AI Article Synopsis
- Innovations in techniques have led to lower failure rates and fewer complications, with cautery occlusion showing the best results.
- Patients are considered sterile when sperm count is either zero (azoospermia) or below 100,000 non-motile sperm per milliliter, making follow-up semen analysis crucial.
Article Abstract
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. A no-scalpel approach lowers risk of hematoma formation, infection and bleeding post-operatively. A patient can be considered sterile when azoospermia is achieved or the semen analysis shows less than 100,000 non-motile sperm per milliliter. Incorporating these principles may allow the physician to optimize outcomes in vasectomy.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4837312 | PMC |
| http://dx.doi.org/10.21037/tau.2016.03.04 | DOI Listing |
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