Journal Article•
[No-scalpel vasectomy. Profile of acceptance and results].
TL;DR: No-scalpel vasectomy is a method of fertility planning very effective with low morbidity, and in a great proportion healthy, in the fourth decade of life, with high school or greater, satisfied fertility and high socioeconomic status.
Abstract: Background: Men have few effective methods for birth control The surgical method vasectomy is highly safe and effective although in Mexico represents only 24% of all contraceptive methods used Objective: To determine the characteristics complications and results of the men who requested and underwent no-scalpel vasectomy in the Instituto Nacional de Perinatologia Isidro Espinosa de los Reyes in Mexico Material and method: Retrospective cohort study with data of clinical records of men who underwent no-scalpel vasectomy from 2003 to 2007 Sociodemographic and clinical variables and complications reported as well as espermatobioscopy data were included Descriptive analysis was performed of different variables and chi squared test between proportions Results: A total of 596 no-scalpel vasectomies were performed The average age was 365 years and 134 of schooling 869% were married with 96 years of union Socioeconomic status was as follows: medium (25%) middle high (201%) and high (247%) The 943% of men requested the no-scalpel vasectomy because of satisfied fertility and 57% by morbidity in his couple The complications were as follows: epididymitis (22%) mild haematoma (15%) and contact dermatitis (02%) The surgical complications were significantly more frequent for the group with varicocele compared with the normal men group (p < 005) Azoospermia was achieved in 991% of men at 18 weeks after the no-scalpel vasectomy Early recanalization occurred in 05% of men There were no pregnancies Conclusions: The profile of men who requested no-scalpel vasectomy was in a great proportion healthy in the fourth decade of life with high school or greater satisfied fertility and high socioeconomic status No-scalpel vasectomy is a method of fertility planning very effective with low morbidity
Citations
More filters
TL;DR: Health education and affordable vasectomy services could increase vasectomy use among Mexican-origin men and reduce misperceptions about vasectomy among male partners.
Abstract: The low prevalence of vasectomy among Latino men in the United States is often attributed to cultural characteristics despite limited evidence supporting this hypothesis. We assessed male partners' perceived willingness to undergo vasectomy through surveys with 470 Mexican-origin women who did not want more children in El Paso, Texas. Overall, 32% of women reported that their partner would be interested in getting a vasectomy. In multivariable analysis, completing high school (OR=2.03 [1.05, 3.95]), having some college education (OR=2.97 [1.36, 6.48]) or receiving US government assistance (OR=1.95 [1.1, 3.45]) was associated with partners' perceived interest. Additionally, we conducted two focus groups on men's knowledge and attitudes about vasectomy with partners of a subsample of these women. Despite some misperceptions, male partners were willing to get a vasectomy, but were concerned about cost and taking time off work to recover. Health education and affordable vasectomy services could increase vasectomy use among Mexican-origin men.
15 citations
TL;DR: Advocating and implementing family planning is of high significance in view of the population growth in India and drawing from the demographic profile, predictors, pool of trainers and experiences in Karimnagar District, a similar achievement of higher rates of this simple procedure with few complications can be replicated.
Abstract: 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. Sampling techniques used were purposive and simple random sampling. A semi-structured questionnaire was used to evaluate the socio-demographic, family characteristics, contraceptive history and predictors of contraceptive choice in 116 NSV acceptors and 120 other contraceptive users (OCUs). Postoperative complications and experiences were ascertained in NSV acceptors. Results: Age (χ2 =11.79, P value = 0.008), literacy (χ2 =17.95, P value = 0.03), duration of marriage (χ2 =14.23, P value = 0.008) and number of children (χ2 =10.45, P value = 0.01) were significant for acceptance of NSV. Among the predictors, method suggested by peer/ health worker (OR = 1.5, P value = 0.01), method does not require regular intervention (OR = 1.3, P value = 0.004) and permanence of the method (OR = 1.2, P value = 0.031) were significant. Acceptors were most satisfied with the shorter duration required to return to work and the most common complication was persistent postoperative pain among 12 (10.34%) of the acceptors. Conclusion: Advocating and implementing family planning is of high significance in view of the population growth in India and drawing from the demographic profile, predictors, pool of trainers and experiences in Karimnagar District, a similar achievement of higher rates of this simple procedure with few complications can be replicated.
13 citations
TL;DR: The most frequent attitudes reported by men with limited education were negative, whereas participants with a higher education reported more ambivalent attitudes, and the most common words used by participants with higher education were curiosity, followed by acceptance and interest.
Abstract: The present study explored the views of Mexican men concerning vasectomy. One hundred and five men who had not had a vasectomy were asked to complete the following phrase "If you no longer wanted to have more children and a vasectomy was suggested, you would react with . . . or you would think . . . " with at least five different answers. Participants then had to rank each of their answers according to how well they describe the participant's feelings in the hypothetical situation. The results were analyzed using the Natural Semantic Networks Technique. The most common words used by participants with a limited educational background were reject, followed by fear and anger, and they did not use any words that implied acceptance of vasectomy. In contrast, the most common words used by participants with higher education were curiosity, followed by acceptance and interest; however, they also used the words fear and insecurity. The most frequent attitudes reported by men with limited education were negative, whereas participants with a higher education reported more ambivalent attitudes. These findings are discussed in light of sociocultural features and could be helpful in designing reproductive health programs with more effective counseling to diminish negative views about vasectomy.
5 citations
Cites background from "[No-scalpel vasectomy. Profile of a..."
...Moreover, Mexican men with higher education and income have a greater prevalence of vasectomy than those less educated (Lara-Ricalde et al., 2010; Oliva Malagón et al., 2011)....
[...]
TL;DR: The authors identify the perfil sociodemografico del varon that elige vasectomia sin bisturi (vsb) using 1 023 expedientes clinicos.
4 citations
TL;DR: It is important for men to be involved in family planning as part of their reproductive health and not just as an option that they may or may not choose to take.
4 citations