Effectiveness and Complications Associated With 2 Vasectomy Occlusion Techniques

Abstract

No AccessJournal of UrologyCLINICAL UROLOGY: Original Articles1 Dec 2002Effectiveness and Complications Associated With 2 Vasectomy Occlusion Techniques MICHEL LABRECQUE, HANIF NAZERALI, MYRTO MONDOR, VINCENT FORTIN, and MARLINA NASUTION MICHEL LABRECQUEMICHEL LABRECQUE , HANIF NAZERALIHANIF NAZERALI , MYRTO MONDORMYRTO MONDOR , VINCENT FORTINVINCENT FORTIN , and MARLINA NASUTIONMARLINA NASUTION View All Author Informationhttps://doi.org/10.1016/S0022-5347(05)64176-6AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: We compared the effectiveness and complications associated with 2 common vasectomy occlusion techniques, namely clipping and excision of a small vas segment and thermal cautery with fascial interposition and an open testicular end. Materials and Methods: We retrospectively reviewed the computerized records of 3,761 men who underwent initial vasectomy at a single university hospital family planning clinic and at 2 private clinics in the Quebec City, Canada area, including concurrent and historical controls. All procedures were performed by 1 surgeon, who used the scalpel-free technique to expose the vas. Results: The risk of vas occlusion failure in men with at least 1 semen analysis was much greater in the clipping and excision group than in the cautery, interposition and open testicular end group (126 of 1,453 or 8.7% versus 3 of 1,165 or 0.3%, OR 37, 95% CI 12 to 116). Medical consultations for hematoma or infection were more frequent in the cautery group (28 of 1,721 cases or 1.6% versus 10 of 2,040 or 0.5%, OR 3.4, 95% CI 1.6 to 6.9). Consultations for noninfectious pain were similar for the 2 techniques (71 of 1,721 cases or 4.1% versus 72 of 2,040 or 3.5%, OR 1.2, 95% CI 0.8 to 1.6). 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