Skip to main content
NCBI home page
Canadian Family Physician logoLink to Canadian Family Physician
. 1998 Mar;44:552–557.

Trends in vasectomy. Analysis of one teaching practice.

J L Reynolds 1
PMCID: PMC2277692  PMID: 9559195

Abstract

PROBLEM BEING ADDRESSED: How can a teaching practice develop a referral service and incorporate educational opportunities for family medicine residents, clinical clerks, and community family physicians? OBJECTIVE OF PROGRAM: To develop a high-quality vasectomy service within a teaching practice to change the surgical procedure to the no-scalpel vasectomy (NSV) technique; to educate family medicine residents, clinical clerks, and community family physicians about vasectomy and the NSV technique; and to monitor outcomes and compare them with published results. MAIN COMPONENTS OF PROGRAM: The program took place in an urban family medicine residency program. Data on number of procedures, types of patients choosing vasectomy, and outcomes are presented, along with information on number of learners who viewed, assisted with, or became competent to perform NSV. CONCLUSIONS: A few family medicine residents and some interested community physicians could be trained to perform NSV competently. Involving learners in the procedure does not seem to change the rate of complications.

Full text

PDF
552

Images in this article

554Figure 1
on p.554

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Denniston G. C., Kuehl L. Open-ended vasectomy: approaching the ideal technique. J Am Board Fam Pract. 1994 Jul-Aug;7(4):285–287. [PubMed] [Google Scholar]
  2. 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]
  3. Edwards I. S. Earlier testing after vasectomy, based on the absence of motile sperm. Fertil Steril. 1993 Feb;59(2):431–436. doi: 10.1016/s0015-0282(16)55706-9. [DOI] [PubMed] [Google Scholar]
  4. 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]
  5. Giovannucci E., Ascherio A., Rimm E. B., Colditz G. A., Stampfer M. J., Willett W. C. A prospective cohort study of vasectomy and prostate cancer in US men. JAMA. 1993 Feb 17;269(7):873–877. [PubMed] [Google Scholar]
  6. Giovannucci E., Tosteson T. D., Speizer F. E., Ascherio A., Vessey M. P., Colditz G. A. A retrospective cohort study of vasectomy and prostate cancer in US men. JAMA. 1993 Feb 17;269(7):878–882. [PubMed] [Google Scholar]
  7. Labrecque M., Hamel J. F., Prévost J. F., Warren L. Pourquoi les vasectomisés ne se présentent-ils pas au spermogramme post-opératoire? Can Fam Physician. 1989 Sep;35:1781–1785. [PMC free article] [PubMed] [Google Scholar]
  8. Labrecque M. La vasectomie, une technique à la portée du médecin de famille. Can Fam Physician. 1987 Sep;33:2067–2071. [PMC free article] [PubMed] [Google Scholar]
  9. Li S. Q., Goldstein M., Zhu J., Huber D. The no-scalpel vasectomy. J Urol. 1991 Feb;145(2):341–344. doi: 10.1016/s0022-5347(17)38334-9. [DOI] [PubMed] [Google Scholar]
  10. Moss W. M. A comparison of open-end versus closed-end vasectomies: a report on 6220 cases. Contraception. 1992 Dec;46(6):521–525. doi: 10.1016/0010-7824(92)90116-b. [DOI] [PubMed] [Google Scholar]
  11. Nirapathpongporn A., Huber D. H., Krieger J. N. No-scalpel vasectomy at the King's birthday vasectomy festival. Lancet. 1990 Apr 14;335(8694):894–895. doi: 10.1016/0140-6736(90)90487-p. [DOI] [PubMed] [Google Scholar]
  12. Raspa R. F. Complications of vasectomy. Am Fam Physician. 1993 Nov 15;48(7):1264–1268. [PubMed] [Google Scholar]
  13. Reynolds R. D. Vas deferens occlusion during no-scalpel vasectomy. J Fam Pract. 1994 Dec;39(6):577–582. [PubMed] [Google Scholar]
  14. Stockton M. D., Davis L. E., Bolton K. M. No-scalpel vasectomy: a technique for family physicians. Am Fam Physician. 1992 Oct;46(4):1153–1167. [PubMed] [Google Scholar]
  15. Strouse W. S. Physician inquiry into spiritual matters. J Fam Pract. 1995 Apr;40(4):330–406. [PubMed] [Google Scholar]
  16. Wilson E. W. Sterilization. Baillieres Clin Obstet Gynaecol. 1996 Apr;10(1):103–119. doi: 10.1016/s0950-3552(96)80065-4. [DOI] [PubMed] [Google Scholar]

Articles from Canadian Family Physician are provided here courtesy of College of Family Physicians of Canada

RESOURCES