De la Fuente-Ruiz RA, Bernal-Morales A, Ontiveros D, Silva-Ortega F

Language: Spanish
References: 27
Page: 43-49
PDF size: 123.84 Kb.

ABSTRACT

Objective: To determine the complications of No scalpel vasectomy (NSV) in a family medicine clinic. Material and Methods: Descriptive and longitudinal study and a randomized sample. We studied 50 patients with NSV surgery at a Family Medicine unit post-operatively from January 1, 2006 to December 31, 2007. We followed up post-operative patients post-operatively at 7 and 90 days; data collection was based on the patient’s history and the implementation of a survey of their partners. Results: Patients had an average age of 32.9 years, and 2.7 children on average. Main clinical complications (at 7 days) were mild testicular pain (28%) and ecchymosis (4%). No correlation was established between VSB performed the family physician’s office and the presence of clinical complications. No correlation was established between NSV conducted by family physicians and the presence of post-vasectomy complications. After 90 days, 100% of cases reported azoospermia, but 30% mentioned the presence of complications in their relationship in the single or combined form of the following complications; decrease in duration of sexual intercourse; premature ejaculation, and decreased sexual desire. Conclusions: VSB is a simple and practical method that can be carried out in the family physician’s office, with a low incidence of clinical complications. However, complications can arise in the relationship, which, if not detected early, can cause familial family.

REFERENCES

1. Martínez-Manautou J, Hernández D, Alarcón F, Correu S. Introduction of non-scalpel vasectomy at the Mexican Social Security Institute. Advances in Contraception. 1991; 7(2-3): 193-201.

2. Li SQ, Goldstein M, Zhu J, Huber D. The noscalpel vasectomy. J Urol 1991; 145: 341-344.

3. Prieto-Díaz-Chávez E, Méndez-Castorena R, Medina-Chávez JL, Trujillo-Hernández B, Vásquez C. Vasectomía sin bisturí, experiencia de 10 años. Rev Med IMSS 2004; 42(4): 337-341.

4. Dassow P, Bennett JM. Vasectomy: an update Am Fam Physician 2006;74:2069-2074,

5. Hepp SM, Meuleman EJ. Vasectomy: indications and implementation in historic perspective. Ned Tijdschr Geneeskd. 2006; 150 (11): 611-614.

6. Holden CA, Mc Lachlan RI, Cumming R, Wittert G, Handelsman DJ, Pitts M. Sexual activity, fertility and contraceptive use in middle-aged and older men. Hum Reprod 2005; 20 (12):3429- 34.

7. Cao LT, Yang ZW, Gu P, Zhang MH, Zhang Q, Deng XZ, Wang JZ. Ultrasonographic changes in the epididymis after long-term vasectomy china National Journal Of Andrology. 2007; 13 (3): 212-215.

8. Amundsen GA, Ramakrishnan K. Vasectomy: a “seminal” analysis. South Med J 2004; 97 (1) 54-60.

9. Awsare NS, Krishnan J, Boustead GB, Hanbury DC, McNicholas TA. Complications of vasectomy. Ann R Coll Surg Engl. 2005; 87 (6) 406-410

10. Mauricio-Pachas J. Consecuencias a largo plazo de la vasectomía, en varones operados en el Hospital Nacional Cayetano Heredia. Rev Med Hered 2004; 15(3):131-135.

11. Córdoba-Basulto DI, Valdepeña-Estrada R, Patiño-Osnaya SP. Sapién-López JS, Rosas- Barrientos JV. Temores de varones que recurren a la vasectomía sin bisturí en el Centro de Cirugía Ambulatoria del ISSSTE. Rev Esp Med Quir. 2007; 12(3): 27-29

12. García-Moreno J, Solano-Sainos LM. Atención y rechazo de vasectomía en hombres del medio rural. Rev Med IMSS 2005; 43(3):205-214.

13. Rodríguez-Paz CA., González-De Blas JJ, Carreón-Bringas RM. Experiencia en vasectomía y oclusión tubaria bilateral por cirugía ambulatoria en dos hospitales rurales. Cirugía y Cirujanos 2008; 76 (5): 415-418

14. Instituto Mexicano del Seguro Social. Portal IMSS, Estadísticas. en http://www.imss.gob.mx/ imss, consultado el 12/06/2009.

15. Instituto Mexicano del Seguro Social. Portal IMSS, Planificación Familiar. en http://www. imss.gob.mx/ imss, consultado el 12/06/2009.

16. Ishigami K, Abu-Yousef MM, El-Zein Y. Tubular ectasia of the epididymis: a sign of postvasectomy status. J clin ultrasound 2005; 33(9):447-451

17. Akkaya T, Ozcan D. Chronic post-surgical pain. Agri. 2009; 48 (5): 545-59.

18. OMS. (2001) Manual de laboratorio de la OMS, para el examen del semen humano y de la interacción entre el semen y el moco cervical. México. Edit. Panamericana.

19. Cardona-Pérez A, Otero-Flores JB, Cortez-Bonilla M, Lozano-Balderas M, Galicia-Tapia G, Juárez- Tovar C. et al. Vasectomía en unidades de medicina familiar. Análisis del seguimiento a pacientes. Rev Med IMSS 1999; 37 (5): 391-399.

20. Fernández- Ortega EMÁ, Dickinson- Bannack ME, Ponce- Rosas ER, Flores-Huitrón P, González-Quintanilla 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): 189-191.

21. Dilbaz B, Pelin-Cil A, Burak-Gultekin I, Caliskan E, Kahyaoglu Z, Dilbaz S. Outcome of vasectomies performed at a Turkish metropolitan maternity. Eur J Contracept Reprod Health Care 2007; 12(1):19–23.

22. Barone MA, Hutchinson PL, Johnson CH, Hsia J, Wheeler J. Vasectomy in the United States, 2002. J Urol. 2006; 176 ;( 1). 236.

23. Akkaya T, Özcan D. Chronic post-surgical pain. AGRI. 2009; 21 (1): 1-9

24. Romero-Perez P, Merenciano-Cortina FJ, Rafiel- Mazketli W. La vasectomía: estudio de 300 intervenciones. Revisión de la literatura nacional y de sus complicaciones. Actas Urol Esp 2004; 28 (3): 175-214

25. Rajmil O, Fernández M, Rojas-Cruz C, Sevilla C, Musquera M, Ruiz-Castañe E. La azoospermia no debería ofrecerse como resultado de la vasectomía. Arch Esp Urol. 2007; 60(1): 55-58

26. Untiveros-Mayorga ChF, Mauricio Pachas J. Consecuencias a largo plazo de la vasectomía, en varones operados en el Hospital Nacional Cayetano Heredia. Rev Med Hered 2004; 15(3): 131-135.

27. Cardona-Pérez A, Otero-Flores JB, Cortes-Bonilla M, Lozano-Balderas M, Galicia-Tapia G, Juárez-Tovar C. Técnicas quirúrgicas simplificadas para esterilización reproductiva. Satisfacción de usuarios y médicos Rev Med IMSS 1999; 37(6): 445-463