2004, Number 4
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Rev Med Inst Mex Seguro Soc 2004; 42 (4)
No-Scalpel Vasectomy, a 10-Year Experience
Prieto DCE, Méndez CR, Medina CJL, Trujillo HB, Vásquez C
Language: Spanish
References: 21
Page: 337-341
PDF size: 68.57 Kb.
ABSTRACT
Antecedents: different vasectomy methods have received considerable attention in recent years; no-scalpel vasectomy (NSV) is a new and refined technique with advantages over traditional procedures that involve incisions.
Objective: to determine effectiveness and to examine social factors associated with NSV.
Design: descriptive study of a retrospective cohort.
Setting: Hospital General de Zona 1, Instituto Mexicano del Seguro Social (IMSS) at Colima City, Colima, Mexico.
Patients and methods: the records of a series of 395 consecutive patients admitted for Li Shun Qiang-technique NSV surgery at the Family Medicine Clinic 1 were analyzed. Epidemiologic and social variables were evaluated, as well as effectiveness and complications, and participants were asked to return for semen analysis until they were azoospermic.
Results: average age of males undergoing NSV was 33.9 ± 7 years, with an average of 3 ± 1 chil-dren, in addition to a minimum of patients (4.3 %) without complete elementary education and with 97.7 % of patients with well-remunerated employment. Incidence of complications in this series of vasectomies was extremely low, virtually the same as that reported in other series. A total of 99.8 % of patients showed complete azoospermia on semen analysis.
Conclusions: NSV is a rapid and refined vasectomy technique with an extremely low rate of complications; in addition, effective results appear to increase patient acceptability.
REFERENCES
1. Clenney TL, Higgins JC. Vasectomy techniques. Am Fam Physician 1999;60(1):137-146.
2. Marmar JL, Kessler S, Hartanto VH. A minimally invasive vasectomy with the no suture, in-line method for vas occlusion. Int J Fertil Womens Med 2001;46(5):257-264.
3. Emerson C, Gibbs L, Harper S, Woodruff C. Effect of telephone follow-ups on post vasectomy office visits. Urol Nurs 2000;20(2):125-127.
4. Li SQ, Goldstein M, Zhu J, Huber D. The no-scalpel vasectomy. J Urol 1991;145(2):341-344.
5. Alderman PM, Morrison GE. Standard incision or no-scalpel vasectomy? J Fam Pract 1999;48(9):719-721.
6. Viladoms-Fuster JM, Shihua-Li P. No-scalpel vasectomy. Arch Esp Urol 1994;47(7):695-701.
7. Xu B, Huang WD. No-scalpel vasectomy outside China. Asian J Androl 2000;2(1):21-24.
8. Fernández-Ortega M A, Dickinson-Bennack ME, Ponce-Rosas R, Flores-Huitrón P, González-Quin-tanilla E, Irigoyen-Coria AE. Experiencia del programa “Vasectomía sin bisturí”, en una unidad de primer nivel de atención. Rev Fac Med UNAM 1999;42(5):189-193.
9. Cardona-Pérez JA, Otero-Flores JB, Fuentes-Velásquez J, Cortés-Bonilla M, Moreno I, Juárez-Tovar C. Técnicas quirúrgicas simplificadas para esterilización reproductiva. Satisfacción de usuarios y médicos. Rev Med IMSS 1999;37(6):454-463.
Stockton MD, Davis LE, Bolton KM. No-scalpel vasectomy: a technique for family physicians. Am Fam Physician 1992;46(4):1153-1167.
Nirapathpongporn A, Huber DH, Krieger JN. No-scalpel vasectomy at the King’s birthday Vasectomy Festival. Lancet 1990;335(8694):894-895.
Labrecque M, Bedard L, Laperriere L. Efficacy and complications associated with vasectomies in two clinics in the Quebec region. Can Fam Physician 1998;44:1860-1866.
Holt BA, Higgins AF. Minimally invasive vasec-tomy. Br J Urol 1996;77(4):585-586.
Cardona-Pérez A, Otero-Flores JB, Juárez-Tovar C, Cortés-Bonilla M, Lozano-Balderas M, Galicia-Tapia G. Vasectomía en unidades de medicina familiar: análisis del seguimiento a pacientes. Rev Med IMSS 1999;37(5):391-398.
Sneyd MJ, Cox B, Paul C, Skegg DC. High pre-valence of vasectomy in New Zealand. Contracep-tion 2001;64(3):155-159.
Whyte J, Sarrat R, Torres A, Díaz P, Ortiz PP, Cis-neros A, Whyte A, Mazo R. Experimental vasectomy: comparison of the testicular structure with various surgical techniques. Actas Urol Esp 1998;22(3):178-183.
Harvald TB, Miskowiak J. Vasectomy using the Li method. Ugeskr Laeger 1994;156(16):2383-2385.
Kumar V, Kaza RM, Singh I, Singhal S, Kumaran V. An evaluation of the no-scalpel vasectomy tech-nique. BJU Int 1999;83(3):283-284.
Filshie M. No-scalpel technique for vasectomy. Eur J Contracept Reprod Health Care 1996;1(3):231-235.
Zambon JV, Barone MA, Pollack AE, Mehta M. Efficacy of percutaneous vas occlusion compared with conventional vasectomy. BJU Int 2000;86(6): 699-705.
Reynolds RD. Vas deferens occlusion during no-scal-pel vasectomy. J Fam Pract 1994;39(6):577-582.