Vasectomy occlusion technique combining thermal cautery and fascial interposition
Int. braz. j. urol
; 37(5): 630-635, Sept.-Oct. 2011. ilus
Article
in English
| LILACS
| ID: lil-608132
Responsible library:
BR1.1
ABSTRACT
INTRODUCTION:
Recent research on vasectomy shows that combining cautery and fascial interposition (FI) achieves the most effective occlusion of the vas and minimizes the risk of failure. We present a technique that combines cautery and FI and is suitable for low-resource settings. SURGICAL TECHNIQUE The surgical technique consists of 1) exposing the vas with the no-scalpel approach; 2) cauterizing the epithelium of lumen of the vas using a portable battery-powered cautery device; 3) performing FI by grasping internal spermatic fascia and applying a free tie with suture material on the fascia to cover the prostatic stump of the vas and separate the two ends of the cut vas; and 4) excising a small 0.5 to 1 cm of the testicular stump.COMMENTS:
To maximize vasectomy effectiveness, vasectomy providers should consider learning thermal cautery and FI to occlude vas deferens.
Full text:
Available
Collection:
International databases
Database:
LILACS
Main subject:
Vas Deferens
/
Vasectomy
/
Cautery
Limits:
Humans
/
Male
Language:
English
Journal:
Int. braz. j. urol
Journal subject:
Urology
Year:
2011
Document type:
Article
Affiliation country:
Canada
Institution/Affiliation country:
Centre Hospitalier Universitaire de Québec/CA