Contracepção masculina: a visão de candidatos à vasectomia / Male contraception: the view of vasectomy candidates / Anticoncepción masculina: la visión de candidatos para la vasectomia

Objetivo: analisar a percepção de homens, candidatos à esterilização, sobre a vasectomia e identificar os motivos que os levaram a escolher tal procedimento. Método: pesquisa qualitativa descritiva, realizada com 14 homens em um hospital universitário, do município do Rio Grande/RS, em 2019. Foram realizadas entrevistas semiestruturadas, submetidas à análise de conteúdo. Estudo aprovado pelo Comitê de Ética em Pesquisa. Resultados: a idade média foi de 31,8 anos, e a maioria tinha filhos com a atual e com ex-parceiras. O conhecimento vago sobre vasectomia foi reforçado após encontro com assistente social. A influência de conhecidos foi positiva na tomada de decisão. A proteção da saúde da esposa foi um dos motivos para a realização do procedimento. O histórico de vida cercado por violência na infância também serviu como motivação. Conclusão: é preciso um olhar ampliado, dos profissionais da saúde sobre o tema; considerando o contexto e o projeto de vida do cliente nas situações de planejamento familiar.

Objective: to analyze the perception of men, candidates for sterilization, about vasectomy and to identify the reasons that led them to choose the method. Method: qualitative descriptive research, carried out with 14 men in a university hospital, in the municipality of Rio Grande/RS, in 2019. Semi-structured interviews were carried out, submitted to content analysis. Study approved by the Research Ethics Committee. Results: the average age was 31.8 years, and most had children with the current and former partners. Knowledge about vasectomy was reformed after meeting with a social worker. A known influence was positive in decision making. The protection of the wife's health was one of the reasons for carrying out the procedure. The life history surrounded by childhood violence also serves as an individual motivation. Conclusion: an expanded look is needed by health professionals, taking into account the context and the life project in family planning situations.

Objetivo: analizar la percepción de los hombres, candidatos a la esterilización, sobre la vasectomía e identificar las razones que los llevaron a elegir el método. Método: investigación descriptiva cualitativa, realizada con 14 hombres en un hospital universitario, en el municipio de Rio Grande/RS, en 2019. Se realizaron entrevistas semiestructuradas, sometidas a análisis de contenido. Estudio aprobado por el Comité de Ética en Investigación. Resultados: la edad promedio fue de 31.8 años, y la mayoría tenía hijos con las parejas actuales y anteriores. El conocimiento sobre la vasectomía se reformó después de reunirse con un trabajador social. Una influencia conocida fue positiva en la toma de decisiones. La protección de la salud de la esposa fue una de las razones para llevar a cabo el procedimiento. La historia de la vida rodeada de violencia infantil también sirve como una motivación individual. Conclusión: los profesionales de la salud necesitan una mirada más amplia, teniendo en cuenta el contexto y el proyecto de vida en situaciones de planificación familiar

Da decisão aos resultados: narrativa de homens adultos acerca da vasectomia / De la decisión a los resultados: narrativa de hombres adultos sobre la vasectomía / From the decision to the results: narrative of adult men about vasectomy

Objective: To describe the role of the family in opting for vasectomy, the period of professional counseling and outcomes before the procedure from the perspective of adult men. Method: Descriptive and exploratory qualitative research approach. Data were collected in August 2013, through interviews, along with 13 men who had undergone surgical sterilization for at least six months in a city in the Paraná. Results: family represented the deciding factor for the choice men before the surgery because it was described as emotional support. Although the nurse did not attend the counseling process for performing vasectomy, surgical procedure and its results were described as satisfactory. Conclusion: nurses need to participate more actively in counseling to men who seek health services to perform the vasectomy and the family should be included in this process to provide support for male decision.

Objetivo: descrever o papel da família na opção pela vasectomia, o período de aconselhamento profissional e os resultados diante do procedimento na perspectiva de homens adultos. Método:investigação descritiva e exploratória de abordagem qualitativa. Os dados foram coletados em agosto de 2013, por meio de entrevista, com 13 homens que haviam sido submetidos à esterilização cirúrgica há, no mínimo, seis meses, em um município paranaense. Resultados: a família representou para os homens fator decisório na escolha pela cirurgia, pois foi descrita como suporte emocional. Apesar de o enfermeiro não ter participado do processo de aconselhamento para a realização da vasectomia, o procedimento cirúrgico e seus resultados foram descritos como satisfatórios. Conclusão: os enfermeiros necessitam participar mais ativamente do aconselhamento aos homens que buscam os serviços de saúde para a realização da vasectomia, e a família deve ser incluída nesse processo por constituir suporte para a decisão masculina.

Objetivo: Describir el papel de la familia en la opción de la vasectomía, el período de asesoramiento profesional y los resultados sobre el procedimiento en la perspectiva de los hombres adultos. Método: Investigación descriptiva y exploratoria del enfoque cualitativo. Los datos fueron recogidos en agosto del 2013, a través de la entrevista, junto con 13 hombres que habían sometido a la esterilización quirúrgica por al menos seis meses, en un municipio en Paraná. Resultados: La familia representó el factor de la toma de decisiones de los hombres antes de optar por la cirugía porque fue descrito como apoyo emocional. Aunque la enfermera no pudo haber participado en el proceso de asesoramiento para realizar la vasectomía, el procedimiento quirúrgico y sus resultados fue descrita como satisfactorio. Conclusión:Enfermeras deben participar más activamente en el Consejo a los hombres que buscan los servicios de salud para la realización de la vasectomía, y la familia debe ser incluida en este proceso por constituir el apoyo a la decisión.

Atendimento à demanda pela esterilização cirúrgica na Região Metropolitana de Campinas, São Paulo, Brasil: percepção de gestores e profissionais dos serviços públicos de saúde / Provision of voluntary surgical sterilization in the Campinas Metropolitan Area, São Paulo State, Brazil: perceptions of public health services managers and professionals

A presente pesquisa descreve a percepção de gestores e profissionais de serviços públicos de saúde de municípios da Região Metropolitana de Campinas, São Paulo, Brasil, acerca do atendimento à demanda pela esterilização cirúrgica voluntária. Trata-se de estudo qualitativo, em quatro municípios, onde se realizaram entrevistas semi-estruturadas com 26 gestores e profissionais de saúde envolvidos no atendimento às solicitações de esterilização cirúrgica. Apontaram-se dificuldades para agendamento de consultas nos ambulatórios de planejamento familiar ou centros de referência e número insuficiente de cirurgias que podiam ser agendadas semanalmente nos hospitais credenciados. Enfatizou-se a falta de estrutura física e recursos humanos tanto nas unidades básicas de saúde, quanto nos ambulatórios de planejamento familiar ou centros de referência. Houve críticas aos critérios legais para autorizar a esterilização, bem como se mencionaram adaptações para torná-los mais adequados à situação de cada município. Gestores e profissionais de saúde entendiam que, apesar dos esforços empenhados, o atendimento à demanda pela esterilização cirúrgica na Região Metropolitana de Campinas estava prejudicado pela centralização em ambulatórios de planejamento familiar ou centros de referência, que, na prática, tinham que suprir as deficiências da oferta de ações de planejamento familiar em geral na rede básica de cada município.

This study describes the perceptions of public health services managers and professionals concerning provision of voluntary surgical sterilization in the Campinas Metropolitan Area, São Paulo State, Brazil. The study adopted a qualitative approach in four municipalities (counties), where semi-structured interviews were conducted with 26 health professionals and health services managers involved in the provision of surgical sterilization. The interviewees identified difficulties in scheduling visits at Outpatient Family Clinics or Reference Centers (APF/CR), and the number of available surgeries in the accredited hospitals was insufficient. They emphasized the lack of physical infrastructure and human resources for conducting family planning activities in the primary health units as well as in the APF/CR.They also criticized the legal criteria for authorizing surgical sterilization, and mentioned adaptations to make them more appropriate to the each municipality's situation. According to the health services managers and professionals, despite the efforts, meeting the demand for surgical sterilization in the Campinas Metropolitan Area was jeopardized by its centralization in the APF/CR, which in practice had to cover the gap in family planning activities in each municipality's primary care units.

Assessment of sexual function in patients undergoing vasectomy using the international index of erectile function

INTRODUCTION: The present study aims to prospectively compare the sexual function in males before and after vasectomy surgery using the international index of erectile function (IIEF). MATERIALS AND METHODS: From October to December 2002, sixty-four patients who were candidates for male sterilization in the vasectomy program of the Urology Section at the General Hospital of the University of São Paulo were included. The same investigator applied the IIEF before and 90 days after the surgery. The mean scores obtained on pre and postoperative visits for all domains of sexual function were analyzed and compared with the Wilcoxon test. RESULTS: The mean patient age was 35 years (range from 25 to 48 years) and the mean number of children per man was 3. The total mean score of the IIEF was 64.06 before surgery and 65.64 after the procedure, with this difference considered statistically significant (p < 0.001). Sixty-seven per cent of the patients improved their scores, versus 17 percent and 16 percent who showed worsening or no change at all in IIEF scores following surgery, respectively. Of the 5 sexual function domains, desire and sexual satisfaction presented statistically significant improvement. CONCLUSION: This study showed that vasectomy caused a positive impact on sexual function, especially on desire and sexual satisfaction, in the majority of men undergoing surgery. There was no case of surgery-related erectile dysfunction.

Voluntary surgical contraception: a study on level of satisfaction.

Voluntary surgical contraception (VSC) is said to be one of the most popular, safe, effective and long term methods of birth control not only in Nepal but also in the world One of the very frequently suspected complication or effect of voluntary sterilization (female) is "post tubal sterilization syndrome". The term post tubal sterilization syndrome has been used variously to include abnormal menstrual bleeding, dysmenorrahoea, premenstrual distress, hysterectomy and miscellaneous other conditions like need for recanalisation, feeling of regret and menopausal syndrome. Abnormal vaginal bleeding due to ovarian dysfunction has been a regular and common complaint of the female clients after their TS. This study was carried out in a clinic setting to find out the level of satisfaction among the cases of VS. Level of satisfaction was measured by whether the client regretted the procedure, whether their menstrual pattern was changed after the procedure, performed either by themselves or VSC by the husband and also by finding out how many of them needed hysterectomy and recanalisation procedure. Women who had undergone TS were taken as the cases (group A) and those women whose husband has VSC were taken as control group (group B). The result showed that there is almost no difference in the age group of both case and control at the time of their consultation. At the time of VS almost 60% (56.53%) of cases were <29 years of age and >70% (71.23%) of the women were <29 years of age when their husbands were vasectomised. 26.15% of the women in group A were in the age group of 30-40 whereas this age group comprised of only 15.38% in group B. Average age at menarche was 14 years and average age at marriage 17 years. The menstrual pattern was not found to have changed in both groups excepts for those who had organic condition. Hysterectomy had been performed in only 5 cases at the age of 30, 34, 40, 42 and 43 years in group-A and in two case in group-B. Indications of hysterectomy n these cases were (DUB) and fibroids. Two patients in group-A had to undergo recanalisation but the indication in both the cases were loss of previous children.