OTHER VARIATIONS ON VASECTOMY

 
Although there is always debate about the merits of various technique variations as they relate to any surgical procedure, in the case of vasectomy there is perhaps even more controversy. 

There are many different ways to perform a vasectomy but the main approaches are:

  • Ligation and excision (reports of efficacy from 71% to 98.5%)

 

  • Ligation and excision with fascial interposition (reports of efficacy starting at 83.3%

 

  • Open-ended ligation and excision with fascial interposition (reports of efficacy from 97.6% to 99.98%)

 

  • Intraluminal cautery with excision (reports of efficacy starting at 95.2%)

 

  • Intraluminal cautery with fascial interposition (reports of efficacy starting at 98.8%

 

  • Intraluminal cautery without excision (reports of efficacy in excess of 99%)

 

Other issues that have been considered by researchers include; how much vas to excise, whether to cauterize by red-hot needle or electrosurgical cauterization, how much of the lumen to cauterize, how to ligate (with sutures or metal clips and which metal clips), whether to interposition the testicular end or the prostatic end inside the vasal sheath, open-end or closed end, etc.

 Back Next