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Vasectomy: A simple snip?

Vasectomy is one of the most common forms of permanent sterilization methods currently in use and has a failure rate of <1% in most reported series. Since failure of vasectomy may result in pregnancy, adequate counseling is essential. Couples are advised that an analysis of a semen specimen after...

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Detalles Bibliográficos
Autores principales: Dhar, Nivedita Bhatta, Jones, J. Stephen
Formato: Texto
Lenguaje:English
Publicado: Medknow Publications 2007
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2721499/
https://www.ncbi.nlm.nih.gov/pubmed/19675750
http://dx.doi.org/10.4103/0970-1591.30254
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author Dhar, Nivedita Bhatta
Jones, J. Stephen
author_facet Dhar, Nivedita Bhatta
Jones, J. Stephen
author_sort Dhar, Nivedita Bhatta
collection PubMed
description Vasectomy is one of the most common forms of permanent sterilization methods currently in use and has a failure rate of <1% in most reported series. Since failure of vasectomy may result in pregnancy, adequate counseling is essential. Couples are advised that an analysis of a semen specimen after vasectomy is required to confirm success before the use of alternative contraception is abandoned. However, measuring the success of vasectomy is complicated by a lack of consistency with regards to both the number and timing of tests and the end points accepted. MATERIALS AND METHODS: A Medline search was used to identify manuscripts dealing with vasectomy, with specific attempts to identify protocols designed to confirm sterility. RESULTS AND CONCLUSION: Vasectomy is one of the most reliable permanent methods of contraception. However, despite its popularity, certain issues pertaining to the procedure remain unresolved. Debate continues over the relative merits of the various techniques of isolating and sealing the vasal ends. Postoperative complication rates remain minimal regardless of the technique used, and no single strategy attempting to maximize patient compliance with postoperative semen analysis has enjoyed unmitigated success. Long-term consequences, other than regret, are rare.
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spelling pubmed-27214992009-08-12 Vasectomy: A simple snip? Dhar, Nivedita Bhatta Jones, J. Stephen Indian J Urol Review Article Vasectomy is one of the most common forms of permanent sterilization methods currently in use and has a failure rate of <1% in most reported series. Since failure of vasectomy may result in pregnancy, adequate counseling is essential. Couples are advised that an analysis of a semen specimen after vasectomy is required to confirm success before the use of alternative contraception is abandoned. However, measuring the success of vasectomy is complicated by a lack of consistency with regards to both the number and timing of tests and the end points accepted. MATERIALS AND METHODS: A Medline search was used to identify manuscripts dealing with vasectomy, with specific attempts to identify protocols designed to confirm sterility. RESULTS AND CONCLUSION: Vasectomy is one of the most reliable permanent methods of contraception. However, despite its popularity, certain issues pertaining to the procedure remain unresolved. Debate continues over the relative merits of the various techniques of isolating and sealing the vasal ends. Postoperative complication rates remain minimal regardless of the technique used, and no single strategy attempting to maximize patient compliance with postoperative semen analysis has enjoyed unmitigated success. Long-term consequences, other than regret, are rare. Medknow Publications 2007 /pmc/articles/PMC2721499/ /pubmed/19675750 http://dx.doi.org/10.4103/0970-1591.30254 Text en © Indian Journal of Urology http://creativecommons.org/licenses/by/2.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Review Article
Dhar, Nivedita Bhatta
Jones, J. Stephen
Vasectomy: A simple snip?
title Vasectomy: A simple snip?
title_full Vasectomy: A simple snip?
title_fullStr Vasectomy: A simple snip?
title_full_unstemmed Vasectomy: A simple snip?
title_short Vasectomy: A simple snip?
title_sort vasectomy: a simple snip?
topic Review Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2721499/
https://www.ncbi.nlm.nih.gov/pubmed/19675750
http://dx.doi.org/10.4103/0970-1591.30254
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