scispace - formally typeset
Search or ask a question
Author

I. E. Katsoulis

Bio: I. E. Katsoulis is an academic researcher from Royal Lancaster Infirmary. The author has contributed to research in topics: Vasectomy & Semen analysis. The author has an hindex of 1, co-authored 1 publications receiving 4 citations.

Papers
More filters
Journal ArticleDOI
TL;DR: A uniform vasectomy practice should include vasectomy under local anaesthesia if possible, no vas histology and a request for a single sample at 12 weeks if any sperm are present, then a further sample should be requested at 16 weeks' postvasectomy.
Abstract: Introduction: Vasectomy is a common method of contraception in the UK. However there is a wide variation in management protocols. The aim of the present study was to identify differences within the hospitals of Morecambe Bay NHS Trust and to recommend a uniform practice. Patients and Methods: Retrospective case notes review of 395 vasectomy procedures performed within the Morecambe Bay NHS Trust in a 1-year period. Results: Inconsistency was found with regards to the anaesthetic technique the vas histology request and the timing of the semen analysis. The non-compliance rate for postvasectomy semen analysis was 33.4%. The complication and failure rates were 4.04% and 0.51% respectively. Motile sperm (n = 4) was submitted at an average time of 8 weeks’ postvasectomy. In half of those cases vasectomy proved unsuccessful. Immotile sperm (n = 41) was submitted at an average time of 9.5 weeks and in 80% of those men semen cleared at an average time of 15.5 weeks’ postvasectomy. An azoospermic (n = 285) sample was submitted at an average time of 10.5 weeks. Eleven of those men submitted a second sample with immotile sperm at an average time of 12 weeks’ postvasectomy and that was eventually clear at 18 weeks in the majority of cases. Conclusions: A uniform vasectomy practice should include vasectomy under local anaesthesia if possible no vas histology and a request for a single sample at 12 weeks. If this is clear vasectomy should be considered successful. If any sperm are present then a further sample should be requested at 16 weeks’ postvasectomy. Immotile sperm at that time should not justify any further samples and a ‘special clearance’ should be issued to those men. (authors)

4 citations


Cited by
More filters
Journal ArticleDOI
TL;DR: This guideline was peer reviewed by 55 independent experts during the guideline development process and recommended that vasectomy be considered for permanent contraception much more frequently than is the current practice in the U.S. and many other nations.

157 citations

Journal ArticleDOI
TL;DR: Careful study and innovation of vasectomy techniques will ensure that the most commonly performed urologic surgical procedure remain an excellent form of contraception in the future.

11 citations

Journal ArticleDOI
TL;DR: Vasectomy has been considered a minor surgical procedure, even more so in view of the fact that, most of the time, it can be performed under local anaesthesia in a doctor's office.
Journal ArticleDOI
TL;DR: En aquellos pacientes donde el urologo decide programar con anestesia general se encuentra frecuentemente un fenotipo particular that ofrece dificultades tanto al cirujano como al anestesiologo.