DOI: http://dx.doi.org/10.18203/2349-2902.isj20181406

A comparative study of scalpel versus no scalpel vasectomy

Himanshu R. Patel, Hardik Solanki, Prakash Dharaviya

Abstract


Background: The objective of this study was to compare the standard vasectomy method and no scalpel vasectomy and complications, effectiveness, safety and acceptability of standard vasectomy (SV) versus no-scalpel standard vasectomy (NSV).

Methods: Informed man who does not want to become father of any children and who desires an inexpensive outpatient method of voluntary permanent surgical sterilization, explain to patient and his wife regarding both procedure, semen analysis done after 3 months in every patient.

Results: In NSV 72% patients required 10 to 20 minutes and in SV 100% required 20 to 35 minutes operative time. NSV, out of which 28% and in SV performed 60% having perioperative pain. NSV only 8% and 40% in SV having pain during follow up. In NSV average analgesic requirement was 2-3 days while among SV average analgesic requirement was 6-8 days. NSV, average antibiotic requirement was 5 days while among SV average antibiotic requirement was 7-10 days. In NSV 8% and in SV 32% were having infection during follow up. In NSV8% having wound problem during follow-up. In SV 32% having wound problem during follow-up. NSV 0% and in SV4% having vasectomy failure.

Conclusions: Compared to the standard vasectomy technique, the no-scalpel vasectomy approach to the vas resulted in less bleeding, less pain during or after the procedure, and infection, as well as a shorter operative time, no longer day’s analgesic and antibiotic requirement and a more rapid resumption of sexual activity.  


Keywords


No scalpel vasectomy, Standard vasectomy, Vasectomy

Full Text:

PDF

References


2017 Web MD, sexual health, birth control, Available at http://www.webmd.com/sex/birth-control/vasectomy-14387.

Health line medical team, Available at https://www.healthline.com/human-body-maps/ductus-deferens

Planned Parenthood Federation of America Inc, Birth control, Available at https://www.plannedparenthood.org/learn/birth-control/vasectomy

World health organization, Technical and managerial guidelines for vasectomy services, vasectomy.1988; 125p.

Planned parenthood Federation of america, exclusion criteria for birth control. Available at https://www.plannedparenthood.org/learn/birth-control/vasectomy

Cook LA, Pun A, Van Vliet H, Gallo MF, Lopez LM. Scalpel versus no-scalpel incision for vasectomy. Cochrane Database Syst Rev. 2007 18;2.

Sandhu AS, Kao PR. Comparative evaluation of no-scalpel vasectomy and standard incisional vasectomy. Med J Armed Forces. 1998;54(1):32-4.

Sokal D, McMullen S, Gates D, Dominik R. A comparative study of the no scalpel and standard incision approaches to vasectomy in 5 countries. The Male Sterilization Investigator Team. J Urol 1999;162(5):1621-5.

Nirapathpongporn A, Huber DH, Krieger JN. No-scalpel vasectomy at the King's birthday vasectomy festival. Lancet 1990;335(8694):894-5.

Li SQ, Goldstein M, Zhu J, Huber D. The no scalpel vasectomy. J Urol.1991;145(2):341-4.

Labrecque M, Dufresne C, Barone MA, St-Hilaire K. Vasectomy surgical techniques: a systematic review. BioMed Central Medicine 2004;2:21.