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Risk of post-vasectomy infections in 133,044 vasectomies from four international vasectomy practices
Lawton, Samuel; Hoover, Alison; James, Gareth; Snook, Simon; Quiroz, Diana Soraya Torres; Labrecque, Michel.
  • Lawton, Samuel; Emory University. Rollins School of Public Health. Atlanta. US
  • Hoover, Alison; Emory University. School of Medicine. Atlanta. US
  • James, Gareth; Primary Care. GB
  • Snook, Simon; SNIP Vasectomy Clinics. NZ
  • Quiroz, Diana Soraya Torres; Profamilia. Bogota. CO
  • Labrecque, Michel; Laval University. Department of Family and Emergency Medicine. Quebec City. CA
Int. braz. j. urol ; 49(4): 490-500, July-Aug. 2023. tab, graf
Artigo em Inglês | LILACS-Express | LILACS | ID: biblio-1506391
ABSTRACT
ABSTRACT

Objectives:

To estimate the risk of post-vasectomy infections in various settings and across various surgical techniques and sanitization practices. Patients and

Methods:

Retrospective review of the records of 133,044 vasectomized patients from four large practices/network of practices using the no-scalpel vasectomy (NSV) technique in Canada (2011-2021), Colombia (2015-2020), New Zealand (2018-2021), and the United Kingdom (2006-2019). We defined infection as any mention in medical records of any antibiotics prescribed for a genital or urinary condition following vasectomy.

Results:

Post-vasectomy infection risks were 0.8% (219 infections/26,809 procedures), 2.1% (390/18,490), 1.0% (100/10,506), and 1.3% (1,007/77,239) in Canada, Colombia, New Zealand, and the UK, respectively. Audit period comparison suggests a limited effect on the risk of infection of excising a short vas segment, applying topical antibiotic on scrotal opening, wearing a surgical mask in Canada, type of skin disinfectant, and use of non-sterile gloves in New Zealand. Risk of infection was lower in Colombia when mucosal cautery and fascial interposition [FI] were used for vas occlusion compared to ligation, excision, and FI (0.9% vs. 2.1%, p<0.00001). Low level of infection certainty in 56% to 60% of patients who received antibiotics indicates that the true risk might be overestimated. Lack of information in medical records and patients not consulting their vasectomy providers might have led to underestimation of the risk.

Conclusion:

Risk of infection after vasectomy is low, about 1%, among international high-volume vasectomy practices performing NSV and various occlusion techniques. Apart from vasectomy occlusion technique, no other factor modified the risk of post-vasectomy infection.


Texto completo: DisponíveL Índice: LILACS (Américas) Tipo de estudo: Estudo de etiologia / Fatores de risco Idioma: Inglês Revista: Int. braz. j. urol Assunto da revista: Urologia Ano de publicação: 2023 Tipo de documento: Artigo País de afiliação: Canadá / Colômbia / Nova Zelândia / Estados Unidos / Reino Unido Instituição/País de afiliação: Emory University/US / Laval University/CA / Primary Care/GB / Profamilia/CO / SNIP Vasectomy Clinics/NZ

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Texto completo: DisponíveL Índice: LILACS (Américas) Tipo de estudo: Estudo de etiologia / Fatores de risco Idioma: Inglês Revista: Int. braz. j. urol Assunto da revista: Urologia Ano de publicação: 2023 Tipo de documento: Artigo País de afiliação: Canadá / Colômbia / Nova Zelândia / Estados Unidos / Reino Unido Instituição/País de afiliação: Emory University/US / Laval University/CA / Primary Care/GB / Profamilia/CO / SNIP Vasectomy Clinics/NZ