Clinical indications for recanalization following tubal sterilization / 中国实用妇科与产科杂志

For women planning pregnancy after tubalsterilization,they have to choose tubal recanalization or vitro fertilization(IVF).The important factors fordetermining the successful pregnancy after recanali-zation are the age of patient,the remaining length oftube,the type of sterilization initially performed and thetechnique of tubal recanalization.For women 40 years whoare with electrocoagulation as the method of steriliza-tion,they are suitable for IVF.Nevertheless,for the restones,there is no evidence showing which strategy islikely to be more effective.

Causes of Male Re-canalisation (Vasovasostomy (Reversal Surgery)) in Vasectomy Client in Nepal.

Re-canalisation is the process of restoring flow to or reuniting an interrupted channel of a bodily tube (as a blood vessel or vas deferens) In Nepal in 2012–2013 surgeons performed 20,588 vasectomies with an incidence of 1.64 new acceptors per 100 women of reproductive age. Divorce rate is getting high as women are empowered (education, job), they can depend on themselves. The purpose of the study was two-fold. Firstly it was to assess the suitability for male recanalization and factors predicting for recanalization. Secondly, it was to analyze the reasons following vasectomies recanalization.Both qualitative and quantitative methods was used with 18 Key in-depth Interview, 111 men at a FPAN central clinic lalitpur and Valley branch Koteshwor seeking vasectomy sterilization reversal between May 2011 and May 2014.Results showed that individual excised the Re-canalisation ranged from 27 to 54 years with median age of 38. On the address of the respondents for the recanalization 66.7 percent were from outside valley followed by 33.3 percent from inside valley. On the cause of recanalization, 51.7% of the respondents were second marriage followed by 27.6%. The association between Children and cause of recanalization is statistically significant (P=0.046) with Cramer’s strength of association of 56.4%. Labor migrant are main restorant due to divorce,change of life style and the income.It was concluded that the commonest cause of the recanalization is second marriage. The risk of recanalization and its implications should be explained to the patient.