PURPOSE We describe a new, modified jet injection technique for local anesthesia for no-scalpel vasectomy without the use of a needle, which may minimize the fear of vasectomy in men due to the needle involved in local anesthesia. MATERIALS AND METHODS A MadaJet Medical Injector (MADA Medical Products, Carlstadt. New Jersey) was used in this study to deliver a high pressure spray of 0.1 cc lo...

BACKGROUND Vasectomy techniques have been the subject of relatively few rigorous studies. The objective of this analysis was to compare the effectiveness of two techniques for vas occlusion: intraluminal cautery versus ligation and excision with fascial interposition. More specifically, we aimed to compare early failure rates, sperm concentrations, and time to success between the two techniques...

OBJECTIVES To examine patient compliance, complications, and significance of rare nonmotile sperm (RNMS) after no-scalpel vasectomy. METHODS We reviewed the records of 690 consecutive men who had undergone vasectomy at our institution between 1996 and 2002. All men were instructed to submit two initial semen samples for analysis (3 and 4 months after vasectomy) and additional samples (at 2-mo...

Vasectomy reversal by vasovasostomy after long-term vasectomy in men results in lower sperm counts and pregnancy rates compared with controls, and severe damage to spermatogenesis has been observed in some animal models such as mice. The primary aim of this study was to evaluate, using sophisticated stereological methods, whether vasectomy of 6 and 12 months in a non-human primate would lead to...

Background: Vasectomy is a safe and effective method to prevent fertility. This method is practical in most regions, because it does not require complex technology. In spite of this, in some regions of Iran, It has not been approved because of the general believe that vasectomy causes impotence. Materials and Methods: In this cross-sectional research, 110 persons who were underwent vasectomy ...

286 men presenting for vasectomy were interviewed preoperatively as a psychological screening; their wives were interviewed separately. Age range was from 23-49 years. Number of children tended to be small (mean, 2.7 children/couple). The length of time the couple was married varied widely (5-25 years). In this screening interview special reference was made to emotional and sexual difficul...

We have performed an experimental study on rats and dogs to evaluate the long term effects (from 1 to 12 months) of vasectomy on the structure of the testis. From four months after vasectomy onwards, the specimens showed very important changes in the seminiferous epithelium and Sertoli cells, with an obvious thickening of the basement membrane that supports the epithelium. The deterioration dep...

To cite: Davies A, Fleming C. J Fam Plann Reprod Health Care 2014;40:61–63. WHY WAS CHANGE NEEDED? Fourteen percent of couples in the UK use vasectomy as their method of contraception. Accessing vasectomy services should be made as easy and patientfriendly as possible. Unlike many surgical procedures, it is the patient who decides that it is indicated, not the surgeon. Most men requesting vasec...

Some studies have suggested that vasectomy is associated with the increased risk of prostate cancer, however, this conclusion is not supported by all the published studies. In order to examine the relationship between vasectomy and prostate cancer risk, we conducted a meta-analysis of cohort studies to clarify this controversial association. PubMed and Medline were used to identify the cohort s...

CONTEXT The European Association of Urology presents its guidelines for vasectomy. Vasectomy is highly effective, but problems can arise that are related to insufficient preoperative patient information, the surgical procedure, and postoperative follow-up. OBJECTIVE These guidelines aim to provide information and recommendations for physicians who perform vasectomies and to promote the provis...