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Vasectomy

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101. Current status of vasectomy reversal. (Abstract)

Current status of vasectomy reversal. Vasectomy reversal is the most common microsurgical intervention for the treatment of male infertility. Originally introduced in 1977, microsurgical vasectomy reversal has become highly sophisticated and is a minimally invasive, highly efficient and cost-effective treatment option for men with a desire to have children after vasectomy. It can be an effective physiological method of restoring fertility in more than 90% of vasectomized men. Although assisted (...) reproductive technology (ART) is an alternative to vasectomy reversal, it is normally associated with higher costs without offering higher cumulative chances of a pregnancy. Recovery of physiological male fertility can take up to 2 years after vasectomy reversal, especially if reversal is performed >10 years after vasectomy, owing to impaired epididymal function. Under these circumstances, ART can be used to bridge the time until recovery of natural fertility. Although the basic principles of microsurgical

2013 Nature reviews. Urology

102. Intranasal Ketorolac Tromethamine (SPRIX) as a Short Term Pain Management of Post-Vasectomy Pain

Intranasal Ketorolac Tromethamine (SPRIX) as a Short Term Pain Management of Post-Vasectomy Pain Intranasal Ketorolac Tromethamine (SPRIX) as a Short Term Pain Management of Post-Vasectomy Pain - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one (...) or more studies before adding more. Intranasal Ketorolac Tromethamine (SPRIX) as a Short Term Pain Management of Post-Vasectomy Pain The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our for details. ClinicalTrials.gov Identifier: NCT02000388 Recruitment Status : Unknown Verified November 2013 by Citrus Valley Medical Research, Inc.. Recruitment status

2013 Clinical Trials

103. 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

2015 FP Notebook

104. 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

2015 FP Notebook

105. 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

2015 FP Notebook

106. A comparison of abdominal and scrotal approach methods of vasectomy and the influence of analgesic treatment in laboratory mice. (Abstract)

A comparison of abdominal and scrotal approach methods of vasectomy and the influence of analgesic treatment in laboratory mice. Vasectomized mice are needed in the production of genetically-modified animals. The BVAAWF/FRAME/RSPCA/UFAW Joint Working Group on Refinement recommended that vasectomy should be performed via an incision in the scrotal sac, rather than via laparotomy, arguing that the former could be less painful due to minimal tissue trauma. This study was undertaken to assess (...) the validity of this recommendation. Mice underwent vasectomy via either abdominal or scrotal approach surgery. Mice were filmed for 15 min presurgery and at one, 24 and 48 h postsurgery. Data were obtained using automated behaviour recognition software (HomeCageScan). Meloxicam was administered either alone or combined with acetaminophen prior to surgery. A third group received only saline subcutaneously. Postsurgery behaviour changes were compared between groups at each time point. Exploratory behaviours

2012 Laboratory animals Controlled trial quality: uncertain

107. Vasectomy reversal with ultrasonography-guided spermatic cord block. (Abstract)

Vasectomy reversal with ultrasonography-guided spermatic cord block. Study Type--Therapy (case series) Level of Evidence 4. What's known on the subject? and What does the study add? Vasectomy reversal is often performed in general or neuraxial anaesthesia. Even though the site of vasectomy reversal is easily amenable to regional/local anaesthesia, spermatic cord blocks are rarely applied because of their risk of vascular damage within the spermatic cord. Recently, we described the technique (...) of ultrasonography (US)-guided spermatic cord block for scrotal surgery, which, thanks to the US guidance, at the same time avoids the risk of vascular damage of blindly performed injections and the risks of general and neuraxial anaesthesia. Vasectomy reversal can easily be done in regional anaesthesia with the newly described technique of US-guided spermatic cord block without the risks of vascular damage by a blindly performed injection and the risks of standard general and neuraxial anaesthesia. In addition

2012 BJU international

108. UK practice regarding reversal of vasectomy 2001-2010: relevance to best contemporary patient management. (Abstract)

UK practice regarding reversal of vasectomy 2001-2010: relevance to best contemporary patient management. Study Type - Practice trends (survey) Level of Evidence 2c What's known on the subject? and What does the study add? Approximately 6% of men who have had a vasectomy subsequently decide to have it reversed. For such men there are various options available, including vasal reconstruction, surgical sperm retrieval with assisted reproductive techniques, use of donated sperm or adoption (...) . The decision-making process with regard to the most appropriate management is challenging and the urologist requires both an intimate knowledge of the advantages and disadvantages of each of the available options and the opportunity to counsel a couple appropriately. The study confirms that patient management after previous vasectomy is a complex process, demanding detailed knowledge about the availability and outcomes of alternatives to vasectomy reversal. It recommends that couples should not be seen

2012 BJU international

109. Pregnancy rate after vasectomy reversal in a contemporary series: influence of smoking, semen quality and post-surgical use of assisted reproductive techniques. Full Text available with Trip Pro

Pregnancy rate after vasectomy reversal in a contemporary series: influence of smoking, semen quality and post-surgical use of assisted reproductive techniques. Study Type - Outcomes (cohort series). Level of Evidence 2b What's known on the subject? and What does the study add? Microsurgical vasectomy reversal is an effective and cost-effective method of reinstating fertility in a man who has previously had a vasectomy. The current literature indicates that the success rate (i.e. potency (...) and pregnancy rates) are dependent primarily on the time elapsed since vasectomy and the age of the female partner. Using a multivariate Cox regression model, evaluation of the influence of preoperative data (including smoking) and semen parameters indicates a significant influence of post-surgical sperm motility only, on time to first pregnancy. The use of assisted reproductive techniques, when natural pregnancy failed, was successful in ≈50% of couples who attempted this procedure and accounted

2012 BJU international

110. Strengthening vasectomy services in Rwanda: introduction of thermal cautery with fascial interposition. (Abstract)

Strengthening vasectomy services in Rwanda: introduction of thermal cautery with fascial interposition. Recent developments in vasectomy research indicate that occluding the vas using cautery combined with fascial interposition (FI) significantly lowers failure rates and is an appropriate technology for low-resource settings. We report the introduction of this technique in Ministry of Health (MOH) vasectomy services in Rwanda.In February 2010, an international vasectomy expert trained three (...) Rwandan physicians to become trainers in no-scalpel vasectomy (NSV) with thermal cautery and FI. The training took place over 5 days in five rural health centers.A total of 67 men received vasectomies (11-16 per day) and trainees successfully mastered the new occlusion technique. The MOH is now scaling up NSV with cautery and FI services nationwide. The initial cadre of trainers has subsequently trained 46 other physicians in this vasectomy technique across 27 districts of Rwanda.No-scalpel vasectomy

2012 Contraception

111. Vasectomy: AUA Guideline. (Abstract)

Vasectomy: AUA Guideline. The purpose of this guideline is to provide guidance to clinicians who offer vasectomy services.A systematic review of the literature using the search dates January 1949-August 2011 was conducted to identify peer-reviewed publications relevant to vasectomy. The search identified almost 2,000 titles and abstracts. Application of inclusion/exclusion criteria yielded an evidence base of 275 articles. Evidence-based practices for vasectomy were defined when evidence (...) was available. When evidence was insufficient or absent, expert opinion-based practices were defined by Panel consensus. The Panel sought to define the minimum and necessary concepts for pre-vasectomy counseling; optimum methods for anesthesia, vas isolation, vas occlusion and post-vasectomy follow up; and rates of complications of vasectomy. This guideline was peer reviewed by 55 independent experts during the guideline development process.Vas isolation should be performed using a minimally-invasive

2012 Journal of Urology

112. "We never thought of a vasectomy": a qualitative study of men and women's counseling around sterilization. (Abstract)

"We never thought of a vasectomy": a qualitative study of men and women's counseling around sterilization. Sterilization is the most commonly used method of contraception in the United States; however, little is known about how providers counsel about these procedures or the information patients desire. In this study, we explore male and female experiences of sterilization counseling and their perspectives on ideal sterilization counseling.In-depth individual and group interviews were conducted (...) with 37 heterosexual couples between the ages of 25 and 55 years. Each couple had reached their desired family size. Interviews were recorded and transcribed using NVivo software and analyzed using modified grounded theory.Men and women differed in their experiences of sterilization counseling. Women commonly received counseling on female sterilization but not vasectomy, while men rarely discussed either form of sterilization with their providers. Both men and women desired more information about

2012 Contraception

113. Vasectomy as a proxy: extrapolating health system lessons to male circumcision as an HIV prevention strategy in Papua New Guinea. Full Text available with Trip Pro

Vasectomy as a proxy: extrapolating health system lessons to male circumcision as an HIV prevention strategy in Papua New Guinea. Male circumcision (MC) has been shown to reduce the risk of HIV acquisition among heterosexual men, with WHO recommending MC as an essential component of comprehensive HIV prevention programs in high prevalence settings since 2007. While Papua New Guinea (PNG) has a current prevalence of only 1%, the high rates of sexually transmissible diseases and the extensive (...) , but unregulated, practice of penile cutting in PNG have led the National Department of Health (NDoH) to consider introducing a MC program. Given public interest in circumcision even without active promotion by the NDoH, examining the potential health systems implications for MC without raising unrealistic expectations presents a number of methodological issues. In this study we examined health systems lessons learned from a national no-scalpel vasectomy (NSV) program, and their implications for a future MC

2012 BMC Health Services Research

114. The value of vasectomy in patients undergoing prostatectomy. (Abstract)

The value of vasectomy in patients undergoing prostatectomy. 5034958 1972 08 16 2014 09 12 0256-9574 46 18 1972 Apr 29 South African medical journal = Suid-Afrikaanse tydskrif vir geneeskunde S. Afr. Med. J. The value of vasectomy in patients undergoing prostatectomy. 533-4 Kingsley D P DP eng Clinical Trial Journal Article Randomized Controlled Trial South Africa S Afr Med J 0404520 IM Epididymitis epidemiology Evaluation Studies as Topic Humans Ligation Male Orchitis epidemiology

1972 South African medical journal = Suid-Afrikaanse tydskrif vir geneeskunde Controlled trial quality: uncertain

115. Medical Jurisprudence: Vasectomy and Salpingectomy For Contraceptive Purposes Full Text available with Trip Pro

Medical Jurisprudence: Vasectomy and Salpingectomy For Contraceptive Purposes 18747077 2008 08 29 2008 11 20 0093-4038 63 1 1945 Jul California and western medicine Cal West Med Medical Jurisprudence: Vasectomy and Salpingectomy For Contraceptive Purposes. 50-1 Peart H F HF eng Journal Article United States Cal West Med 0414326 0093-4038 1945 7 1 0 0 1945 7 1 0 1 1945 7 1 0 0 ppublish 18747077 PMC1473629

1945 California and western medicine

116. Human sperm antigens and antisperm antibodies I. Studies on vasectomy patients. Full Text available with Trip Pro

Human sperm antigens and antisperm antibodies I. Studies on vasectomy patients. This study documents the types and incidence of antisperm antibody, detectable by indirect immunofluorescence, in 114 patients before vasectomy, 112 at 2 months and 71 patients at 6-9 months after vasectomy. Indirect immunofluorescence techniques revealed antibodies to seven distinct sperm antigens. Five of these antigens were readily accessible to antibody in vitro, and the remaining two were accessible only after (...) treatment of spermatozoa with dithiothreitol and trypsin. Antisperm antibodies were detected in 61% of patients before vasectomy. The incidence rose to 77% at 2 months and 90% at 6-9 months after vasectomy. These antibodies were distinguishable into two groups based on their incidence before vasectomy. The first group included antibodies to antigens in the acrosome with a diffuse distribution, the equatorial region, the postacrosomal region and the midpiece of the tail. Its incidence was 61% before

1975 Clinical and experimental immunology

117. Letter: Vasectomy. Full Text available with Trip Pro

Letter: Vasectomy. 1171976 1975 12 04 2008 11 20 0035-8797 25 155 1975 Jun The Journal of the Royal College of General Practitioners J R Coll Gen Pract Letter: Vasectomy. 442 Jackson L N LN eng Journal Article England J R Coll Gen Pract 7503107 0035-8797 IM Female Humans Male Sexual Dysfunction, Physiological etiology Vasectomy adverse effects 1975 6 1 1975 6 1 0 1 1975 6 1 0 0 ppublish 1171976 PMC2157577

1975 The Journal of the Royal College of General Practitioners

118. Letter: Vasectomy. Full Text available with Trip Pro

Letter: Vasectomy. 1171975 1975 12 04 2018 11 13 0035-8797 25 155 1975 Jun The Journal of the Royal College of General Practitioners J R Coll Gen Pract Letter: Vasectomy. 441-2 Drury V W VW eng Journal Article England J R Coll Gen Pract 7503107 0035-8797 IM Female Humans Male Sexual Dysfunction, Physiological Vasectomy adverse effects 1975 6 1 1975 6 1 0 1 1975 6 1 0 0 ppublish 1171975 PMC2157585 JAMA. 1972 Feb 28;219(9):1206-7 5066874

1975 The Journal of the Royal College of General Practitioners

119. Two years' experience of an outpatient vasectomy service. Full Text available with Trip Pro

Two years' experience of an outpatient vasectomy service. 1163707 1975 12 04 2018 11 13 0090-0036 65 10 1975 Oct American journal of public health Am J Public Health Two years' experience of an outpatient vasectomy service. 1091-4 Sbrero A J AJ Kohli K L KL eng Journal Article United States Am J Public Health 1254074 0090-0036 AIM IM J Adult Ambulatory Care Demography Eligibility Determination Family Planning Services Female Follow-Up Studies Humans Interpersonal Relations Libido Male Marriage (...) Middle Aged New York City Sexual Behavior Socioeconomic Factors Vasectomy adverse effects 02109pr975 00065539 Acceptor Characteristics Family Planning Family Planning Centers Male Sterilization New York Psychological Factors Research Report Sex Behavior Sterilization, Sexual United States Vasectomy--complications 1975 10 1 1975 10 1 0 1 1975 10 1 0 0 ppublish 1163707 PMC1776028 Demography. 1972 Nov;9(4):531-48 4670341 Rep Popul Fam Plann. 1970 Jul;5:1-36 4939083 Psychosom Med. 1967 Jun-Aug;29(4):354

1975 American Journal of Public Health

120. Letter: Irrigation of the vas for immediate sterility after vasectomy. Full Text available with Trip Pro

Letter: Irrigation of the vas for immediate sterility after vasectomy. 1203714 1976 03 15 2018 11 13 0007-1447 4 5997 1975 Dec 13 British medical journal Br Med J Letter: Irrigation of the vas for immediate sterility after vasectomy. 649 Slome J J eng Journal Article England Br Med J 0372673 0007-1447 AIM IM J Humans Male Therapeutic Irrigation Vas Deferens Vasectomy methods 753729 00028714 This letter attemps to show that previously published reports claiming that irrigation of the vas after (...) vasectomy, with nitrofurans or euflavine solutions does not dispense with the need for subsequent semen analyses. Techniques described were exactly followed. Semen analyses a t 8 and 12 weeks after vasectomy, in 1 of 84 cases, showed motile sperm at the 8th week but absence of sperm 1 and 2 months later in this patient. Therefore, immediate sterility cannot be guaranteed by vas irrigatio ns, although in most cases this procedure may hasten the onset of sterility. Postvasectomy semen examinations

1975 British medical journal

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