Warning: The NCBI web site requires JavaScript to function. more...
Generate a file for use with external citation management software.
Research Center, Hôpital Saint-François d'Assise, Centre Hospitalier Universitaire de Quebec, Quebec, Canada. michel.labrecque@mfa.ulaval.ca
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.
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.
To maximize vasectomy effectiveness, vasectomy providers should consider learning thermal cautery and FI to occlude vas deferens.
Your browsing activity is empty.
Activity recording is turned off.
Turn recording back on