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. Application of inclusion/exclusion criteria yielded an evidence base of 275 articles. Evidence-based practices for vasectomy were defined when evidence was available. When evidence was insufficient or absent, expert opinion-based practices were defined by Panel consensus. The Panel sought to define the minimum and necessary concepts for pre-vasectomy counseling; optimum methods for anesthesia, vas isolation, vas occlusion and post-vasectomy follow up; and rates of complications of vasectomy. This guideline was peer reviewed by 55 independent experts during the guideline development process.
Results: Vas isolation should be performed using a minimally-invasive vasectomy technique such as the no-scalpel vasectomy technique. Vas occlusion should be performed by any one of four techniques that are associated with occlusive failure rates consistently below 1%. These are mucosal cautery of both ends of the divided vas without ligation or clips (1) with or (2) without fascial interposition; (3) open testicular end of the divided vas with MC of abdominal end with FI and without ligation or clips; and (4) non-divisional extended electrocautery. Patients may stop using other methods of contraception when one uncentrifuged fresh semen specimen shows azoospermia or ≤ 100,000 non-motile sperm/mL.
Conclusions: Vasectomy should be considered for permanent contraception much more frequently than is the current practice in the U.S. and many other nations. The full text of this guideline is available to the public at http://www.auanet.org/content/media/vasectomy.pdf.
Download full-text PDF |
Source |
---|---|
http://dx.doi.org/10.1016/j.juro.2012.09.080 | DOI Listing |
Cureus
November 2024
Urology, Mayo Clinic, Rochester, USA.
Introduction Overturning Roe v. Wade left many concerned about birth control options and future fertility. This study aims to report Google (Google, Inc.
View Article and Find Full Text PDFAdv Lab Med
December 2024
Clinical Biochemistry Laboratory, Provincial Hospital of Bolzano (SABES-ASDAA), Bolzano, Italy.
Objectives: Semen analysis investigates different parameters of human semen with a high relevance in fertility workup, confirmation of sterility by post vasectomy, in pathologies follow-up such as varicocele and in all cases where sperm preservation is required. Manually seminal fluid examination is characterized by poor reproducibility. Aim of this study was to evaluate the performance of an automatic device in semen analysis by comparing its results with those obtained with the manual microscopy.
View Article and Find Full Text PDFJMIR Infodemiology
December 2024
Department of Obstetrics and Gynecology, Washington University School of Medicine in St. Louis, St Louis, MO, United States.
Background: After the US Supreme Court overturned Roe v. Wade, confusion followed regarding the legality of abortion in different states across the country. Recent studies found increased Google searches for abortion-related terms in restricted states after the Dobbsv.
View Article and Find Full Text PDFWorld J Urol
December 2024
Section of Urology, Department of Surgery, University of Manitoba, AD203-720 McDermot Avenue, Winnipeg, Manitoba, R3N 1B1, Canada.
Purpose: This study sought to assess if pre-vasectomy counselling with ChatGPT can safely streamline the consultation process by reducing visit times and increasing patient satisfaction.
Methods: A single-institution randomized pilot study was conducted to evaluate the safety and efficacy of ChatGPT for pre-vasectomy counselling. All adult patients interested in undergoing a vasectomy were included.
Can Urol Assoc J
December 2024
Section of Urology, Department of Surgery, University of Manitoba, Winnipeg, MB, Canada.
Introduction: Vasectomy is a form of permanent contraception in men that is safe and effective. Complications are relatively uncommon, although patients may experience postoperative pain. Current literature quotes a broad range in the incidence of chronic orchialgia following no-scalpel vasectomy from 0.
View Article and Find Full Text PDFEnter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!