183 results match your criteria Vasectomy No Scalpel

[Vasectomy : Current information].

Urologe A 2021 Apr 18;60(4):523-532. Epub 2021 Mar 18.

Klinik für Urologie und Urochirurgie, Universitätsmedizin Mannheim, Theodor-Kutzer-Ufer 1-3, 68167, Mannheim, Deutschland.

Vasectomy is considered to be the simplest, most effective and cheapest method of fertility control in men, with a significantly lower risk of morbidity and mortality compared to tubal ligation in women. Patient informed consent is particularly important and should include potential irreversibility, surgical options, anesthesia, possible complications as well as postoperative behavior and the need for re-evaluation. There are different access routes available with conventional and no-scalpel vasectomy as well as different techniques for closing the ends of the vas deferens. Read More

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Incidence of Post-Vasectomy Pain: Systematic Review and Meta-Analysis.

Int J Environ Res Public Health 2020 03 10;17(5). Epub 2020 Mar 10.

Department of Health Psychology, Division of Population Health Sciences, Royal College of Surgeons in Ireland, 123 St. Stephen's Green, D02 YN77 Dublin, Ireland.

This is the first systematic review and meta-analysis to ascertain incidences of post-vasectomy pain following traditional scalpel, or non-scalpel vasectomy. Electronic databases PubMed, Embase and PsycINFO were searched up to 1 July 2019 for peer-reviewed articles recording post-vasectomy pain. We identified 733 publications, screened 559 after removal of duplicates and excluded 533. Read More

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Reviving permanent contraception: New medical procedures or new service delivery modalities?

Best Pract Res Clin Obstet Gynaecol 2020 Jul 20;66:15-27. Epub 2019 Dec 20.

5050 Whiteoak St. SE, Smyrna, GA, 30080, USA. Electronic address:

Despite the prevalent increase of permanent contraception, there are still 222 million women with unmet needs for contraception; a large proportion of these women could opt for permanent contraception. New approaches to permanent contraception are in development; in the meantime, services need to be accessible, affordable, safe, and convenient to allow women, men, and couples to realize their reproductive intentions. Among the available approaches, we recommend minilaparotomy and no-scalpel vasectomy. Read More

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RISUG as a male contraceptive: journey from bench to bedside.

Basic Clin Androl 2020 13;30. Epub 2020 Feb 13.

Centre for Advanced Studies, Department of Zoology, University of Rajasthan, Jaipur, 302004 India.

Even after decades of research men still lack reliable and reversible contraceptive methods comparable to female methods of contraception. Traditional methods of male contraception present a high failure rate and also involve high risk both when used for contraception and for protection against sexually transmitted diseases. Various chemical, hormonal, immunological, vas based and herbal methods of contraception have been examined by scientists world over during the past four decades. Read More

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February 2020

Risk of vasectomy failure by ligation and excision with fascial interposition: A prospective descriptive study.

Contraception 2020 05 13;101(5):342-349. Epub 2020 Feb 13.

CHU de Québec-Université Laval Research Centre, Population Health and Optimal Health Practices, 1050 Chemin Sainte-Foy, local K0-03, Québec (Qc) G1S 4L8, Canada. Electronic address:

Objective: To evaluate the occlusive failure risk of ligation and excision with fascial interposition vasectomy technique. There are doubts about the effectiveness of this technique largely used in Asia and Latin America.

Study Design: We conducted a prospective longitudinal observational descriptive study among men who underwent a vasectomy performed under local anesthesia in a clinic specializing in sexual and reproductive health services in Bogotá, Colombia. Read More

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Are evidence-based vasectomy surgical techniques performed in low-resource countries?

Michel Labrecque

Gates Open Res 2019 22;3:1462. Epub 2019 Jul 22.

CHU de Québec-Université Laval Research Centre, Population Health and Optimal Health Practices, 1050 Chemin Sainte-Foy, local K0-03, Quebec City, Quebec, G1S 4L8, Canada.

Research evidence published 10 to 15 years ago has shown that the type of vasectomy surgical technique performed can influence the effectiveness and the safety of the procedure.  The objective of this study was to determine if evidence-based vasectomy surgical techniques are integrated in the vasectomy programs of selected low-resource countries. The surgical techniques recommended to perform the two steps of the vasectomy procedure (isolation/exposition and occlusion of the vas deferens) were extracted from current evidence-based clinical practice guidelines. Read More

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Sexual and reproductive health content in nurse practitioner transition to practice training programs.

Contracept X 2019 20;1:100005. Epub 2019 Mar 20.

MGH Institute of Health Professions, School of Nursing, 36 1 Ave., Charlestown, MA 02129.

Objective: To describe the sexual and reproductive health (SRH) offerings of transition to practice training programs for certified primary care nurse practitioners in the United States.

Study Design: Program Directors from all identified primary care training programs ( = 51) were invited to participate in an online survey to assess the SRH didactic and clinical offerings based on competencies developed by the World Health Organization and adapted for the US across 15 domains and 15 related procedures.

Results: Twenty-two (43%) surveys were completed. Read More

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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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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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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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December 2016

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

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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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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December 2015

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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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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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

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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October 2015

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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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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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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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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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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December 2014

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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February 2016

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


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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November 2013

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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[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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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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December 2012

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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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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December 2012

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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