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Vasectomy

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81. Reduced post-vasectomy semen analysis testing with the implementation of special clearance parameters. (Abstract)

Reduced post-vasectomy semen analysis testing with the implementation of special clearance parameters. To determine the applicability of postvasectomy special clearance parameters (<100,000 nonmotile sperm/mL on semen analysis) suggested by the American Urological Association and to define the associated cost savings with avoidance of further testing.We retrospectively reviewed the cohort of men undergoing vasectomy from December 2009 to August 2012 at a single institution. Patient demographics (...) and postvasectomy semen analysis (PVSA) results were collected for clearance parameter comparisons.During the study period, 230 patients underwent vasectomy with a mean ± SD age of 36.4 ± 6.5 years. Among the cohort, 83.5% were married and 95.2% had one or more children. The initial PVSA was completed by 111 (48.3%) patients at a mean of 17.8 weeks (range 4-45) following vasectomy. Sperm was identified on initial PVSA in 40 patients (36.0%); 1 patient was found to have motile sperm. Of 39 patients, 38 (97.4

2015 Urology

82. Vasectomy Reversal for Postvasectomy Pain Syndrome: A Study and Literature Review. (Abstract)

Vasectomy Reversal for Postvasectomy Pain Syndrome: A Study and Literature Review. To review our institution's experience and success with vasectomy reversal to treat postvasectomy pain syndrome (PVPS) over the last 20 years.A single surgeon (E.F.F.) performed all the vasectomy reversals. We identified 123 procedures done for PVPS treatment and were able to contact 76 patients. We sent surveys or conducted phone interviews inquiring about satisfaction, levels of pain preoperatively (...) and postoperatively, and the need for additional procedures for pain. Thirty-one patients completed phone or written surveys. In addition, we compared the location of vasectomy among patients presenting for pain to that of fertile patients.Thirty-one men had vasectomy reversal for postvasectomy pain, with median age of 38 years (range, 31-55 years), of which 26 underwent vasovasostomy (VV). Seven patients required epididymovasostomy (EV) on at least 1 side based on intraoperative findings. Eighty-two percent

2015 Urology

83. Comparison of allergic aspermatogenesis with that induced by vasectomy. II. In vitro studies of cell-mediated immunity to sperm after vasectomy in man and guinea-pig. Full Text available with Trip Pro

Comparison of allergic aspermatogenesis with that induced by vasectomy. II. In vitro studies of cell-mediated immunity to sperm after vasectomy in man and guinea-pig. Transformation of peripheral blood leucocytes was shown to be a valid assay for cell-mediated immunity to sperm in male guinea-pigs immunized with homologous epididymal sperm (ES) in FCA. A heat-treated extract of ES (BES) was used for culture. Possible developement of cell-mediated immunity to sperm after vasectomy (...) was investigated in patients and guinea-pigs, by culture of blood leucocytes before and at intervals after operation. Patients' leucocytes were cultured with a heat-treated extract of human seminal sperm (BHS); guinea-pigs' leucocytes were cultured with BES. These cultures showed no evidence of specific stimulation of leucocytes by sperm extract, up to 1 year after vasectomy in patients, or up to 6 months in guinea-pigs. Similarly, no evidence of delayed hypersensitivity could be demonstrated by skin tests

1977 Clinical and experimental immunology

84. A novel cost-effective approach to post-vasectomy semen analysis.

A novel cost-effective approach to post-vasectomy semen analysis. A novel cost-effective approach to post-vasectomy semen analysis. – Less Is More Search for: Simpler & Better Medicine Menu / Summary: For men who have had a vasectomy, a post-vasectomy semen analysis (PVSA) approach that uses demonstration of absence of sperm on simple light microscopy in a single specimen of semen at 16 or 20 weeks post-vasectomy in order to determine “surgical success” may reduce the costs of PVSA by up to 40

2015 Less Is More Blog

85. Diagnostic accuracy of an initial azoospermic reading compared with results of post-centrifugation semen analysis after vasectomy.

Diagnostic accuracy of an initial azoospermic reading compared with results of post-centrifugation semen analysis after vasectomy. Diagnostic accuracy of an initial azoospermic reading compared with results of post-centrifugation semen analysis after vasectomy. – Less Is More Search for: Simpler & Better Medicine Menu / Summary: For post-vasectomy semen analysis (PVSA), microscopic examination of a single uncentrifuged specimen at 10 weeks may be just as reliable, and technically easier (...) , for identifying semen samples after vasectomy with more than 100,000 sperm per ml. Strength of Recommendation = B Advertisements Like this: Like Loading... Categories: Tags: Post navigation Simpler, Better Medicine Indexing evidence for "less medical” approaches with better outcomes. Recent entries Search by key words Search for: Search By Strength of Recommendation (SOR) (42) (244) (27) Search by clinical category For regular updates, follow "Less-Is-More" by Email, RSS, or on Wordpress Follow DISCLAIMER

2015 Less Is More Blog

86. How little is enough? The evidence for post-vasectomy testing.

How little is enough? The evidence for post-vasectomy testing. How little is enough? The evidence for post-vasectomy testing. – Less Is More Search for: Simpler & Better Medicine Menu / Summary: For post-vasectomy follow-up, a post-vasectomy semen analysis (PVSA) utilizing one specimen showing azoospermia after 3 months and 20 ejaculations may be just as reliable at assuring sterility as typical two-specimen protocols, but with fewer required follow up visits. Strength of Recommendation = B

2015 Less Is More Blog

87. A simple technique for double ligation of the vas deferens during vasectomy Full Text available with Trip Pro

A simple technique for double ligation of the vas deferens during vasectomy 24780792 2014 06 17 2018 11 13 1478-7083 96 3 2014 Apr Annals of the Royal College of Surgeons of England Ann R Coll Surg Engl A simple technique for double ligation of the vas deferens during vasectomy. 238 10.1308/rcsann.2014.96.3.238 Faure Walker N A NA Imperial College Healthcare NHS Foundation Trust, UK. Rashid T T Bellringer J J james.bellringer@imperial.nhs.uk. eng Journal Article England Ann R Coll Surg Engl (...) 7506860 0035-8843 IM Humans Ligation methods Male Vas Deferens surgery Vasectomy methods 2014 5 1 6 0 2014 5 2 6 0 2014 6 18 6 0 ppublish 24780792 10.1308/rcsann.2014.96.3.238 PMC4474057 Actas Urol Esp. 2012 May;36(5):276-81 22521918 Br Med J (Clin Res Ed). 1984 Jul 14;289(6437):77-9 6428685

2014 Annals of the Royal College of Surgeons of England

88. Vasectomy and Risk of Aggressive Prostate Cancer: A 24-Year Follow-Up Study. Full Text available with Trip Pro

Vasectomy and Risk of Aggressive Prostate Cancer: A 24-Year Follow-Up Study. Conflicting reports remain regarding the association between vasectomy, a common form of male contraception in the United States, and prostate cancer risk. We examined prospectively this association with extended follow-up and an emphasis on advanced and lethal disease.Among 49,405 U.S. men in the Health Professionals Follow-Up Study, age 40 to 75 years at baseline in 1986, 6,023 patients with prostate cancer were (...) diagnosed during the follow-up to 2010, including 811 lethal cases. In total, 12,321 men (25%) had vasectomies. We used Cox proportional hazards models to estimate the relative risk (RR) and 95% CIs of total, advanced, high-grade, and lethal disease, with adjustment for a variety of possible confounders.Vasectomy was associated with a small increased risk of prostate cancer overall (RR, 1.10; 95% CI, 1.04 to 1.17). Risk was elevated for high-grade (Gleason score 8 to 10; RR, 1.22; 95% CI, 1.03 to 1.45

2014 Journal of Clinical Oncology

89. Vasectomy Induces Oxidative Stress and Up-regulates the Expression of Peroxiredoxins in Mouse Testis in Short and Early Period after Surgery. (Abstract)

Vasectomy Induces Oxidative Stress and Up-regulates the Expression of Peroxiredoxins in Mouse Testis in Short and Early Period after Surgery. We investigated oxidative damage caused by and antioxidant responses to peroxiredoxins in the mouse testis at different time points after vasectomy.Mice were divided into a sham operated control group and a vasectomized group. Testicular samples were collected 2 to 120 days postoperatively. Histology and cell apoptosis were evaluated by hematoxylin (...) of histological injury and apoptosis. Germ cell apoptosis developed in a time dependent and cell specific manner. The expression of peroxiredoxin 1, 2 and 3, especially peroxiredoxin 2, was significantly up-regulated at the mRNA and protein levels in the testis after vasectomy, which subsequently ameliorated testicular damage toward the control level. In addition, other related antioxidant enzymes, such as Cat and Sod3, showed decreased expression at the mRNA level in vasectomized testes.This study shows

2014 Journal of Urology

90. Vasectomy Reversal Outcomes in Men Previously on Testosterone Supplementation Therapy. (Abstract)

Vasectomy Reversal Outcomes in Men Previously on Testosterone Supplementation Therapy. To report considerations for preoperative management and outcomes of vasectomy reversal (VR) in men with a history of testosterone supplementation therapy (TST).A retrospective review of men on TST before VR from 2010 to 2013 was performed. For inclusion, patients were required to have baseline and follow-up hormone levels as well as postoperative semen analyses. Preoperative use of medical testicular salvage

2014 Urology

92. Diagnosis of Varicoceles in Men Undergoing Vasectomy May Lead to Earlier Detection of Hypogonadism. (Abstract)

Diagnosis of Varicoceles in Men Undergoing Vasectomy May Lead to Earlier Detection of Hypogonadism. To determine the temporal relationship between vasectomy, varicocele, and hypogonadism diagnosis. Many young men undergo their first thorough genitourinary examination in their adult lives at the time of vasectomy consultation, providing a unique opportunity for diagnosis of asymptomatic varicoceles. Varicoceles have recently been implicated as a possible reversible contributor to hypogonadism (...) codes for hypogonadism, vasectomy, and varicocele, and queried dates of first claim.A total of 15,679 men undergoing vasectomies were matched with 156,790 men with nonvasectomy claims in the same year. Vasectomy patients were diagnosed with varicocele at an earlier age (40.9 vs 42.5 years; P=.009). We identified 224,817 men between the ages of 25 and 50 years with a claim of hypogonadism, of which 5883 (2.6%) also had a claim of varicocele. Men with hypogonadism alone were older at presentation

2014 Urology

93. The effect of vasectomy on the sexual life of couples. (Abstract)

The effect of vasectomy on the sexual life of couples. There are several contraceptive methods to prevent pregnancy, reversible as well as nonreversible ones. The sexual satisfaction of couples is affected by many types of contraceptives used.The aim of this study was to evaluate prospectively the effect of vasectomy on the sexual life and satisfaction of couples.Seventy-six couples took part in this evaluation and filled out respective questionnaires before and after vasectomy. All (...) the questionnaires were evaluated statistically for differences in the respective sexual domain scores.Standardized questionnaires were used. The International Index of Erectile Function (IIEF) as well as postoperative pain score were completed by men. Female Sexual Function Index (FSFI) was completed by the female partner. For statistical analysis, the T-Square Test was used.The average age of couples, who chose the vasectomy procedure, was 37 years for women and 39 years for men. The contraception method most

2014 Journal Of Sexual Medicine

94. Instructional video on vasectomy: evidence-based procedure should be demonstrated Full Text available with Trip Pro

Instructional video on vasectomy: evidence-based procedure should be demonstrated 24452556 2014 09 29 2018 11 13 1715-5258 60 1 2014 Jan Canadian family physician Medecin de famille canadien Can Fam Physician Instructional video on vasectomy: evidence-based procedure should be demonstrated. 37-9 Labrecque Michel M Weiss Ron R Pollock Neil N Bernier Michel M Bernier Yvan Y Bertucci Marco M Brunet Gilles G Buenafe Jay J Caouette Benoit B Crouse Pierre P Dallaire Michel M Follows Jonathan J Lohlun (...) Graham G Nélisse Nicolas N Pilon Dominique D Plourde Simon S eng Letter Video-Audio Media Canada Can Fam Physician 0120300 0008-350X IM Antibiotic Prophylaxis Evidence-Based Practice Guideline Adherence Humans Male Vasectomy methods 2014 1 24 6 0 2014 1 24 6 0 2014 9 30 6 0 ppublish 24452556 60/1/37 PMC3994802 BMC Med. 2004 May 24;2:21 15157272 Cochrane Database Syst Rev. 2007;(2):CD004112 17443540 J Urol. 2012 Dec;188(6 Suppl):2482-91 23098786 Eur Urol. 2012 Jan;61(1):159-63 22033172 Urol Clin North

2014 Canadian Family Physician

95. Robotic intra-abdominal vasectomy reversal: A new approach to a difficult problem Full Text available with Trip Pro

Robotic intra-abdominal vasectomy reversal: A new approach to a difficult problem The management of obstructive azoospermia resulting from intra-abdominal vasal obstruction poses a formidable surgical challenge. A number of surgical methods have been described to address this problem, including both open and laparoscopic approaches to mobilize and sometimes even re-route the abdominal vas deferens prior to performing a re-anastamosis. We present the first report, to our knowledge, of robotic (...) intra-abdominal vasectomy reversal used to repair obstructive azoospermia resulting from prior laparoscopic vasectomy. In doing so, we summarize the techniques described previously in the literature and build upon this body of surgical experience by combining robotic-assisted laparoscopic mobilization of the vas with robotic vasovasostomy. We believe this novel approach for repairing intra-abdominal vasal defects minimizes morbidity, while at the same time obviating the need for the operating

2014 Canadian Urological Association Journal

96. Do mobile family planning clinics facilitate vasectomy use in Nepal? (Abstract)

Do mobile family planning clinics facilitate vasectomy use in Nepal? Nepal has a distinct topography that makes reproductive health and family planning services difficult to access, particularly in remote mountain and hill regions where over a quarter of modern contraceptive users rely exclusively on vasectomy.A three-level random intercept logistic regression analysis was applied on data from the 2011 Nepal Demographic and Health Survey to investigate the extent of influence of mobile family (...) and statistically significant after adjusting for sociodemographic and clustering effects. Random effects were highly significant, which suggest the extent of heterogeneity in vasectomy use at the community and district levels. The odds of vasectomy use in mobile clinics were significantly higher among couples residing in hill and mountain regions and among those with three or more sons or those with only daughters.Mobile clinics significantly increase the uptake of vasectomy in hard-to-reach areas of Nepal

2014 Contraception

97. Vasectomy, No Scalpel

Vasectomy, No Scalpel No Scalpel Vasectomy: Overview, Indications, Contraindications Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvMTQ4NTEyLW92ZXJ2aWV3 processing > No Scalpel Vasectomy Updated: Jan 19, 2016 (...) Author: M David Stockton, MD, MPH; Chief Editor: Edward David Kim, MD, FACS Share Email Print Feedback Close Sections Sections No Scalpel Vasectomy Overview Overview Vasectomy is the most popular form of permanent surgical birth control for men. In 2002, an estimated 526,501 vasectomies were performed in the United States, which is a rate of 10.2/1,000 in men aged 25-49 years. Recently released American Urologic Association (AUA) guidelines concluded that vasectomy as a permanent contraceptive

2014 eMedicine.com

98. Vasectomy Reversal Outcomes Among Patients With Vasal Obstructive Intervals Greater Than 10 Years. (Abstract)

Vasectomy Reversal Outcomes Among Patients With Vasal Obstructive Intervals Greater Than 10 Years. To analyze the vasectomy reversal (VR) outcomes specifically among patients with vasal obstructive intervals (VOIs) of >10 years. The VOI has been shown to be a significant predictor of outcome after VR. Although no strict cutoff exists, couples have frequently been discouraged from considering a VR strictly according to the interval from vasectomy.From 2006 to 2011, all consecutive VRs performed (...) with longer VOIs were older (P <.001) and had older female partners (P = .006). Although the VOI influenced the type of reversal performed, favorable semen concentrations (average >20 million/mL in all groups) and patency (average >90%) and pregnancy rates (range 24%-39%) were achieved in men with a VOI >10 years.Although the interval since vasectomy has a significant effect on the type of VR required, provided a surgeon is proficient in both microsurgical vasovasostomy and vasoepididymostomy, favorable

2013 Urology

99. microRNA signature is altered in both human epididymis and seminal microvesicles following vasectomy. Full Text available with Trip Pro

microRNA signature is altered in both human epididymis and seminal microvesicles following vasectomy. Does vasectomy impact microRNA (miRNA) expression in the epididymis and seminal microvesicles (SMVs) in a non-reversible manner?The miRNA signature in the epididymis and SMVs is altered by vasectomy and only partially restored after vasovasostomy surgery.Vasectomy modifies the epididymal transcriptome and triggers non-reversible changes that affect sperm function. Some vasovasostomized men (...) , epididymal miRNA profiles were determined by microarray (Affimetrix), compared by ANOVA and confirmed by real-time PCR. The correlation between miRNA and gene expression profiles was investigated by an integrated genomic approach. miRNA signature from purified SMVs was established by microarray.Vasectomy significantly modified the expression of epididymal miRNAs, which were mainly correlated with mRNAs for transcription factors. Vasectomy also impacted the detection of 118 of the miRNAs found in SMVs

2013 Human Reproduction

100. Vasectomy demographics and postvasectomy desire for future children: results from a contemporary national survey. (Abstract)

Vasectomy demographics and postvasectomy desire for future children: results from a contemporary national survey. To describe the longitudinal demographics and family planning attitudes of vasectomized men with the use of the National Survey for Family Growth (NSFG).Retrospective cohort analysis of the NSFG with the use of national projections and multivariable regressions.In-home survey.The NSFG sampled 10,403 men aged 15-45 years from 2006 to 2010 regarding family planning (...) attitudes.None.Vasectomy and desire for children.There were 3,646,339 (6.6%) vasectomized men aged 18-45 years in the U.S. On multivariable regression the following factors increased the odds of having a vasectomy: currently married (odds ratio [OR] 7.814), previously married (OR 5.865), and increased age (OR 1.122) and income (OR 1.003). The odds of having a vasectomy increased with number of children. The following factors decreased the odds of having a vasectomy: immigrant status (OR 0.186), African American

2013 Fertility and Sterility

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