Optimizing outcomes in vasectomy: how to ensure sterility and prevent complications.

Document Type

Article

Publication Title

Translational Andrology And Urology

Abstract

Vasectomy provides a long-term effective sterilization for men and is performed on nearly 500,000 men annually in the United States. Improvements in technique have led to a decreased failure rate and fewer complications, although significant variations in technique exist. Use of cautery occlusion with or without fascial interposition appears to have the least failures. A no-scalpel approach lowers risk of hematoma formation, infection and bleeding post-operatively. A patient can be considered sterile when azoospermia is achieved or the semen analysis shows less than 100,000 non-motile sperm per milliliter. Incorporating these principles may allow the physician to optimize outcomes in vasectomy.

First Page

176

Last Page

180

DOI

10.21037/tau.2016.03.04

Publication Date

4-1-2016

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