Journal ArticleDOI
Complications of Vasectomy: Review of 16,000 Patients
T. Philp,John Guillebaud,D. Budd +2 more
TLDR
There were six cases of late recanalisation in men previously thought sterile by two consecutive azoospermic analyses 4 months after vasectomy, not influenced by the operative technique used, but varied markedly between individual surgeons.Abstract:
Sixteen thousand, seven hundred and ninety-six men underwent vasectomy between 1970 and December 1983 and have been reviewed. Post-operative side effects were few and significant complications were reported in 0.9%. Failure to achieve sterility occurred in 72 men, 69 of whom have been analysed. The early recanalisation rate was 0.36%. This rate was not influenced by the operative technique used, but varied markedly between individual surgeons. Experience and care with technique should result in a failure rate of 0.2% or better. There were six cases of late recanalisation in men previously thought sterile by two consecutive azoospermic analyses 4 months after vasectomy.read more
Citations
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Journal ArticleDOI
Contraceptive failure in the United States
TL;DR: This review provides an update of previous estimates of first-year probabilities of contraceptive failure for all methods of contraception available in the United States and reflects new research on contraceptive failure both during perfect use and during typical use.
Journal ArticleDOI
Advances in male contraception.
TL;DR: Great strides have been made in understanding male reproductive physiology; the combined efforts of scientists, clinicians, industry and governmental funding agencies could make an effective, reversible, male contraceptive an option for family planning over the next decade.
Journal ArticleDOI
Safety and effectiveness of vasectomy
TL;DR: Suggestions are made that future studies should include evaluations of the long-term effectiveness of vasectomy, evaluating criteria for postvasectomy discontinuation of alternative contraception for use in settings where semen analysis is not practical, and characterizing complications including chronic epididymal pain syndrome.
Journal ArticleDOI
Vasectomy: AUA Guideline
Ira D. Sharlip,Arnold M. Belker,Stanton J. Honig,Michel Labrecque,Joel L. Marmar,Lawrence S. Ross,Jay I. Sandlow,David C. Sokal +7 more
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.
Journal ArticleDOI
Chronic Testicular Pain following Vasectomy
TL;DR: Chronic testicular discomfort was present in 56 patients (33%), considered by 26 (15%) to be troublesome but not by the other 30 (17%).
References
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Journal ArticleDOI
Late failure of vasectomy after two documented analyses showing azoospermic semen.
T. Philp,John Guillebaud,D. Budd +2 more
TL;DR: From April 1970 to December 1980, 14 047 men underwent vasectomy for sterilisation under local anaesthetic at this clinic, and the wives of six of these men subsequently became pregnant between 16 months and three years after vasectomy.
Journal ArticleDOI
Recanalization rate following methods of vasectomy using interposition of fascial sheath of vas deferens.
Julius O. Esho,Alexander S. Cass +1 more
TL;DR: A small but definite recanalization rate has followed the vas ligation method of partial vasectomy for sterilization with insertion of the fascial sheath between the divided ends of the vas.
Journal ArticleDOI
One Thousand Vasectomies
Marian N. Barnes,J. P. Blandy,H. R. England,George Gunn,Geraldine Howard,Barbara Law,Bridgett Mason,Jean Medawar,C.L. Reynolds,R. J. Shearer,M. Singh,Dorothy G. Stanley-Roose +11 more
TL;DR: In a prospective study of 1,000 people treated by vasectomy at the Margaret Pyke Centre under local anaesthesia as outpatients minor sepsis occurred in 12 cases, an abscess in one, and haematoma needing drainage in seven.
Journal ArticleDOI
Prevention of Failure in Vasectomy
TL;DR: A surgical procedure used in 1000 successful vasectomies performed between January 1962 and January 1972 is presented and it is recommended that ligatures or clips not be used directly on the vas.
Journal ArticleDOI
Wound infection following vasectomy.
TL;DR: Patients undergoing vasectomy as day cases were studied and, apart from haematoma formation and the nasal carriage of organisms, no factors were found that increased the risk of infection.
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Late failure of vasectomy after two documented analyses showing azoospermic semen.
T. Philp,John Guillebaud,D. Budd +2 more