Clinical Studies
 No Scalpel Vasectomy
 
Scalpel versus no-scalpel incision for vasectomy
This study points out that the No-Scalpel approach results in approximately have the bleeding, three-quarters of the pain and a fourth the infection rate compared with the standard approach.
 Vas Occlusion Techniques
 
Vasectomy: An Update
A nice summary of the medical literature comparing various vasectomy techniques relative to efficacy and complication rate. Provides illustrations with failure rates to allow for a quick understanding of which of the traditional vasectomy procedures prov
 
Vasectomy surgical techniques: a systematic review
Current evidence supports no-scalpel vasectomy as the safest surgical approach to isolate the vas when performing vasectomy. Adding FI increases effectiveness beyond ligation and excision alone. Occlusive effectiveness appears to be further improved by
 
A comparison of vas occlusion techniques: cautery more effective
The use of cautery as part of the vasectomy procedure significantly reduced vasectomy failure rates compared with ligation and excision plus fascial interposition as part of the procedure. It is unclear from our results and those of others whether fascial
 
Vasectomy by ligation and excision, with or without fascial
Fascial interposition significantly improves vasectomy success when ligation and excision is the method of vas occlusion.
 
Effectiveness and complications associated with 2 vasectomy occlusion techniques
The risk of vas occlusion failure was much greater in the clipping and excision group than in the cautery, interposition and open testicular end group 8.7% versus 0.3%. Medical consultations for hematoma or infection were more frequent in the cautery gro
 
Recent developments in vasectomy
Recent evidence suggests that cautery plus fascial interposition is more effective than ligation and excision plus fascial interposition, but fascial interposition is technically challenging; research is needed to determine where cautery alone fits i
 
Vasectomy in the United States, 2002
Overall 37.8% of physicians reported currently using no scalpel vasectomy and almost half of the vasectomies performed in 2002 were no scalpel vasectomies. Methods of vas occlusion varied in and among specialties with a combination of ligation and caute
 Semen Analysis and Clearance Criteria
 
The First Semen Analysis After Vasectomy: Timing and Definition of Success.
A prerequisite of preoperative counselling for vasectomy should be an understanding by the patient that vasectomy is not a procedure but a process requiring a SAV to determine success. On the basis of published evidence, we recommend a single SAV at 12 w
 
Vasectomy Follow up: Clinical Significance of Rare nonmotile Sperm in Postoperative Semen Analysis.
Our data show that despite aggressive counseling, compliance with follow-up testing is very poor. Patient-reported complaints are common but minor. We found that most men with RNMS become azoospermic and propose that the presence of RNMS is consistent w
 
Azoospermia should not be given as the result of vasectomy
Persistence of immotile sperm in the ejaculate is frequent and may exist for a long period afterwards. Immotile sperm count of 100,000/ml or less should be accepted as result of the procedure
 
Earlier testing after vasectomy, based on the absence of motile sperm.
Testing can be done 4 weeks after vasectomy, regardless of the number of postvasectomy ejaculations. If specimens are examined within 12 hours of collection, clearance may safely be given if motile sperm are absent. Repeat tests are essential if any motil
 
Persistence or reappearance of nonmotile sperm after vasectomy: Does it have clinical consequences?
Nonmotile sperm was found in 33% of the patients 12 weeks after vasectomy. The mean time to azoospermia was 6.36 months. Azoospermia as a criterion for sterility leads to unnecessary prolonged semen analysis in a large percentage of the vasectomized pati
 
A prospective study of time and number of ejaculations to azoospermia after vasectomy by ligation and excision.
Only 60/100 and 27.9/100 men were azoospermic by 12 weeks and 20 ejaculations, respectively. 16.6% did not achieve azoospermia by 24 weeks, of whom 25 (11.5% of all participants) were considered to have vasectomy failure.
 
Persistence or Reappearance of Nonmotile Sperm After Vasectomy: Does it Have Clinical Consequences?
Nonmotile sperm was found in 33% of the patients 12 weeks after vasectomy. The mean time to azoospermia was 6.36 months. Nonmotile sperm after initial azoospermia was found in 5 of 65 patients. Azoospermia as a a criterion for sterility leads to unnece
 
Post vasectomy analysis: call for a uniform evidence-based protocol
There is a wide range of protocols used in the follow-up of patients post-vasectomy. Most do not appear to be evidence-based. We recommend a guideline which emphasizes the importance of pre-operative counseling, only 1 routine sperm sample taken 16 weeks
 Vasectomy Complications
 
Complications of Vasectomy
Early complications of vasectomy include haematoma, wound and genito-urinary infections, and traumatic fistulae. Vasectomy failure occurs in 0–2% of patients. Late recanalisation causes failure in 0.2% of vasectomies. Significant chronic orchalgia may occ
 
Testicular Pain Following Vasectomy: A Review of Postvasectomy Pain Syndrome
Postvasectomy pain syndrome is a poorly defined entity that although uncommon, presents a diagnostic and treatment challenge for physicians. Although the definitive cause for post-vasectomy pain may be unclear, it is evident that traditional treatments su
 
Chronic testicular pain following vasectomy
A survey of post-vasectomy patients showing early post-operative complications in 3.5% of patients. Chronic testicular discomfort was present in 33%, considered by 15% to be troublesome but not by the other 17%. Testicular discomfort related to sexual in
 
Questionnaire-Based Outcomes Study Of Nononcological
The most common complication was post-vasectomy scrotal pain in 18.7%, which adversely affected quality of life in 2.2%. 71.4% of the men were satisfied with the decision to have a vasectomy, 19.3% had equivocal feelings and 9.3% were dissatisfied. Chro
 
Frequency and patterns of early recanalization after vasectomy
Early recanalization, occurring within the first weeks after vasectomy, is more common than generally recognized. Its frequency depends on the occlusion technique performed The overall proportion of men with presumed early recanalization was 13%. The risk
 
Relationship between vas occlusion techniques and recanalization
Recanalization occurred in 3.29% of men overall. 1.14% of wives, for the entire population, became pregnant. Reappearnce of sperm was the lowest (0.55%) in the group having the removal of vas segment and ends ligated with suture, and highest in the grou
 
Pregnancy rates after vasectomy: a survey of US urologists
Ninety pregnancies (51%) were attributed to unprotected intercourse during the immediate post-vasectomy period. The remaining pregnancies were attributed to recanalization or other less common causes of method failure. Based on the number of vasectomies p
 
Are Sexual Problems More Common in Men who have had a Vasectomy? A Population-Based Study of Australian Men
Having a vasectomy was not associated with any specific sexual problem, such as lacking interest in sex or taking too long to reach orgasm. Vasectomized men (10.8%) were slightly more likely than nonvasectomized men (8.2%) to report problems maintaining a
 SpermCheck Home Test Kit
 
Clinical and Consumer Trial Performance of a Sensitive
SpermCheck Vasectomy, a simple and reliable immunodiagnostic test that can provide evidence of vasectomy success or failure, offers a useful alternative to improve compliance with post-vasectomy sperm monitoring.
 Vasectomy Reversal
 
Factors Predicting Successful Microsurgical Vasectomy Reversal
Vasectomy reversal outcomes are varied because there are many factors that alter the chance of success. Some of these factors become known preoperatively, whereas others can only be ascertained at the time of surgery.