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Vasectomy

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1. Advantages of the no-scalpel vasectomy technique

Advantages of the no-scalpel vasectomy technique Advantages of the no-scalpel vasectomy technique Toggle navigation Shared more. Cited more. Safe forever. Toggle navigation View Item JavaScript is disabled for your browser. Some features of this site may not work without it. Search MOspace This Collection Browse Statistics Advantages of the no-scalpel vasectomy technique View/ Open Date 2012-06 Format Metadata Abstract The no-scalpel vasectomy (NSV) technique should be used instead (...) of the standard incisional method. (Strength of Recommendation: A, based on systematic reviews, mixed-quality randomized controlled trials [RCTs], cohort studies, and case-control series.) The NSV technique is associated with fewer complications, produces less perioperative and postoperative pain, results in quicker recovery, takes less time to perform, and is as effective as standard incisional vasectomy. URI Citation American Family Physician 85 (12) 2012. Collections hosted by hosted by

2019 Clinical Inquiries

2. Advantages of the no-scalpel vasectomy technique

Advantages of the no-scalpel vasectomy technique Advantages of the no-scalpel vasectomy technique Toggle navigation Shared more. Cited more. Safe forever. Toggle navigation View Item JavaScript is disabled for your browser. Some features of this site may not work without it. Search MOspace This Collection Browse Statistics Advantages of the no-scalpel vasectomy technique View/ Open Date 2012-06 Format Metadata Abstract The no-scalpel vasectomy (NSV) technique should be used instead (...) of the standard incisional method. (Strength of Recommendation: A, based on systematic reviews, mixed-quality randomized controlled trials [RCTs], cohort studies, and case-control series.) The NSV technique is associated with fewer complications, produces less perioperative and postoperative pain, results in quicker recovery, takes less time to perform, and is as effective as standard incisional vasectomy. URI Citation American Family Physician 85 (12) 2012. Collections hosted by hosted by

2019 Clinical Inquiries

4. Interim Clinical Commissioning Policy – Vasectomy

Interim Clinical Commissioning Policy – Vasectomy NHS England » Interim Clinical Commissioning Policy – Vasectomy Search Search Menu Interim Clinical Commissioning Policy – Vasectomy Document first published: 12 August 2019 Page updated: 12 August 2019 Topic: , , Publication type: This policy aims to ensure that male Armed Forces patients are able to access NHS vasectomy services wherever they live or receive their services in England. Document PDF 178 KB 17 pages

2019 NHS England

5. Vasectomy Practice Patterns among Family Medicine Physicians and Compliance with the AUA 2012 Vasectomy Guidelines. (Abstract)

Vasectomy Practice Patterns among Family Medicine Physicians and Compliance with the AUA 2012 Vasectomy Guidelines. To survey urologists and family medicine physicians (FMPs) within a single institution to determine current vasectomy practice patterns and determine compliance with 2012 American Urological Association (AUA) vasectomy guidelines.In 2016, a single-institution survey was conducted to understand the vasectomy practice patterns among urologists and nonurologists. The survey questions (...) and 3 clinical scenarios were designed based on the 2012 AUA vasectomy guidelines. Results of the survey were compiled between urologists and nonurologists and then compared with the guideline recommendations.A total of 23 FMPs and 6 urologists responded. Fewer prevasectomy counseling topics were discussed by FMPs compared with urologists. A variety of vasectomy techniques were used among FMPs. Vas deferens segments were more likely to be sent for histology by FMPs than urologists (65% vs 17%, P

2017 Urology

6. Vasectomy reversal for post-vasectomy pain syndrome Full Text available with Trip Pro

Vasectomy reversal for post-vasectomy pain syndrome Post-vasectomy pain syndrome (PVPS) is a rare, but devastating outcome following vasectomy. Given the widespread utilization of vasectomy for permanent contraception, with more than 500,000 procedures performed annually in the United States, it can be a significant challenge for both patients and providers. Vasectomy reversal is a surgical option for men who fail conservative or medical management. Despite improvements in technique, vasectomy (...) carries some inherent risks making pre-procedure counseling regarding the risks of PVPS paramount. Chronic post-operative pain, or PVPS, occurs in 1-2% of men undergoing the procedure. This review will examine the utility of vasectomy reversal as a means of addressing PVPS.

2017 Translational andrology and urology

7. National Characteristics of Surgeons Performing Vasectomy: Increasing Specialization and a Persistent Gender Gap. (Abstract)

National Characteristics of Surgeons Performing Vasectomy: Increasing Specialization and a Persistent Gender Gap. To characterize trends in the characteristics of urologic surgeons performing vasectomy over time.We performed a retrospective, cross-sectional study examining surgeon characteristics for case logs from the American Board of Urology (ABU) between 2004 and 2013. We used generalized estimating equations (GEE) with a log link and negative binomial distribution to examine demographic (...) differences (gender, rural location, and surgeon volume) in the number of vasectomies surgeons performed over time.Between 2004 and 2013, 5,316 urologists had case logs collected within the 7-month certification window. The majority of these surgeons self-identified as general urologists (82.8%), and a small proportion identified as andrology and infertility specialists (1.7%). Across all years, the median number of vasectomies performed per certifying surgeon during the study period was 14 (interquartile

2020 Urology

8. Optimizing Opioid Pain Medication Use After Vasectomy-A Prospective Study. (Abstract)

Optimizing Opioid Pain Medication Use After Vasectomy-A Prospective Study. To act as good stewards, urologists need to balance patient's pain requirements against the risk of narcotic abuse.We prospectively consented subjects who underwent vasectomies. Procedural technique was not standardized. All subjects received hydrooxycodone/acetaminophen 5-325 mg tablets and Ibuprofen 800 mg tablets. The subjects were then contacted by phone 1-3 weeks after their procedure with a follow-up questionnaire (...) more pain medication. Using Pearson correlation, younger age was significantly related to number of pills used. (P <.001) In total, 648 additional narcotic tablets were prescribed. In terms of disposal, 20 (25.9%) subjects disposed of extra medication, 14 (24.7%) used all medication, and 50.6% did not dispose of medication. Proper disposal technique was known by 50 (64.9%) subjects.Opioid medication use after vasectomy is variable though correlated with age. Clinicians should weigh the need versus

2020 Urology

9. Childless Men at the Time of Vasectomy are Unlikely to Seek Fertility Restoration. (Abstract)

Childless Men at the Time of Vasectomy are Unlikely to Seek Fertility Restoration. To examine whether men who were childless at the time of vasectomy sought consultation for fertility restoration.Retrospective chart review was performed to determine if patients without children at the time of vasectomy sought consultation for fertility restoration (defined as vasectomy reversal or sperm retrieval). If the patient had not been seen in our healthcare system within the previous 12 months, he (...) was contacted by phone to determine whether he had sought consultation for fertility restoration.Of 1656 men, 68 men (4.1%) were childless at the time of vasectomy. Fifteen patients were excluded as they were not followed in our hospital system and were unreachable by phone. Zero patients sought consultation for fertility restoration.Our single institution study demonstrated that no men who were childless at the time of vasectomy sought consultation for fertility restoration. Given that there are no other

2020 Urology

10. Risk of vasectomy failure by ligation and excision with fascial interposition: A prospective descriptive study. (Abstract)

Risk of vasectomy failure by ligation and excision with fascial interposition: A prospective descriptive study. To evaluate the occlusive failure risk of ligation and excision with fascial interposition vasectomy technique. There are doubts about the effectiveness of this technique largely used in Asia and Latin America.We conducted a prospective longitudinal observational descriptive study among men who underwent a vasectomy performed under local anesthesia in a clinic specializing in sexual (...) and reproductive health services in Bogotá, Colombia. Three urologists used the Percutaneous No-Scalpel Vasectomy technique to isolate the vas deferens. They then ligated the vas, excised a 1 cm segment between ligations, and ligated the fascia on the prostatic end to cover the testicular end. We requested all patients to submit a semen sample three months after the vasectomy. We defined probable and confirmed vasectomy failure as 1-4.9 million sperm/ml and 5 million sperm/ml or more or any number of motile

2020 Contraception

11. CUA guideline: Vasectomy

CUA guideline: Vasectomy CUAJ • July-August 2016 • Volume 10, Issues 7-8 © 2016 Canadian Urological Association E274 GUIDELINE CUA guideline: Vasectomy Cite as: Can Urol Assoc J 2016;10(7-8):E274-8. http://dx.doi.org/10.5489/cuaj.4017 Published online August 16, 2016 Introduction Vasectomy is a safe and effective method of birth control. Although it is a simple elective procedure, vasectomy is associated with potential minor and major complications. The early failure rate of vasectomy (presence (...) of motile sperm in the ejaculate at 3–6 months post-vasectomy) is in the range of 0.3–9% and the late failure rate is in the range of 0.04–0.08%. The no-scalpel vasectomy technique is associ- ated with a lower risk of early postoperative complications and the use of cautery or fascial interposition will reduce the risk of contraceptive failure. As such, detailed preoperative counselling and careful assessment of the post-vasectomy ejaculate (for presence of sperm) is imperative. Failure to provide

2016 Canadian Urological Association

12. Scalpel versus no-scalpel incision for vasectomy. Full Text available with Trip Pro

Scalpel versus no-scalpel incision for vasectomy. Currently, the two most common surgical techniques for approaching the vas during vasectomy are the incisional method and the no-scalpel technique. Whereas the conventional incisional technique involves the use of a scalpel to make one or two incisions, the no-scalpel technique uses a sharp-pointed, forceps-like instrument to puncture the skin. The no-scalpel technique aims to reduce adverse events, especially bleeding, bruising, hematoma (...) with the no-scalpel technique (OR 0.23; 95% CI 0.15 to 0.36). Operations using the no-scalpel approach were faster and had a quicker resumption of sexual activity. The smaller study did not find these differences; however, the study could have failed to detect differences due to a small sample size as well as a high loss to follow up. Neither trial found differences in vasectomy effectiveness between the two approaches to the vas.The no-scalpel approach to the vas resulted in less bleeding, hematoma, infection

2014 Cochrane

13. Vasectomy occlusion techniques for male sterilization. (Abstract)

Vasectomy occlusion techniques for male sterilization. Vasectomy is an increasingly popular and effective family planning method. A variety of vasectomy techniques are used worldwide, including vas occlusion techniques (excision and ligation, thermal or electrocautery, and mechanical and chemical occlusion methods), as well as vasectomy with vas irrigation or with fascial interposition. Vasectomy guidelines largely rely on information from observational studies. Ideally, the choice of vasectomy (...) techniques should be based on the evidence from randomized controlled trials (RCTs).The objective of this review was to compare the effectiveness, safety, acceptability and costs of vasectomy techniques for male sterilization.In February 2014, we updated the searches of CENTRAL, MEDLINE, POPLINE and LILACS. We looked for recent clinical trials in ClinicalTrials.gov and the International Clinical Trials Registry Platform. Previous searches also included EMBASE. For the initial review, we searched

2014 Cochrane

14. Vasectomy

Vasectomy Vasectomy Guideline - American Urological Association advertisement Toggle navigation About Us About the AUA Membership AUA Governance Industry Relations Education AUAUniversity Education Products & Resources Normal Histology and Important Histo-anatomic Structures Urinary Bladder Prostate Kidney Renovascular Diseases Andrenal Gland Testis Paratesticular Tumors Penis Retroperitoneum Cytology Online Learning For Medical Students Exams/LLL/Certifications Exam Prep Research Research (...) and Reporting Patient Education Vasectomy Guideline (2015) Published 2012; Amended 2015 The purpose of this clinical guideline is to provide guidance to clinicians who offer vasectomy services. This guidance covers pre-operative evaluation and consultation of prospective vasectomy patients; techniques for local anesthesia, isolation of the vas deferens and occlusion of the vas deferens during vasectomy; post-operative follow-up; post-vasectomy semen analysis (PVSA) and potential complications

2015 American Urological Association

15. Use of Office Versus Ambulatory Surgery Center Setting and Associated Ancillary Services on Healthcare Cost Burden for Vasectomy Procedures. (Abstract)

Use of Office Versus Ambulatory Surgery Center Setting and Associated Ancillary Services on Healthcare Cost Burden for Vasectomy Procedures. To analyze variation in total healthcare costs for vasectomies performed in the United States, based on procedure setting and use of ancillary pathology services.We queried the MarketScan Commercial Claims database using CPT, ICD, and HCPCS codes to identify men who underwent vasectomy between 2009-2015, either in the office or ambulatory surgical center (...) (ASC) setting, with or without use of pathology services. All payments for each treatment episode were calculated based on relevant claims. Patient out-of-pocket expenses were defined as the sum of co-payments, co-insurance and deductibles for each claim. Trends in vasectomy use, and differences in procedure costs by practice setting were compared over the study period.453,492 men underwent a vasectomy between 2009-2015. The number of procedures decreased from 76,197 in 2009 to 37,575 in 2015 (p

2019 Urology

16. Routine Prescription of Opioids for Post-vasectomy Pain Control Associated with Persistent Use. Full Text available with Trip Pro

Routine Prescription of Opioids for Post-vasectomy Pain Control Associated with Persistent Use. The AUA Position Statement on Opioid Use recommends using opioids only when necessary. We sought to determine if routine prescribing of opioids is necessary for pain control after vasectomy and if an association exists with persistent use.We performed a retrospective chart review of patients who underwent clinic vasectomy between April 2017 and March 2018. Patients were stratified into two groups (...) , those initially prescribed opioids and those not receiving opioid prescriptions at time of vasectomy. The initial pain medication regimen was dependent on each provider's standard prescription practices. Encounters with a medical provider for scrotal pain within 30 days, subsequent opioid prescriptions, and new persistent opioid prescriptions between 90-180 days were compared between the two groups using Fisher's exact test.Between April 2017 and March 2018, 228 patients underwent clinic vasectomy

2019 Journal of Urology

17. Vasectomy and prostate cancer risk: a 38-year nationwide cohort study. (Abstract)

Vasectomy and prostate cancer risk: a 38-year nationwide cohort study. A man's risk of prostate cancer has been linked to his prior reproductive history, with low sperm quality, low ejaculation frequency, and a low number of offspring being associated with increased prostate cancer risk. It is however highly controversial whether vasectomy, a common sterilization procedure for men, influences prostate cancer risk.We established a cohort of all Danish men (born from 1937) and linked information (...) on vasectomy, doctor visits, socioeconomic factors and cancer from nationwide registries using unique personal identification numbers. Incidence risk ratios for prostate cancer by time since vasectomy and age at vasectomy during the follow-up were estimated using log-linear Poisson regression.Overall, 26,238 cases of prostate cancer occurred among 2,150,162 Danish men during 53.4 million person-years of follow-up. Overall, vasectomized men had an increased risk of prostate cancer compared with non

2019 Journal of the National Cancer Institute

18. Original investigations into the clearance of spermatozoa after vasectomy. Full Text available with Trip Pro

Original investigations into the clearance of spermatozoa after vasectomy. "The urologist and patient, with the cooperation of the laboratory performing the sperm counts, can determine within a few days after operation that aspermia has been produced and that the procedure has been successful." -Freund M, Davis JE. Disappearance rate of spermatozoa from the ejaculate following vasectomy. Fertil Steril 1969;20:163-70.Copyright © 2018 American Society for Reproductive Medicine. Published

2019 Fertility and Sterility

19. LEGAL REVIEW OF VASECTOMY LITIGATION AND THE VARIABLES IMPACTING TRIAL OUTCOMES. (Abstract)

LEGAL REVIEW OF VASECTOMY LITIGATION AND THE VARIABLES IMPACTING TRIAL OUTCOMES. To demonstrate the substantial litigious risks associated with vasectomy, a common urologic procedure. We examined the risk factors and types of negligence involved in vasectomy cases that go to trial and their associated outcomes.Using the Westlaw legal database, we searched all jury verdicts and settlements for the term "vasectomy" from January 1, 1990 to December 31, 2017. Each case was evaluated for defendant (...) to the perioperative aspects of vasectomy involve many areas of negligence. This data may guide vasectomists in where to focus time and communication to best serve patients and minimize litigation.Copyright © 2019 Elsevier Inc. All rights reserved.

2019 Urology

20. Microsurgical vasectomy reversal: contemporary techniques, intraoperative decision making, and surgical training for the next generation. Full Text available with Trip Pro

Microsurgical vasectomy reversal: contemporary techniques, intraoperative decision making, and surgical training for the next generation. Men seeking fertility after elective sterilization can be treated with a wide array of interventions. Reconstruction of the reproductive tract remains the gold standard and most cost-effective option for the appropriately selected candidate. In the following review, the treatment algorithm for men desiring vasectomy reversal is outlined. Specifically

2019 Fertility and Sterility

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