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Vasectomy

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41. Offering the full range of contraceptive options: a survey of interest in vasectomy training in the US family planning community. (Abstract)

Offering the full range of contraceptive options: a survey of interest in vasectomy training in the US family planning community. To assess current practices regarding female and male sterilization counseling and provision, as well as determine interest in providing vasectomy among family planning specialists.Members of the US-based network of family planning fellowship physicians (current fellows, graduates and faculty) received a Web-based survey from November 2015 through January 2016 (...) regarding current sterilization preferences and practices, as well as interest in obtaining training in vasectomy counseling and procedure.Nearly 60% (n=178/302) of family planning fellowship providers responded to the survey. While 62% (111/178) of respondents reported counseling their patients about vasectomy at least most of the time and 57% (102/178) recommended vasectomy over female sterilization, few (8/178; 4 trained in family medicine and 4 trained in obstetrics and gynecology) had performed

2017 Contraception

42. Vasectomy reversal semen analysis: new reference ranges predict pregnancy. Full Text available with Trip Pro

Vasectomy reversal semen analysis: new reference ranges predict pregnancy. To study the semen analysis values required to cause a pregnancy after vasectomy reversal (VR). Vasectomy reversal is increasingly performed on men who wish to regain fertility after elective sterilization. Despite a thorough understanding of predictors of vasal patency after surgery, little is known about the patients' semen parameters and pregnancy potential.Retrospective case-control study.Tertiary-care hospital.A (...) total of 139 patients who underwent VR at the Cleveland Clinic from 2010 to 2014.Vasectomy reversal.Pregnancy, semen parameters. Data regarding patient and spouse ages, obstructive interval, intraoperative findings, procedure performed, postoperative semen results, and spontaneous pregnancy outcome were collected. Pearson and t tests were used to analyze categoric and numeric data, respectively. Average semen reference values were developed.The mean obstructive interval was 9.5 ± 1.2 years

2017 Fertility and Sterility

43. Novel restricted access to vasectomy in Iran: Addressing changing trends in vasectomy clients` characteristics over 16years in North-Western Iran. (Abstract)

Novel restricted access to vasectomy in Iran: Addressing changing trends in vasectomy clients` characteristics over 16years in North-Western Iran. This study is designed to evaluate the popularity of vasectomy in Iran. The study was conducted to calculate the frequency of vasectomy over time, to compare vasectomy users' characteristics with the general population and whether these characteristics have changed over time.A cross-sectional study of 7864 men undergoing vasectomy in a 16-year period (...) was conducted in Urmia, Iran. Comparative statistics described differences between vasectomy users and nonusers. The data were analyzed separately in two 8-year periods, 1996-2003 and 2004-2011. The time period did not involve 2012, the year which vasectomy became outlawed in the whole country.During the study period, the contraceptive prevalence rate of vasectomy increased from 0.1% to 3.35%. Vasectomy users were predominantly older, better educated, had more children and more urban residents than

2015 Contraception

44. Vasectomy and risk of prostate cancer: population based matched cohort study. Full Text available with Trip Pro

Vasectomy and risk of prostate cancer: population based matched cohort study.  To determine the association between vasectomy and prostate cancer, adjusting for measures of health seeking behaviour. Population based matched cohort study. Multiple validated healthcare databases in Ontario, Canada, 1994-2012. 326 607 men aged 20 to 65 who had undergone vasectomy were identified through physician billing codes and matched 1:1 on age (within two years), year of cohort entry, comorbidity score (...) , and geographical region to men who did not undergo a vasectomy. The primary outcome was incident prostate cancer. Secondary outcomes were prostate cancer related grade, stage, and mortality. 3462 incident cases of prostate cancer were identified after a median follow-up of 10.9 years: 1843 (53.2%) in the vasectomy group and 1619 (46.8%) in the non-vasectomy group. In unadjusted analysis, vasectomy was associated with a slightly increased risk of incident prostate cancer (hazard ratio 1.13, 95% confidence

2016 BMJ

45. Vasectomy Postoperative Counseling

Vasectomy Postoperative Counseling Vasectomy Postoperative Counseling Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Vasectomy (...) Postoperative Counseling Vasectomy Postoperative Counseling Aka: Vasectomy Postoperative Counseling II. Management: Clinic Follow-up Postoperative Care Handout describing below Call patient to check on status on day 1 or 2 post-op III. Management: Analgesics Wear athletic supporter (jock strap) for first 3-4 days Medications (e.g. ) for daytime use Consider (e.g. ) for night pain IV. Management: Postoperative Activity Off Work for 1-3 days Day 1: Supine with ice on for 20 minutes/hour Day 2: Minimal

2018 FP Notebook

46. Vasectomy Counseling

Vasectomy Counseling Vasectomy Counseling Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Vasectomy Counseling Vasectomy Counseling (...) Aka: Vasectomy Counseling II. Indications All patients 2-4 weeks before procedure III. Risk factors: Regretting Vasectomy Age under 30 years (12.5 times more likely to request reversal) Few children (but men with no children are less likely to request reversal) Relationship not stable Religious affiliation prohibiting Pressure from partner to have procedure performed during time of personal crisis Lack of discussion with partner regarding Hope will solve sexual and marital problems High interest

2018 FP Notebook

47. Vasectomy

Vasectomy Vasectomy Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Vasectomy Vasectomy Aka: Vasectomy , No-Scalpel Vasectomy II (...) . Epidemiology Vasectomy in U.S.: 500,000 per year Family Physicians perform 15% of all U.S. vasectomies III. Techniques Traditional Vasectomy with scrotal incision No-Scalpel Vasectomy Preferred technique due to less bleeding, pain, intraoperative time, and risk of post-operative infection IV. Procedure: Step 1 - Procedure Preparation See Consider Sedation 5 to 10 mg taken 30 minutes before procedure Establish relaxing environment Warm room relaxes Soft music Position patient supine or dorsolithotomy

2018 FP Notebook

48. Incidence of post-vasectomy pain a systematic review and meta-analysis

Incidence of post-vasectomy pain a systematic review and meta-analysis Print | PDF PROSPERO This information has been provided by the named contact for this review. CRD has accepted this information in good faith and registered the review in PROSPERO. CRD bears no responsibility or liability for the content of this registration record, any associated files or external websites. Email salutation (e.g. "Dr Smith" or "Joanne") for correspondence: Organisation web address: Timing and effect

2018 PROSPERO

49. Higher Outcomes of Vasectomy Reversal for Men with the Same Female Partner as Before the Vasectomy. (Abstract)

Higher Outcomes of Vasectomy Reversal for Men with the Same Female Partner as Before the Vasectomy. We reviewed fertility outcomes of vasectomy reversal at a high surgical volume center in men with the same female partner as before vasectomy.We retrospectively studied a prospective database. All vasectomy reversals were performed by a single surgeon (EFF). Patients who underwent microsurgical vasectomy reversal and had the same female partner as before vasectomy were identified from 1978 (...) to 2011. Pregnancy and live birth rates, procedure type (bilateral vasovasostomy, bilateral vasoepididymostomy, unilateral vasovasostomy or unilateral vasoepididymostomy), patency rate, time from reversal and spouse age were evaluated.We reviewed the records of 3,135 consecutive microsurgical vasectomy reversals. Of these patients 524 (17%) who underwent vasectomy reversal had the same female partner as before vasectomy. Complete information was available on 258 patients (49%), who had a 94% vas

2014 Journal of Urology

50. Relating Economic Conditions to Vasectomy and Vasectomy Reversal Frequencies: a Multi-Institutional Study. (Abstract)

Relating Economic Conditions to Vasectomy and Vasectomy Reversal Frequencies: a Multi-Institutional Study. It was theorized that the use of permanent contraceptive methods may vary with economic conditions. We evaluated the relationship between vasectomy/vasectomy reversal frequencies at several large referral centers and national economic indicators during 2 recessions spanning 2001 to 2011.We performed an institutional review board approved, retrospective chart review to identify the number (...) of vasectomies/vasectomy reversals per month at several large referral centers from January 2001 to July 2011. The rates of these procedures were pooled, correlated with national economic data and analyzed in a multivariate linear regression model.A total of 4,599 vasectomies and 1,549 vasectomy reversals were performed at our institutions during the study period. The number of vasectomies per month positively correlated with the unemployment rate (r=0.556, p<0.001) and personal income per capita (r=0.276, p

2014 Journal of Urology

51. Vasectomy and cardiovascular disease risk: a systematic review and meta-analysis of observational studies

Vasectomy and cardiovascular disease risk: a systematic review and meta-analysis of observational studies Print | PDF PROSPERO This information has been provided by the named contact for this review. CRD has accepted this information in good faith and registered the review in PROSPERO. CRD bears no responsibility or liability for the content of this registration record, any associated files or external websites. Email salutation (e.g. "Dr Smith" or "Joanne") for correspondence: Organisation web

2017 PROSPERO

52. The Relationship between Offspring Sex Ratio and Vasectomy Utilization. Full Text available with Trip Pro

The Relationship between Offspring Sex Ratio and Vasectomy Utilization. To determine if there was an association between vasectomy utilization and offspring sex ratio (male offspring : total offspring), as offspring sex preference may have an impact on family planning in the United States.Using data from the National Institutes of Health-AARP Diet and Health Study, we calculated the number of sons and daughters of all men stratified by vasectomy status. We utilized a logistic regression model (...) to determine if vasectomy utilization varies based on offspring sex ratio while accounting for known factors that impact vasectomy utilization.Of these men, 30,927 (30.8%) underwent vasectomy. Marital status, race, age, education level, region or state, and number of offspring were all significantly correlated with vasectomy utilization (P < .01). The sex ratio for vasectomized fathers (51.3%) was significantly higher than for fathers who had not undergone vasectomy (50.7%, P < .01). This difference

2016 Urology

53. Vasectomy Reversal Surgical Patterns: an Analysis of the American Board of Urology Case Logs. (Abstract)

Vasectomy Reversal Surgical Patterns: an Analysis of the American Board of Urology Case Logs. To characterize vasectomy reversal practice patterns among American Board of Urology (ABU) certifying urologists.We reviewed the ABU case logs for certifying urologists from 2008 to 2014. Vasectomy reversal procedures were identified by 3 current procedure terminology (CPT) codes: 55400 (vasovasostomy), 54900 (epididymovasostomy, unilateral), and 54901 (epididymovasostomy, bilateral). Demographic data (...) were obtained and reviewed. Multivariate analysis determined the factors influencing the performance of surgical approach.There were 5167 urologists who submitted case logs for 2008-2014, and 9.4% (486) had performed at least one vasectomy reversal procedure. General urologists accounted for the highest overall volume of vasectomy reversal procedures. Andrology-trained urologists performed a higher volume of vasovasostomy per surgeon, and bilateral epididymovasostomy constituted a greater portion

2016 Urology

54. Prospective comparison of ligation and bipolar cautery technique in non-scalpel vasectomy. Full Text available with Trip Pro

Prospective comparison of ligation and bipolar cautery technique in non-scalpel vasectomy. There is no trial comparing bipolar cautery and ligation for occlusion of vas in non-scalpel vasectomy. This study aimed to compare the effectiveness of these vasectomy occlusion techniques.Between January 2002-June 2009, patients were allocated in alternate order. We recruited 100 cases in cautery group and 100 cases in ligation group. Non-scalpel approach was performed during vasectomy and fascial (...) interposition was performed in all cases. First semen analysis was done 3 months after vasectomy. Vasectomy success was defined as azoospermia or non-motile sperm lower than 100.000/mL.Four patients from the cautery group were switched to the ligation group due to technical problem of cautery device. Thus, data of 96 patients as cautery group and 104 patients as ligation group were evaluated. After vasectomy, semen analyses were obtained from 59 of 96 (61.5%) patients in cautery group and to 66 of 104 (63.5

2016 International braz j urol : official journal of the Brazilian Society of Urology Controlled trial quality: uncertain

55. Technics and complications of elective vasectomy: the role of spermatic granuloma in spontaneous recanalization. Full Text available with Trip Pro

Technics and complications of elective vasectomy: the role of spermatic granuloma in spontaneous recanalization. Schmidt SS. Technics and complications of elective vasectomy. The role of spermatic granuloma in spontaneous recanalization. Fertil Steril 1966;17(4):467-82. "If the proximal end of the vas is ligated, the ligature may either cut through or dissolve, allowing a blowout or expulsion of spermatozoa."Copyright © 2016 American Society for Reproductive Medicine. Published by Elsevier Inc

2016 Fertility and Sterility

56. WITHDRAWN: Re: Vasectomy and Prostate Cancer Incidence and Mortality in a Large US Cohort. Full Text available with Trip Pro

WITHDRAWN: Re: Vasectomy and Prostate Cancer Incidence and Mortality in a Large US Cohort. The Publisher regrets that this article is an accidental duplication of an article that has already been published, http://dx.doi.org/10.1016/j.eururo.2016.11.008. The duplicate article has therefore been withdrawn. The full Elsevier Policy on Article Withdrawal can be found at https://www.elsevier.com/about/our-business/policies/article-withdrawal.Copyright © 2016 European Association of Urology

2016 European Urology

57. Mexican Men’s View of Vasectomy Full Text available with Trip Pro

Mexican Men’s View of Vasectomy The present study explored the views of Mexican men concerning vasectomy. One hundred and five men who had not had a vasectomy were asked to complete the following phrase "If you no longer wanted to have more children and a vasectomy was suggested, you would react with . . . or you would think . . . " with at least five different answers. Participants then had to rank each of their answers according to how well they describe the participant's feelings (...) in the hypothetical situation. The results were analyzed using the Natural Semantic Networks Technique. The most common words used by participants with a limited educational background were reject, followed by fear and anger, and they did not use any words that implied acceptance of vasectomy. In contrast, the most common words used by participants with higher education were curiosity, followed by acceptance and interest; however, they also used the words fear and insecurity. The most frequent attitudes reported

2016 American journal of men's health

58. Optimizing outcomes in vasectomy: how to ensure sterility and prevent complications Full Text available with Trip Pro

Optimizing outcomes in vasectomy: how to ensure sterility and prevent complications Vasectomy provides a long-term effective sterilization for men and is performed on nearly 500,000 men annually in the United States. Improvements in technique have led to a decreased failure rate and fewer complications, although significant variations in technique exist. Use of cautery occlusion with or without fascial interposition appears to have the least failures. A no-scalpel approach lowers risk (...) of hematoma formation, infection and bleeding post-operatively. A patient can be considered sterile when azoospermia is achieved or the semen analysis shows less than 100,000 non-motile sperm per milliliter. Incorporating these principles may allow the physician to optimize outcomes in vasectomy.

2016 Translational andrology and urology

59. Pulmonary Embolism Following Outpatient Vasectomy Full Text available with Trip Pro

Pulmonary Embolism Following Outpatient Vasectomy Venous thromboembolic events have several known major risk factors such as prolonged immobilization or major surgery. Pulmonary embolism has rarely been reported after an outpatient vasectomy was completed. We present the rare case of a healthy 32-year-old Caucasian male with no known risk factors who presented with pleuritic chest pain 26 days after his outpatient vasectomy was performed. Subsequently, he was found to have a pulmonary embolism (...) as per radiological imaging. We explore the association between outpatient vasectomies and venous thromboembolic events. A review of the literature is also included.

2016 Current urology

60. Vasectomy reversal and other strategies to mitigate postvasectomy pain syndrome Full Text available with Trip Pro

Vasectomy reversal and other strategies to mitigate postvasectomy pain syndrome 27056347 2016 08 25 2018 12 02 1745-7262 18 3 2016 May-Jun Asian journal of andrology Asian J. Androl. Vasectomy reversal and other strategies to mitigate postvasectomy pain syndrome. 338 10.4103/1008-682X.179243 Smith Ryan P RP Lipshultz Larry I LI Kovac Jason R JR Men's Health Center, 8240 Naab Road, Suite 220, Indianapolis, Indiana 46260, USA. eng Journal Article Comment China Asian J Androl 100942132 1008-682X (...) IM Asian J Androl. 2016 May-Jun;18(3):332-7 26952956 Humans Pain, Postoperative Syndrome Vasectomy Vasovasostomy 2016 4 9 6 0 2016 4 9 6 0 2016 8 26 6 0 ppublish 27056347 179243 10.4103/1008-682X.179243 PMC4854073 Asian J Androl. 2016 May-Jun;18(3):332-7 26952956 Br J Urol. 1992 Feb;69(2):188-91 1537032 J Sex Med. 2008 Mar;5(3):526-9 18304282 BJU Int. 2008 Jul;102(2):166-9 18325049 J Urol. 2012 Feb;187(2):613-7 22177173 J Urol. 2012 Dec;188(6 Suppl):2482-91 23098786 Int Urol Nephrol. 2014 Mar;46

2016 Asian journal of andrology

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