Vasectomy: efficacy of placing the cut vas in different fascial planes.
Fertil Steril
; 33(4): 433-8, 1980 Apr.
Article
en En
| MEDLINE
| ID: mdl-7364071
ABSTRACT
PIP: In a series of 40 vasectomy patients, the procedures were performed through double vertical scrotal incisions. The vasa were separated from their sheaths and transected, but no part of the vas was removed. In 12 of the procedures, interposition of the fascia was performed and in the other 28, it was not. It has been felt that this interposition procedure created an impenetrable wall of fascia, preventing spontaneous anastomosis. The failure rate in this particular series was 21.4% for the patients in whom fascia was not interposed between the 2 cut ends of the vas; the failure rate for the 12 in whom fascia was interposed was 16.7%. There is no statistical difference in the failure rates for the 2 procedures. Thus, the interposition procedure does not seem to reduce the possibility of failure. Histologic examination of vasal tissue was made in 2 cases at the time of repeat vasectomy. 1 of these patients had undergone each of the 2 procedures. Microscopic pictures of the 2 cases are presented. The histologic examination showed that sperm granulomas can erode the fascia and the wall of the vas.
Palabras clave
Case Studies; Contraception; Contraception Failure; Contraceptive Usage; Diseases; Family Planning; Follow-up Studies; Granulomas; Histology; Male Sterilization; Male Urologic Surgery; Research Methodology; Signs And Symptoms; Sperm Count; Sterilization, Sexual; Studies; Surgery; Treatment; Vasectomy
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Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Conducto Deferente
/
Vasectomía
/
Fasciotomía
Tipo de estudio:
Diagnostic_studies
/
Prognostic_studies
Límite:
Humans
/
Male
Idioma:
En
Revista:
Fertil Steril
Año:
1980
Tipo del documento:
Article
Pais de publicación:
Estados Unidos