining

et al. 2022

Health Psychology Research

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Background Vasectomy is a procedure that results in permanent yet reversible sterility and remains a great contraceptive option for many. Previous research studies have highlighted frequency of vasectomy utilization, defining characteristics of individuals who opt for this method, various surgical techniques, and the risks and benefits associated with the procedure. What remains to be defined is why or why not individuals may experience post-vasectomy regret and whether the previous characteristics correlate. Objective The objective of this review is to synthesize information regarding reasons individuals may regret their vasectomy and seek reversal, what options exist for accomplishing the reversal, and patients’ fertility prognosis post-vasovasostomy. Methods This review utilized a combination of secondary and tertiary data analysis across a wide scope of academic databases pertaining to the topic of interest. Results Typically, most males who have sought a vasectomy are satisfied with their decision, however, approximately 6% of this population seeks reversal. Key factors influencing vasectomy regret include age at the time of vasectomy, parental status, pre- and post-operative relationship status, unresolved physical and psychosexual problems, and development of chronic scrotal pain following the procedure. Few options exist for vasectomy reversal including microsurgical reconstructive vasectomy reversal (VR) and sperm extraction for in vitro fertilization. There is no guarantee that fertility will be restored in any case but a major predictive factor for success is the time interval prior to reversal. Conclusion Vasectomy is intended to be a permanent form of contraception; however, a minor chance remains that individuals may experience post-operative regret due to various factors. This warrants proper comprehensive counseling by the patient’s provider regarding benefits and risks, procedural outcomes, opportunities for reversal, and fertility prognosis.

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“…A vasectomia, por sua vez, trata-se de um procedimento cirúrgico simples e seguro utilizado como forma de esterilização de longo prazo em indivíduos do sexo masculino (YANG F, et al, 2021). Nos Estados Unidos, a vasectomia constitui o procedimento cirúrgico urológico mais comumente realizado, com dados do ano de 2002 estimando que 5,7% dos americanos do sexo masculino já haviam optado por sua realização (ROGERS MD e KOLETTIS PN, 2013).…”

Section: Introductionunclassified

Vasectomia como fator de risco para câncer de próstata: uma revisão integrativa da literatura

2022

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Objetivo: Identificar e sintetizar o conhecimento científico disponível a respeito da presença de uma correlação de risco entre a realização prévia de uma vasectomia e o desenvolvimento de neoplasias malignas de próstata. Métodos: Foi efetuado uma revisão integrativa de literatura através de estudos encontrados na base de dados Medline utilizando os descritores “Vasectomy” e “Prostatic Neoplasms” combinados pelo operador booleano “AND”. Como critérios de inclusão, foram incluídos os artigos publicados no recorte temporal entre 2012 e 2022, disponíveis em sua versão na íntegra nos idiomas inglês e português e que respondiam à pergunta norteadora do estudo. Resultados: Com base em 9 artigos científicos analisados, foi identificado uma divergência nos achados, porém a predominância dos estudos descartou a conexão entre a realização da vasectomia e o desenvolvimento do câncer de próstata. Considerações finais: Não há evidências definitivas para concluir a existência de uma associação entre a realização de vasectomia com o desenvolvimento do câncer de próstata. Desse modo, o médico urologista não deve descartar o uso da vasectomia como uma medida contraceptiva de longo prazo e também não deve levar em consideração sua realização prévia no diagnóstico de neoplasias de próstata.

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Review of Vasectomy Complications and Safety Concerns

Cited by 17 publications

References 82 publications

Ultrasound of the Normal and Abnormal Vas Deferens

Ultrasound of the Normal and Abnormal Vas Deferens

Vasectomy Regret or Lack Thereof

Vasectomia como fator de risco para câncer de próstata: uma revisão integrativa da literatura

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