176 results match your criteria Vasectomy No Scalpel


Barriers for low acceptance of no scalpel vasectomy among slum dwellers of Lucknow City.

Indian J Public Health 2019 Jan-Mar;63(1):10-14

Professor, Department of Community Medicine and Public Health, King George's Medical University, Lucknow, Uttar Pradesh, India.

Background: Uttar Pradesh is the most populated state of the country having population of 199.581 million and total fertility rate of 3.3 (annual health survey [AHS] 2012-2013) with high fertile trajectory. Read More

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http://dx.doi.org/10.4103/ijph.IJPH_44_18DOI Listing

Vasectomy: tips and tricks.

Transl Androl Urol 2017 Aug;6(4):704-709

Department of Urology, Medical College of Wisconsin, Milwaukee, WI, USA.

According to data from the National Study of Family Growth, vasectomy is utilized by 6-13% of American couples for their form of contraception. Physician surveys have shown that over 500,000 men undergo vasectomies per year, and more than 75% of vasectomies are performed by urologists. This chapter provides a brief history of vasectomy, as well as recommendations for preoperative counseling, an overview of the modified no-scalpel vasectomy technique, and a brief description of the complications of vasectomy. Read More

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http://dx.doi.org/10.21037/tau.2017.07.08DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5583057PMC
August 2017
9 Reads

A Review of 10 Years of Vasectomy Programming and Research in Low-Resource Settings.

Glob Health Sci Pract 2016 12 28;4(4):647-660. Epub 2016 Dec 28.

FHI 360, Durham, NC, USA.

Vasectomy is a highly effective and safe contraceptive method for couples who want to stop childbearing, but only 2.4% of men around the world use this method. We conducted an extensive review of the vasectomy research literature and programmatic reports, published between April 2005 and April 2015, to synthesize barriers and facilitators to vasectomy adoption. Read More

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http://dx.doi.org/10.9745/GHSP-D-16-00235DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5199180PMC
December 2016
6 Reads

Optimizing outcomes in vasectomy: how to ensure sterility and prevent complications.

Authors:
Gregory Lowe

Transl Androl Urol 2016 Apr;5(2):176-80

OhioHealth Urology, Columbus, Ohio 43214, USA.

Vasectomy provides a long-term effective sterilization for men and is performed on nearly 500,000 men annually in the United States. Improvements in technique have led to a decreased failure rate and fewer complications, although significant variations in technique exist. Use of cautery occlusion with or without fascial interposition appears to have the least failures. Read More

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http://dx.doi.org/10.21037/tau.2016.03.04DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4837312PMC
April 2016
7 Reads

No Scalpel Vasectomy (NSV) with Ligation and Excision: A Single Centre Experience.

Indian J Surg 2015 Dec 8;77(Suppl 3):1038-40. Epub 2014 Jun 8.

Maternity & Child Welfare Hospital, Guwahati, 781038 India.

No scalpel vasectomy (NSV) has proved to be a safe and simple procedure for permanent sterilization for men. Ligation and excision of the vas deferens followed by fascial interposition is the procedure of choice. It is believed that vas excision without fascial interposition has a risk of failure. Read More

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http://dx.doi.org/10.1007/s12262-014-1119-1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4775659PMC
December 2015
39 Reads

Relative suitability of DMSO and NaHCO3 for reversal of RISUG® induced long-term contraception.

Andrology 2016 Mar 8;4(2):306-13. Epub 2016 Jan 8.

Department of Zoology, Centre for Advanced Studies, University of Rajasthan, Jaipur, India.

Among the vas-based methods on trial, reversible inhibition of sperm under guidance (RISUG(®) ), a co-polymer of styrene and maleic anhydride is being projected as an effective alternative to No Scalpel Vasectomy. RISUG offers long-term contraception with safety, efficacy in human trials and can be delivered by no-scalpel injection. Currently, the procedure is under phase-III clinical trial. Read More

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http://doi.wiley.com/10.1111/andr.12155
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http://dx.doi.org/10.1111/andr.12155DOI Listing
March 2016
6 Reads

Prospective comparison of ligation and bipolar cautery technique in non-scalpel vasectomy.

Int Braz J Urol 2015 Nov-Dec;41(6):1172-7

Department of Urology, M.H. Tepecik Research and Education Hospital, Izmir, Turkey.

Objectives: There is no trial comparing bipolar cautery and ligation for occlusion of vas in non-scalpel vasectomy. This study aimed to compare the effectiveness of these vasectomy occlusion techniques.

Materials And Methods: Between January 2002-June 2009, patients were allocated in alternate order. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4756945PMC
http://dx.doi.org/10.1590/S1677-5538.IBJU.2014.0356DOI Listing
May 2016
19 Reads

Experience of non-scalpel vasectomy in a rural area of Tamil Nadu.

Natl Med J India 2014 Nov-Dec;27(6):311-3

Department of Preventive and Social Medicine.

Background: Only 0.7% of men participate in the sterilization programme in Tamil Nadu. Various strategies were adopted to achieve a target of 10%. Read More

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September 2015
5 Reads

An inexpensive yet realistic model for teaching vasectomy.

Int Braz J Urol 2015 Mar-Apr;41(2):373-8

Department of Family Medicine, UCSD School of Medicine, La Jolla, California, United States.

Purpose: Teaching the no-scalpel vasectomy is important, since vasectomy is a safe, simple, and cost-effective method of contraception. This minimally invasive vasectomy technique involves delivering the vas through the skin with specialized tools. This technique is associated with fewer complications than the traditional incisional vasectomy (1). Read More

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http://www.scielo.br/pdf/ibju/v41n2/1677-5538-ibju-41-2-0373
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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4752104PMC
http://dx.doi.org/10.1590/S1677-5538.IBJU.2015.02.27DOI Listing
October 2015
3 Reads

Percutaneous no-scalpel vasectomy via one puncture in China.

Urol J 2014 May 6;11(2):1452-6. Epub 2014 May 6.

Department of Urology, Huashan Hospital of Fudan University, Shanghai 200040,

Purpose: To evaluate the efficacy and postoperative morbidity of percutaneous no-scalpel vasectomy (NSV) via one puncture in China.

Materials And Methods: A total of 150 men visiting outpatient clinic of the surgery department of urology, Huashan Hospital and its Baoshan branch of Fudan University, opted for percutaneous NSV with local anesthesia. The clinical data of 150 who underwent modified NSV (MNSV) were retrospectively compared with those of 120 patients who underwent standard NSV (SNSV). Read More

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May 2014
4 Reads

Scalpel versus no-scalpel incision for vasectomy.

Cochrane Database Syst Rev 2014 Mar 30(3):CD004112. Epub 2014 Mar 30.

Public Health and General Practice, University of Otago, Box 4345, Christchurch, Canterbury, New Zealand, 8140.

Background: Currently, the two most common surgical techniques for approaching the vas during vasectomy are the incisional method and the no-scalpel technique. Whereas the conventional incisional technique involves the use of a scalpel to make one or two incisions, the no-scalpel technique uses a sharp-pointed, forceps-like instrument to puncture the skin. The no-scalpel technique aims to reduce adverse events, especially bleeding, bruising, hematoma, infection and pain and to shorten the operating time. Read More

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http://www.who.int/rhl/reviews/CD004112.pdf
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http://doi.wiley.com/10.1002/14651858.CD004112.pub4
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http://dx.doi.org/10.1002/14651858.CD004112.pub4DOI Listing
March 2014
9 Reads

Vasectomy occlusion techniques for male sterilization.

Cochrane Database Syst Rev 2014 Mar 30(3):CD003991. Epub 2014 Mar 30.

Public Health and General Practice, University of Otago, Box 4345, Christchurch, Canterbury, New Zealand, 8140.

Background: Vasectomy is an increasingly popular and effective family planning method. A variety of vasectomy techniques are used worldwide, including vas occlusion techniques (excision and ligation, thermal or electrocautery, and mechanical and chemical occlusion methods), as well as vasectomy with vas irrigation or with fascial interposition. Vasectomy guidelines largely rely on information from observational studies. Read More

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http://apps.who.int/rhl/reviews/langs/CD003991.pdf
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http://doi.wiley.com/10.1002/14651858.CD003991.pub4
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http://dx.doi.org/10.1002/14651858.CD003991.pub4DOI Listing
March 2014
10 Reads

Who chooses vasectomy in Rwanda? Survey data from couples who chose vasectomy, 2010-2012.

Contraception 2014 Jun 10;89(6):564-71. Epub 2014 Feb 10.

Rwanda Ministry of Health, Kigali, Rwanda.

Background: Vasectomy is safe and highly effective; however, it remains an underused method of family planning (FP) in Africa. In view of this, three Rwandan physicians were trained in no-scalpel vasectomy with thermal cautery and fascial interposition on the prostatic end as vasectomy trainers in 2010, and this initiative has resulted in over 2900 vasectomy clients from February 2010 to December 2012.

Study Design: This cross-sectional descriptive study describes vasectomy clients (n=316) and their wives (n=300) from 15 randomly selected hospitals in Rwanda. Read More

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http://dx.doi.org/10.1016/j.contraception.2014.02.003DOI Listing
June 2014
18 Reads

A randomized, controlled, multicenter contraceptive efficacy clinical trial of the intravas device, a nonocclusive surgical male sterilization.

Asian J Androl 2014 May-Jun;16(3):432-6

Key Laboratory of Male Reproductive Health, National Health and Family Planning Commission, National Research Institute for Family Planning and WHO Collaborating Centre for Research in Human Reproduction, Beijing, China.

Because of unavoidable complications of vasectomy, this study was undertaken to assess the efficacy and safety of male sterilization with a nonobstructive intravas device (IVD) implanted into the vas lumen by a mini-surgical method compared with no-scalpel vasectomy (NSV). IVDs were categorized into two types: IVD-B has a tail used for fixing to the vas deferens (fixed wing) whereas IVD-A does not. A multicenter prospective randomized controlled clinical trial was conducted in China. Read More

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http://dx.doi.org/10.4103/1008-682X.122860DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4023373PMC
December 2014
6 Reads

Short-term morbidity following No-Scalpel Vasectomy: an assessment of clients' perceptions by novel postcard system.

Urologia 2014 Jul-Sep;81(3):177-81. Epub 2013 Nov 29.

Department of Urology, King George Medical University, (also, Chhatrapati Shahuji Maharaj Medical University), Lucknow - India.

Objective: Data on short-term (within a week) morbidity of No-Scalpel Vasectomy (NSV) is lacking. We studied clients' perceptions of early post-vasectomy morbidity by self innovated postcard pictorial questionnaire.

Methods: Between March 2011 and April 2012, 821 men underwent NSV and provided pre-printed revalidated pictorial postcards depicting various grades of severity of local pain, swelling, and bleeding. Read More

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http://dx.doi.org/10.5301/urologia.5000038DOI Listing
February 2016
13 Reads

Common questions about vasectomy.

Am Fam Physician 2013 Dec;88(11):757-61

University of North Carolina School of Medicine, Chapel Hill, NC, USA.

Vasectomy offers a safe, effective, and permanent method of male contraception, with an overall failure rate of less than 1% in pooled studies. Men older than 30 years in a stable, committed relationship appear to be the best candidates for vasectomy. The no-scalpel technique reduces operative complications, shortens operative time, and hastens resumption of sexual activity. Read More

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December 2013
6 Reads

Vasectomy.

Urol Clin North Am 2013 Nov 3;40(4):559-68. Epub 2013 Sep 3.

Department of Urology, University of Alabama at Birmingham, 1720 2nd Avenue South, Birmingham, AL 35294, USA.

This article is intended to familiarize the surgeon with all aspects of vasectomy including preoperative counseling, anesthetic techniques, surgical techniques, postoperative follow-up, and postvasectomy semen analysis. The latest literature regarding the complication rates and failure rates of various vas occlusion techniques is also discussed. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00940143130007
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http://dx.doi.org/10.1016/j.ucl.2013.07.009DOI Listing
November 2013
2 Reads

Role of no scalpel vasectomy in male sterilization.

Indian J Surg 2012 Aug 21;74(4):284-7. Epub 2012 Jan 21.

Gauhati Medical College, Guwahati, 781032 Assam India.

No Scalpel Vasectomy (NSV) is a modern method of delivery, ligation and excision of vas deference without use of a knife. It provides a permanent sterilization option for male. It is a safe, effective method of vasectomy with low complication and greater patient compliance. Read More

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http://link.springer.com/10.1007/s12262-011-0401-8
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http://dx.doi.org/10.1007/s12262-011-0401-8DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3444593PMC
August 2012
4 Reads

[Long-term effect and safety of non-occlusive intra-vas device for male contraception].

Zhonghua Nan Ke Xue 2013 Apr;19(4):321-3

Henan Province Research Institute for Population and Family Planning, Zhengzhou, Henan 450002, China.

Objective: To assess the long-term effect and safety of non-occlusive intra-vas device (IVD) for male contraception in comparison with no-scalpel vasectomy (NSV).

Methods: We conducted a follow-up investigation on 100 males who had received IVD and another 50 who had undergone NSV 6 years before. We compared the rates of sperm absence and complications between the two groups. Read More

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April 2013
4 Reads

Long-term reproductive consequences of no-scalpel vasectomy in beagles.

J Huazhong Univ Sci Technolog Med Sci 2012 Dec 28;32(6):899-905. Epub 2012 Dec 28.

Family Planning Research Institute, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430030, China.

The effects of vasectomy on the reproductive organs in various species are controversial. This study investigated the morphological change and apoptosis of the testis, epididymis, and vas deferens in beagle dogs 12 months after vasectomy. The male beagles were divided into two groups: vasectomized and sham-operated groups (n=5 in each). Read More

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http://dx.doi.org/10.1007/s11596-012-1055-xDOI Listing
December 2012
5 Reads

Predictors of no-scalpel vasectomy acceptance in Karimnagar district, Andhra Pradesh.

Indian J Urol 2012 Jul;28(3):292-6

Department of Community Medicine, Prathima Institute of Medical Sciences, Karimnagar, Andhra Pradesh, India.

Introduction: Karimnagar District has consistently achieved highest rates of no-scalpel vasectomy (NSV) in the past decade when compared to state and national rates. This study was conducted to elucidate the underlying causes for higher acceptance of NSV in the district.

Materials And Methods: A community-based, case control study was conducted. Read More

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http://dx.doi.org/10.4103/0970-1591.102704DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3507398PMC
July 2012
2 Reads

Vasectomy: AUA guideline.

J Urol 2012 Dec 24;188(6 Suppl):2482-91. Epub 2012 Oct 24.

American Urological Association Education and Research, Inc., Linthicum, Maryland, USA.

Purpose: The purpose of this guideline is to provide guidance to clinicians who offer vasectomy services.

Materials And Methods: A systematic review of the literature using the search dates January 1949-August 2011 was conducted to identify peer-reviewed publications relevant to vasectomy. The search identified almost 2,000 titles and abstracts. Read More

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http://dx.doi.org/10.1016/j.juro.2012.09.080DOI Listing
December 2012
4 Reads

Strengthening vasectomy services in Rwanda: introduction of thermal cautery with fascial interposition.

Contraception 2013 Mar 11;87(3):375-9. Epub 2012 Sep 11.

Department of Family and Emergency Medicine, Laval University/Hôpital Saint-François d'Assise, D6-728, 10 rue de l'Espinay, Québec (Qc), Canada G1L 3L5.

Background: Recent developments in vasectomy research indicate that occluding the vas using cautery combined with fascial interposition (FI) significantly lowers failure rates and is an appropriate technology for low-resource settings. We report the introduction of this technique in Ministry of Health (MOH) vasectomy services in Rwanda.

Design: In February 2010, an international vasectomy expert trained three Rwandan physicians to become trainers in no-scalpel vasectomy (NSV) with thermal cautery and FI. Read More

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http://dx.doi.org/10.1016/j.contraception.2012.08.019DOI Listing
March 2013
6 Reads

FPIN's clinical inquiries. Advantages of the no-scalpel vasectomy technique.

Am Fam Physician 2012 Jun;85(12):1-2

Nellis Family Medicine Residency, Nellis Air Force Base, NV, USA.

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June 2012
3 Reads

Vasectomy as a proxy: extrapolating health system lessons to male circumcision as an HIV prevention strategy in Papua New Guinea.

BMC Health Serv Res 2012 Sep 4;12:299. Epub 2012 Sep 4.

Australian Centre for International & Tropical Health, School of Population Health, University of Queensland, Brisbane, Australia.

Background: Male circumcision (MC) has been shown to reduce the risk of HIV acquisition among heterosexual men, with WHO recommending MC as an essential component of comprehensive HIV prevention programs in high prevalence settings since 2007. While Papua New Guinea (PNG) has a current prevalence of only 1%, the high rates of sexually transmissible diseases and the extensive, but unregulated, practice of penile cutting in PNG have led the National Department of Health (NDoH) to consider introducing a MC program. Given public interest in circumcision even without active promotion by the NDoH, examining the potential health systems implications for MC without raising unrealistic expectations presents a number of methodological issues. Read More

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http://bmchealthservres.biomedcentral.com/articles/10.1186/1
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http://dx.doi.org/10.1186/1472-6963-12-299DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3457912PMC
September 2012
6 Reads

Trend, client profile and surgical features of vasectomy in Ghana.

Eur J Contracept Reprod Health Care 2012 Jun 11;17(3):229-36. Epub 2012 Mar 11.

Department of Obstetrics and Gynaecology, Komfo Anokye Teaching Hospital, Kumasi, Ghana.

Objective: To examine the socio-demographic and reproductive characteristics of vasectomy acceptors and surgical features of vasectomy in Ghana.

Methods: Retrospective review of 271 vasectomies performed between 1 January 2000 and 31 December 2009 in three healthcare facilities.

Results: Less than 0. Read More

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http://dx.doi.org/10.3109/13625187.2012.661109DOI Listing
June 2012
8 Reads

No-scalpel vasectomy by electrocauterization in free range rhesus macaques (Macaca mulatta).

Authors:
V Kumar A Raj

Open Vet J 2012 5;2(1):6-9. Epub 2012 Feb 5.

Veterinary Officer, Veterinary Hospital - Deol, Baijnath, Distt - Kangra, Himachal Pradesh, India 176125.

The objective of the study was to standardize a new method of vasectomy in male rhesus macaques (Macaca mulatta). A total of 208 free range male rhesus macaques captured from different locations in Shivalik Hills in a population control programme of the rhesus macaques in India. General anaesthesia was achieved by using a combination of ketamine hydrochloride at 8 mg/kg body weight and xylazine hydrochloride at 2mg/kg body weight intramuscularly in squeeze cage. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4655777PMC
December 2015
3 Reads

Associations of ultrasonographic features with scrotal pain after vasectomy.

Korean J Urol 2011 Nov 17;52(11):782-6. Epub 2011 Nov 17.

Department of Urology, National Police Hospital, Seoul, Korea.

Purpose: Scrotal discomfort is a recognized complication of vasectomy, but the natural history and incidence of this problem are uncertain. The typical ultrasonographic changes after a vasectomy primarily include epididymal thickening and epididymal tubular ectasia with diminished blood flow in the epididymis. We prospectively studied the differences in the ultrasonographic features of the testis and epididymis between patients with and those without scrotal discomfort after vasectomy. Read More

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http://dx.doi.org/10.4111/kju.2011.52.11.782DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3242993PMC
November 2011
7 Reads

Vasectomy occlusion technique combining thermal cautery and fascial interposition.

Authors:
Michel Labrecque

Int Braz J Urol 2011 Sep-Oct;37(5):630-5

Research Center, Hôpital Saint-François d'Assise, Centre Hospitalier Universitaire de Quebec, Quebec, Canada.

Introduction: Recent research on vasectomy shows that combining cautery and fascial interposition (FI) achieves the most effective occlusion of the vas and minimizes the risk of failure. We present a technique that combines cautery and FI and is suitable for low-resource settings.

Surgical Technique: The surgical technique consists of 1) exposing the vas with the no-scalpel approach; 2) cauterizing the epithelium of lumen of the vas using a portable battery-powered cautery device; 3) performing FI by grasping internal spermatic fascia and applying a free tie with suture material on the fascia to cover the prostatic stump of the vas and separate the two ends of the cut vas; and 4) excising a small 0. Read More

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http://www.scielo.br/pdf/ibju/v37n5/10.pdf
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July 2012
3 Reads

Evaluating success of no-scalpel vasectomy by ligation and excision with fascial interposition in a large prospective study in Islamic Republic of Iran.

East Mediterr Health J 2011 Jun;17(6):517-22

Reproductive Health Research Centre, Urmia University of Medical Sciences, Urmia, Islamic Republic of Iran.

The aims of this prospective, non-comparative study were to determine time to azoospermia and vasectomy success rate based on the results of semen analysis. A total of 334 men seeking vasectomy at a clinic in Urmia city, Islamic Republic of Iran were followed bi-weekly up to 24 weeks after vasectomy or until azoospermia was confirmed via semen analysis. The cumulative life table rate for azoospermia was 93/100 men (95% CI: 88. Read More

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June 2011
5 Reads

Mini-incision vasectomy reversal using no-scalpel vasectomy principles: efficacy and postoperative pain compared with traditional approaches to vasectomy reversal.

Urology 2011 Mar 24;77(3):602-6. Epub 2010 Dec 24.

Division of Urology, Mount Sinai and Women's College Hospital, University of Toronto, Toronto, Ontario, Canada.

Objectives: To evaluate the efficacy and postoperative morbidity of a mini-incision vasectomy reversal (MIVR) using no-scalpel vasectomy principles compared with traditional incisional approaches to vasectomy reversal (VR).

Methods: Of 164 patients undergoing consecutive VR, 139 underwent bilateral vasovasostomy (55% bilateral MIVR, 24% mixed MIVR/traditional incision VR, and 21% bilateral traditional incision VR). The MIVRs were performed using a subcentimeter incision after the vas deferens was captured and delivered through the skin using the no-scalpel vasectomy principles and instruments. Read More

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http://dx.doi.org/10.1016/j.urology.2010.09.051DOI Listing
March 2011
7 Reads

The Ghana vasectomy initiative: facilitating client-provider communication on no-scalpel vasectomy.

Patient Educ Couns 2010 Dec 17;81(3):374-80. Epub 2010 Jun 17.

RESPOND Project, EngenderHealth, New York, NY 10001, USA.

Objective: In 2003-2004 and 2007-2008, an initiative was implemented to improve client and provider knowledge and acceptance of no-scalpel vasectomy (NSV) in Ghana.

Methods: At eight facilities, physicians were trained in NSV and staff received training in the provision of "male-friendly" services. Health promotion activities provided NSV information to prospective clients. Read More

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http://dx.doi.org/10.1016/j.pec.2010.05.008DOI Listing
December 2010
3 Reads

[No-scalpel vasectomy. Profile of acceptance and results].

Ginecol Obstet Mex 2010 Apr;78(4):226-31

Departamento de Biología de la Reproducción, Instituto Nacional de Perinatología Isidro Espinosa de los Reyes, México, DF.

Background: Men have few effective methods for birth control. The surgical method vasectomy is highly safe and effective, although in Mexico represents only 2.4% of all contraceptive methods used. Read More

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April 2010
5 Reads

Intraoperative distal vasal flushing--does it improve the rate of early azoospermia following no-scalpel vasectomy? A prospective, randomized, controlled study.

Urology 2010 Aug 7;76(2):341-4. Epub 2010 May 7.

Centre of Excellence for No-Scalpel Vasectomy and Department of Urology, CSM, Medical University (Upgraded King George's Medical College), Uttar Pradesh, India.

Objective: To assess the impact of intraoperative distal vasal flushing during no-scalpel vasectomy on hastening the sperm clearance from the vas deferens and subsequent postvasectomy time to azoospermia.

Material And Methods: A total of 906 men undergoing vasectomy at our center from October 2007 to August 2008 were included in this prospective, randomized, controlled study. Patients were alternately allocated to 1 of 2 groups. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00904295100037
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http://dx.doi.org/10.1016/j.urology.2010.01.091DOI Listing
August 2010
9 Reads
1 Citation
2.190 Impact Factor

Minimizing pain during vasectomy: the mini-needle anesthetic technique.

J Urol 2010 May 19;183(5):1959-63. Epub 2010 Mar 19.

Department of Family and Community Medicine, University of California-San Francisco, San Francisco, California, USA.

Purpose: We describe pain scores for a modified anesthesia technique for no-scalpel vasectomy using a 1-inch 30 gauge mini-needle.

Materials And Methods: A prospective study was performed in 277 patients who received anesthesia using a 3 cc syringe filled with approximately 2 cc 2% lidocaine without epinephrine and a 1-inch 30 gauge needle. Local anesthesia was given directly to the vas at the expected surgical site on each side. Read More

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http://dx.doi.org/10.1016/j.juro.2010.01.006DOI Listing
May 2010
4 Reads

State-of-the art of non-hormonal methods of contraception: VI. Male sterilisation.

Eur J Contracept Reprod Health Care 2010 Apr;15(2):136-49

Department of Urology, UZBrussel, Vrije Universiteit, Brussel, Belgium.

A systematic Medline/PubMed and Cochrane Library review of the literature was carried out with regard to technique, effectiveness, safety and complications of male sterilisation. Vasectomy is an outpatient procedure which can be performed under local anaesthesia. The vas deferens is accessed by means of either a conventional incision with a scalpel or by using the 'no-scalpel technique'. Read More

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http://dx.doi.org/10.3109/13625181003682714DOI Listing
April 2010
4 Reads

A novel modification of no-scalpel vasectomy: a preliminary report.

Eur J Contracept Reprod Health Care 2009 Oct;14(5):371-4

Baharloo Hospital, Tehran University of Medical Sciences, Tehran, Iran.

Objective: To present a novel technique of no-scalpel vasectomy (NSV) that has the potential to decrease the failure rate.

Patients And Methods: From 2006 until 2008 vasectomy was performed by ligating head-to-head and tail-to-tail the cut ends of the vasa deferentia. The outcome of the procedure was assessed by three semen analyses, the first two of which were carried out three months postoperatively and the third one at the end of the study period. Read More

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http://dx.doi.org/10.3109/13625180903078895DOI Listing
October 2009
2 Reads

Fascial interposition technique for vasectomy: is it justified?

Urol Int 2009 11;82(3):361-4. Epub 2009 May 11.

Department of Urology, Shiraz University of Medical Sciences, Shiraz, Iran.

Purpose: To assess the feasibility of the fascial interposition (FI) technique to improve the results of non-scalpel vasectomy (NSV) through a cost-effective modification.

Patients And Methods: The outcome of the FI technique for NSV in 954 consecutive candidates treated by two surgeons was evaluated retrospectively. 726 (76%) of the clients had undergone NSV with FI (FI group) and for the other 228 (24%) NSV by simple ligation and excision (LE) without FI (NFI group) was performed. Read More

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http://dx.doi.org/10.1159/000209373DOI Listing
July 2009
2 Reads

Comparative analysis of pain during anesthesia and no-scalpel vasectomy procedure among three different local anesthetic techniques.

Urology 2009 Jul 9;74(1):77-81. Epub 2009 May 9.

Division of Urology, Creighton University Medical Center, Omaha, Nebraska, USA.

Objectives: To compare the pain during anesthesia and during the no-scalpel vasectomy procedure for local infiltration anesthesia (LIA), LIA supplemented with spermatic cord block (LIA + SCB), and no needle jet anesthesia.

Methods: Bilateral no-scalpel vasectomy was performed in 323 patients during 2007. Of the 323 patients, 65 received LIA, 29 received LIA + SCB, and 227 received anesthesia using the no-needle technique with the MadaJet device. Read More

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http://dx.doi.org/10.1016/j.urology.2008.11.023DOI Listing
July 2009
11 Reads

Cultural bias and 'no-scalpel vasectomies': lessons learned by a Brown anthropologist in Mexico.

Authors:
Matthew Gutmann

Med Health R I 2008 Dec;91(12):369-71

Department of Anthropology, Brown University, Providence, RI 02912, USA.

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December 2008
3 Reads

Office based vasectomy can be performed by supervised urological residents with patient pain and morbidity comparable to those of a staff surgeon procedure.

J Urol 2008 Oct 16;180(4):1451-4. Epub 2008 Aug 16.

Glickman Urological and Kidney Institute and Department of Quantitative Health Sciences (AVH, TG), Cleveland Clinic Foundation, Cleveland, Ohio 44195, USA.

Purpose: Although it is routinely performed in the ambulatory setting, vasectomy is an intricate surgical procedure with the potential for significant pain and morbidity. We determined from our prospective, institutional review board approved database whether vasectomy pain was affected by whether a staff surgeon or resident was the primary surgeon on the case.

Materials And Methods: One staff surgeon and 14 residents in training year 2, 3 or 5 performed bilateral percutaneous no-scalpel vasectomy. Read More

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http://dx.doi.org/10.1016/j.juro.2008.06.047DOI Listing
October 2008
5 Reads

Scrotal haematoma: the most common complication of no-scalpel vasectomy.

Kathmandu Univ Med J (KUMJ) 2007 Apr-Jun;5(2):279-80

Department of Obstetrics & Gynaecology, Family Planning andFertility Care Centre, TU Teaching Hospital Kathmandu, Kathmandu, Nepal.

Objective: to study the complications of no scalpel vasectomy such as scrotal haematoma, infection, scrotal sinus, and failure, recanalization, and sperm granuloma.

Materials And Methods: A retrospective, descriptive study carried out in Dept. of Obs/ Gyn, Tribhuvan University Teaching Hospital Kathmandu Nepal. Read More

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December 2010
2 Reads

Mini-incision microsurgical vasectomy reversal using no-scalpel vasectomy principles and instruments.

Urology 2008 Oct 30;72(4):913-5. Epub 2008 Jun 30.

Mount Sinai Hospital, University of Toronto, Toronto, Ontario, Canada.

Objectives: Men who have undergone a vasectomy have 2 options available to allow them to have biologically related children: vasectomy reversal or sperm retrieval with in vitro fertilization. Of the men who have undergone vasectomy, 2%-11% eventually undergo reversal. The high cost and reproductive risks associated with in vitro fertilization weigh against sperm retrieval with in vitro fertilization, and the surgical risks and postoperative recovery (eg, time off from work, postoperative pain) are important factors that couples consider before choosing vasectomy reversal. Read More

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http://dx.doi.org/10.1016/j.urology.2008.05.010DOI Listing
October 2008
4 Reads

Topical anesthesia with EMLA does not decrease pain during vasectomy.

J Urol 2008 Jul 21;180(1):271-3. Epub 2008 May 21.

Glickman Urological and Kidney Institute, Cleveland Clinic Foundation, Cleveland, Ohio 44195, USA.

Purpose: Previous studies show conflicting results of the ability of EMLA (eutectic mixture of local anesthetics) to decrease pain during vasectomy. We examined the effectiveness of EMLA cream to decrease pain in patients undergoing bilateral percutaneous no-scalpel vasectomy.

Materials And Methods: A prospective study was performed in which 316 patients used EMLA cream (178) or no topical anesthesia (138) before vasectomy. Read More

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http://dx.doi.org/10.1016/j.juro.2008.03.061DOI Listing
July 2008
2 Reads

Vasal irrigation with sterile water and saline solution for acceleration of postvasectomy azoospermia.

Urol J 2008 ;5(1):37-40

Department of Urology, Razi Hospital, Gilan University of Medical Sciences, Rasht, Iran.

Introduction: Vasectomy is the safest and most reliable method of all the contraception methods, but azoospermia is not achieved immediately by this method. We decided to determine whether irrigation of the vas deferens with sterile water or hypertonic saline solution irrigation during vasectomy would reduce the time needed to obtain azoospermia.

Materials And Methods: A total of 126 fertile men presented for vasectomy were divided in 3 groups. Read More

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August 2008
13 Reads

Comparative analysis of effectiveness of two local anesthetic techniques in men undergoing no-scalpel vasectomy.

Urology 2007 Dec;70(6):1187-9

Michigan State University College of Osteopathic Medicine Urologic Consortium, Grand Rapids, Michigan, USA.

Objectives: To compare the effectiveness of two local anesthetic techniques in men undergoing no-scalpel vasectomy.

Methods: Before undergoing no-scalpel vasectomy, 50 men underwent separate forms of anesthesia to each side of their scrotum. One vas deferens was anesthetized with a high-pressure spray of 0. Read More

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http://dx.doi.org/10.1016/j.urology.2007.07.054DOI Listing
December 2007
27 Reads

Outcome of vasectomies performed at a Turkish metropolitan maternity hospital.

Eur J Contracept Reprod Health Care 2007 Mar;12(1):19-23

Ministry of Health Ankara Etlik Maternity and Women's Health Teaching and Research Hospital, Etlik, Ankara.

Objective: To determine prospectively the outcome of vasectomies performed by two trained surgeons over a 9-month period at the Ministry of Health Ankara Etlik Maternity and Women's Health Teaching and Research Hospital Family Planning Centre.

Methods: The demographic data, source of information concerning the method, sexual function before and after voluntary no-scalpel vasectomy, compliance with the post-vasectomy follow-up program of men applying for a vasectomy were analyzed. All patients were contacted by telephone and invited for follow-up visits for counseling, inquiry regarding sexual dysfunction, and performance of a semen analysis. Read More

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http://dx.doi.org/10.1080/13625180601127341DOI Listing
March 2007
3 Reads

Scalpel versus no-scalpel incision for vasectomy.

Cochrane Database Syst Rev 2007 Apr 18(2):CD004112. Epub 2007 Apr 18.

Christchurch School of Medicine, Public Health and General Practice, Christchurch, New Zealand.

Background: Currently, the two most common surgical techniques for approaching the vas during vasectomy are the incisional method and the no-scalpel technique. Whereas the conventional incisional technique involves the use of a scalpel to make one or two incisions, the no-scalpel technique uses a sharp-pointed, forceps-like instrument to puncture the skin. The no-scalpel technique aims to reduce adverse events, especially bleeding, bruising, hematoma, infection and pain and to shorten the operating time. Read More

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http://dx.doi.org/10.1002/14651858.CD004112.pub3DOI Listing
April 2007
26 Reads

Vasectomy occlusion techniques for male sterilization.

Cochrane Database Syst Rev 2007 Apr 18(2):CD003991. Epub 2007 Apr 18.

Christchurch School of Medicine, Public Health and General Practice, Christchurch, New Zealand.

Background: Vasectomy is an increasingly popular and effective family planning method. A variety of vasectomy techniques are used worldwide, including various vas occlusion techniques (excision and ligation, thermal or electrocautery, and mechanical and chemical occlusion methods), as well as vasectomy with vas irrigation or with fascial interposition. Vasectomy guidelines largely rely on information from observational studies. Read More

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http://dx.doi.org/10.1002/14651858.CD003991.pub3DOI Listing
April 2007
4 Reads