Fascial Interposition Technique for Vasectomy: Is It Justified?

Vol. 82, No. 3, 2009

Article (References) Article (PDF 127 KB)

Original Paper

Fascial Interposition Technique for Vasectomy: Is It Justified?
S. Shakeri^{a, b}, A.R. Aminsharifi^a, M. Khalafi^b

^aDepartment of Urology and
^bNader-Kazemi Fertility Sterility Clinic of Shiraz University of Medical Sciences, Shiraz, Iran

Address of Corresponding Author

Urol Int 2009;82:361-364 (DOI: 10.1159/000209373)

Key Words

Vasectomy
Fascial interposition technique
Non-scalpel vasectomy

Abstract

Purpose: To assess the feasibility of the fascial interposition (FI) technique to improve the results of non-scalpel vasectomy (NSV) through a cost-effective modification. Patients and Methods: The outcome of the FI technique for NSV in 954 consecutive candidates treated by two surgeons was evaluated retrospectively. 726 (76%) of the clients had undergone NSV with FI (FI group) and for the other 228 (24%) NSV by simple ligation and excision (LE) without FI (NFI group) was performed. Demographic data, operative time and complications as well as vasectomy failures were analyzed between the two groups. Results: The two groups were age-matched and there were no significant differences between the two procedures regarding operative complications and operative time. 13 cases of vasectomy failures (5.7%) were detected after 3 months of follow-up, all in the NFI group. No vasectomy failure was recognized in the FI group. Conclusion: Combined use of FI with simple LE could be considered a simple effective method for NSV with a high success rate that allows the NSV to remain as a reliable option for contraception.

Author Contacts

Dr. Alireza Aminsharifi
Department of Urology, Shaheed Faghihi Hospital
Zand St., PO Box 71344
Shiraz (Iran)
Tel. +98 917 7000 656, Fax +98 711 233 0724, E-Mail aminsharifi_ar@yahoo.com

Article Information

Received: May 21, 2007
Accepted after revision: February 28, 2008
Published online: May 11, 2009
Number of Print Pages : 4
Number of Figures : 0, Number of Tables : 1, Number of References : 20

Cited in Web of Science®

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