A novel modification of no-scalpel vasectomy: a preliminary report.

  • Hamed Akhavizadegan, Mojgan Karbakhsh
  • Published 2009 in The European journal of contraception & reproductive health care : the official journal of the European Society of Contraception


OBJECTIVE To present a novel technique of no-scalpel vasectomy (NSV) that has the potential to decrease the failure rate. PATIENTS AND METHODS From 2006 until 2008 vasectomy was performed by ligating head-to-head and tail-to-tail the cut ends of the vasa deferentia. The outcome of the procedure was assessed by three semen analyses, the first two of which were carried out three months postoperatively and the third one at the end of the study period. SPSS version 13 was used to analyse data. RESULTS Fifty-four patients participated in this study. The operating time amounted to an average of 16 minutes. The mean duration of follow-up was 17.7 +/- 6.69 months (range: 12-34). The outcome of the procedure overall was excellent with a minimum of complications. CONCLUSION Vasal head-to-head and tail-to-tail ligation in NSV shows promise as a safe and effective sterilisation procedure.


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