Wound Infection Following Vasectomy

Abstract

Ninety-four patients undergoing vasectomy as day cases were studied prospectively. An overall infection rate of 32.9% was recorded and, apart from haematoma formation and the nasal carriage of organisms, no factors were found that increased the risk of infection. A preoperative hibiscrub shower did not affect the infection rate, even though it was responsible for a significant reduction in skin flora. This raises the possibility of infection following vasectomy being secondary, not occurring at the time of surgery.

CORR Insights®: Does Preadmission Cutaneous Chlorhexidine Preparation Reduce Surgical Site Infections After Total Hip Arthroplasty?

“…For example, the inclusion of revision arthroplasties, a population recognized as a higher risk for SSIs, which improves the generalizability of the findings. In addition, infection surveillance was performed for 1 year after the operation instead of just 90 days, as seen in some recent studies [6] or even less than a week as seen in an older trial [5] which improves the strength of this study. The intervention itself was also simple and compliance was easily measured, making this a pragmatic study.…”

The short- and long-term effects of vasectomy

“…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.…”

A fresh look at preoperative body washing

“…However, examination of the evidence included in these documents identifies some potential concerns. For example, the NICE recommendation is based on a meta analysis of five trials published between 20 and 29 years ago (Byrne et al, 1992; Earnshaw et al, 1989; Hayek et al, 1987; Randall et al, 1983; Rotter et al, 1988). The age of the trials is important as they pre-date standardised definitions of SSIs and surveillance protocols and developments within clinical practice, such as the introduction of routine antibiotic prophylaxis (Horan et al, 1992).…”