Journal Article•
Vasectomía sin bisturí. Experiencia de 10 años
About: This article is published in Revista médica del Instituto Mexicano del Seguro Social.The article was published on 2004-01-01 and is currently open access. It has received 11 citations till now.
Citations
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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
01 Jan 2011
TL;DR: The results obtained during the 25 years of the vasectomy in the Ambulatory Surgery Center, the intra-operative findings and the contributions of the multidisciplinary work are described.
Abstract: Background: The vasectomy is a definitive masculine contraceptive method that is made in the Ambulatory Surgery Center (ISSSTE) since 1985. Objective: To describe the results obtained during the 25 years of the vasectomy in the Ambulatory Surgery Center, the intra-operative findings and the contributions of the multidisciplinary work. Patients and method: Retrospective, descriptive and qualitative study. The statistics of vasectomies made since July 1985 to July 2010 were analyzed. Socio-demographic data of the last five years were considered as a sample of the whole vasectomized popu lation, and field notes were elaborated. Results: 4,106 vasectomies have been made. The practice of the technique of vasectomy without bistouries began in 1995. The age average of the men with vasectomy was 36.6 years. The condom was the contraceptive method most used before the vasectomy. The age average of sexual initiation of men was 17.4 years. The majority of men had two children at the time of the vasectomy. Intraoperative findings were: agenesia, supernumerary vas deferens and bilateral duplication of vas deferens. Conclusions: The accomplishment of the vasectomy without bistouries requires of qualification. It is an ambulatory procedure of low morbidity and effectiveness of 99%. It is necessary to continue with the multidisciplinary work to offer integral attention to the patient, before, during and after surgery.
6 citations
Journal Article•
TL;DR: La oclusiones tubarias bilaterales y las vasectomias representaron 25 % of the productividad quirurgica en los hospitales rurales; el cirujano general realiza 40 %, sin diferencia entre the morbilidad en relacion with el ginecoobstetra.
Abstract: De 1976 a 1992 se incremento la demanda de procedimientos anticonceptivos ambulatorios: de 0.6 a 1.4 % para vasectomia y de 8.9 a 43 % para oclusion tubaria bilateral. El objetivo de esta investigacion fue conocer la frecuencia de cirugias anticonceptivas efectuadas por cirujanos generales entre 2001 y 2005 en hospitales rurales de segundo nivel de San Luis Potosi, Mexico. Material y metodos: Estudio retrospectivo observacional, descriptivo, transversal. Se registro el numero de vasectomias y oclusiones tubarias bilaterales y sus complicaciones, efectuadas en dos hospitales rurales por cirujanos generales o ginecoobstetras, asi como la informacion relativa a la edad de los usuarios y numero de gestas, estableciendo diferencias por χ2. Resultados: De 19 622 cirugias, se revisaron 4821 cirugias anticonceptivas (24.6 %), 1942 efectuadas por cirujano general (40.3 %) y 2879 (59.7 %) por ginecoobstetra: 4687 oclusiones tubarias bilaterales y 134 vasectomias (todas por cirujano general, con seis complicaciones). Las complicaciones en las oclusiones tubarias bilaterales fueron 10 para el cirujano general (0.55 %) y 19 para el ginecoobstetra (0.65 %), sin diferencia estadistica (p = 0.5). Conclusiones: La oclusiones tubarias bilaterales y las vasectomias representaron 25 % de la productividad quirurgica en los hospitales rurales; el cirujano general realiza 40 %, sin diferencia entre la morbilidad en relacion con el ginecoobstetra. El cirujano general evito el retardo en la atencion
5 citations
TL;DR: The authors identify the perfil sociodemografico del varon that elige vasectomia sin bisturi (vsb) using 1 023 expedientes clinicos.
4 citations
31 Dec 2017
TL;DR: To reach the total of planned children is the main factor to opt for vasectomy with a risk higher than eighteen, and knowing a risk profile about the choice of method allows to approach a larger population to this contraceptive option.
Abstract: Introduction: Vasectomy is one of the safest, simplest and most economical methods for contraception. In Mexico, it constitutes only 2% of the total methods used compared to 10% in other countries. Objective: Analyze knowledge, attitudes, and beliefs about the choice of vasectomy. Materials and methods: Analytical cross-sectional study, with 111 males of the Family Planning service of the Family Medicine Unit Number 93 of Ecatepec-Mexico, from January to June 2016. A structured survey was applied subject to validation of content by experts, which includes knowledge, attitudes, and beliefs that determine the acceptance or rejection of vasectomy. A multivariate analysis was performed with binary logistic regression by the Wald method. Results: To reach the total of planned children is the main factor to opt for vasectomy with a risk higher than eighteen. In a multivariate analysis using binary linear regression, it was found that satisfied parity must be accompanied by clear information about the procedure, a good relationship between couples and consultation with the decision. The candidate must have three or fewer sexual partners in his life to ensure a choice by the method of more than 90%. Conclusion: Knowledge, beliefs, and attitudes of the individual and the couple involved in the choice of vasectomy, knowing a risk profile about the choice of method allows to approach a larger population to this contraceptive option.
2 citations
References
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TL;DR: No-scalpel vasectomy is a rapid and economic alternative to standard vasectomy, with fewer complications and increased patient acceptability, during the King's birthday vasectomy festival.
85 citations
TL;DR: To evaluate the magnitude and range of complications encountered during no‐scalpel vasectomy (NSV) and to identify any limiting factor or contraindication to NSV.
Abstract: Objective
To evaluate the magnitude and range of complications encountered during no-scalpel vasectomy (NSV) and to identify any limiting factor or contraindication to NSV.
Subjects and methods
A total of 4255 men visiting a family welfare clinic of a city hospital in Delhi, India, or outpatients of the surgery department, opted for NSV; 4253 procedures were performed from September 1989 to December 1997, with two not performed because of technical difficulties. The success and complication rates were recorded.
Results
The complication rates with NSV were surprisingly low; seven complications were encountered, comprising two small haematomas (0.047%), three painful nodules (0.07%), three wound infections (0.07%) and two vasal fistulae, a complication not previously described. A meticulous procedure should avoid this last complication. The mean duration of NSV was 9.5 min.
Conclusion
NSV is a refined and rapid technique of vasectomy with an extremely low complication rate. Being a minimally invasive procedure, it allays the fear of incision commonly encountered in men choosing vasectomy.
38 citations
TL;DR: A very high prevalence of vasectomy among New Zealand men is confirmed, and there was a trend in increasing odds of Vasectomy with increasing number of marriages and level of education of the wife.
31 citations
TL;DR: The MINS vasectomy is preferable to a standard technique, reducing both patient morbidity and the complication rate and is attributable to the minimal dissection and reduced tissue handling required to expose and isolate the vas.
Abstract: A minimally invasive no-scalpel no-suture (MINS) technique of performing vasectomy was first introduced in 1974 in China. The technique is said to reduce operative time and patient morbidity compared to the standard procedure used to bring about vasectomy. The MINS technique has been adopted in some parts of the Far East and the US. The authors report their findings from a controlled study conducted to evaluate the complication rate and patient comfort of the technique. 89 consecutive patients received vasectomy through the MINS procedure. A postal questionnaire was then used to assess postoperatively the pain experienced recovery time and complication rate. Questionnaires were also sent to 75 men who had undergone vasectomy in the previous 6 months using a standard technique. 87% and 76% respectively responded to the questionnaire. The length of time to recovery was significantly reduced in patients who underwent the MINS vasectomy. Levels of pain bruising swelling and complication were also less among patients who underwent MINS vasectomy.
18 citations
Journal Article•
TL;DR: The no-scalpel vasectomy (NSV) technique guides clinicians in delivering a loop of the vas deferens outside the scrotal skin but does not address vas occlusion.
Abstract: The increasing popularity of the no-scalpel vasectomy (NSV) technique in the United States is driven by patient demand for surgical procedures presumed to be less invasive and by the somewhat lower complication rate of the NSV technique. The NSV technique addresses vasal delivery but not vasal occlusion. Intraluminal red-hot wire cautery with sheath closure over the inguinal end of the cut vas (Schmidt's method) has the lowest failure rate of all reasonable vas occlusion methods. The anatomical relationships of scrotal layers can be unclear during the NSV technique. Accurate identification of the sheath layer is critical to sheath interruption if this method of occlusion is to be used. Placement of an absorbable purse-string suture for sheath interruption during the NSV procedure is described. Special attention must be given to placement of one suture bite in the deep (posterior) sheath wall. The vasal occlusion technique described in this paper blends a refined method of vasal delivery (NSV) with the most effective method of vasal occlusion (cautery with sheath interruption).
14 citations