Abstract
Vasectomy is done by a family physician at the family planning clinic of le Centre Hospitalier de l'Université Laval. The technique used combines an occlusion with metal clips and an excision of one to two centimetres of the vas deferens. The post-operative complications encountered with 304 vasectomies were hematomas (4%), infections of the scotal skin (1%), orchi-epididymitis (1%) and granulomas (1%). All these problems were treated on an out-patient basis, and no consultation with specialists was required. Of 151 patients who came back for a post-vasectomy semen examination, one had a test result showing motile spermatozoa. These figures are comparable to other results published. The family physician can easily incorporate this simple and safe procedure into his practice.
Full text
PDFImages in this article
Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Brownlee H. J., Tibbels C. K. Vasectomy. J Fam Pract. 1983 Feb;16(2):379–384. [PubMed] [Google Scholar]
- Carlson H. E. Vasectomy of election. South Med J. 1970 Jul;63(7):766–770. doi: 10.1097/00007611-197007000-00004. [DOI] [PubMed] [Google Scholar]
- Clausen S., Lindenberg S., Nielsen M. L., Gerstenberg T. C., Praetorius B. A randomized trial of vas occlusion versus vasectomy for male contraception. Scand J Urol Nephrol. 1983;17(1):45–46. doi: 10.3109/00365598309179779. [DOI] [PubMed] [Google Scholar]
- Denniston G. C. Vasectomy by electrocautery: outcomes in a series of 2,500 patients. J Fam Pract. 1985 Jul;21(1):35–40. [PubMed] [Google Scholar]
- Dervin J. V., Barnett R. C., Stone D. L. Patient noncompliance with postvasectomy semen examination protocol. J Fam Pract. 1982 Mar;14(3):487–490. [PubMed] [Google Scholar]
- Errey B. B., Edwards I. S. Open-ended vasectomy: an assessment. Fertil Steril. 1986 Jun;45(6):843–846. doi: 10.1016/s0015-0282(16)49404-5. [DOI] [PubMed] [Google Scholar]
- Gupta A. S., Kothari L. K., Devpura T. P. Vas occlusion by tantalum clips and its comparison with conventional vasectomy in man: reliability, reversibility, and complications. Fertil Steril. 1977 Oct;28(10):1086–1089. doi: 10.1016/s0015-0282(16)42860-8. [DOI] [PubMed] [Google Scholar]
- Kendrick J. S., Rubin G. L. Vasectomies performed by private physicians, United States, 1980 to 1984. Fertil Steril. 1986 Sep;46(3):528–530. [PubMed] [Google Scholar]
- Leader A. J., Axelrad S. D., Frankowski R., Mumford S. D. Complications of 2,711 vasectomies. J Urol. 1974 Mar;111(3):365–369. doi: 10.1016/s0022-5347(17)59967-x. [DOI] [PubMed] [Google Scholar]
- Lipshultz L. I., Benson G. S. Vasectomy--1980. Urol Clin North Am. 1980 Feb;7(1):89–105. [PubMed] [Google Scholar]
- Moss W. M. Sutureless vasectomy, an improved technique: 1300 cases performed without failure. Fertil Steril. 1976 Sep;27(9):1040–1045. [PubMed] [Google Scholar]
- Schmidt S. S., Benjamin R. B. Postvasectomy congestive epididymitis. JAMA. 1985 Feb 8;253(6):776–776. [PubMed] [Google Scholar]
- Schmidt S. S. Vasectomy: efficacy of placing the cut vas in different fascial planes. Fertil Steril. 1980 Sep;34(3):292–293. [PubMed] [Google Scholar]
- Temmerman M., Cammu H., Devroey P., Amy J. J. Evaluation of one-hundred open-ended vasectomies. Contraception. 1986 Jun;33(6):529–532. doi: 10.1016/0010-7824(86)90040-5. [DOI] [PubMed] [Google Scholar]
- Wolfers D., Wolfers H. Vasectomania. Fam Plann Perspect. 1973 Fall;5(4):196–199. [PubMed] [Google Scholar]