Vasectomía Sin Bisturí: Resultados De Una Cohorte De 309 Pacientes

Abstract

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%.

Risco de Paternidade após a Vasectomia: Uma Revisão Sistemática da Literatura de 2011 a 2022

“…No artigo eles mencionam a falha tardia, que o autor define como aparecimento de espermatozóides móveis em paciente que atendeu aos critérios estipulados para ser considerado esterilizado completamente. Verifica-se que o percentual foi de 1 em cada 2.000 pacientes, atribuída a recanalização sendo confirmado por meio de gravidez ou o espermograma que confirma a presença de espermatozoides móveis, capazes de fecundar um óvulo (SEPULVEDA et al , 2014).…”