Vasectomy by ligation and excision, with or without fascial interposition: a randomized controlled trial [ISRCTN77781689]

Abstract

Background: Randomized controlled trials comparing different vasectomy occlusion techniques are lacking. Thus, this multicenter randomized trial was conducted to compare the probability of the success of ligation and excision vasectomy with, versus without, fascial interposition (i.e. placing a layer of the vas sheath between two cut ends of the vas).

Vasectomy in Male Contraception and its Reversal

“…Cautery of the luminal side has to be performed. The use of cautery, alone or with fascial interposition, appears to significantly decrease failure rates [15]. The no-scalpel vasectomy technique of isolation of the vas deferens is associated with fewer early complications, such as infections and hematomas, and less postoperative pain [16].…”

“…Interposition of tissue prevents recanalization [15]. Cautery of the luminal side has to be performed.…”

Fascial Interposition Technique for Vasectomy: Is It Justified?

“…Sokal et al [16] conducted the first multi-center, randomized control trial of a vas occlusion technique and found that the use of FI can reduce vasectomy failures by about half in comparison to simple LE (5.9 vs. 12.7%). However, their failure rate of 5.9% even with the use of FI seems to be relatively high when compared with our failure rate of 0%.…”

Vasectomy update 2010

“…4,5,6 However, fascial interposition may increase the complication rate of vasectomy. 7 Cautery vs. fascial interposition: Grade C (Level 3 evidence)…”