21. Vasectomy - UROLOGY ASSOCIATES OF NORTH TEXAS UANT, urology Associates of North Texas, is a single specialty urology group Tubal pregnancies have significant potential complications including death. http://www.uant.com/vasectomy_jaderlund.html

Vasectomy By John Jaderlund M.D. Definition A vasectomy is a minor surgical procedure performed with the intention of causing permanent male sterilization. This is generally an in office procedure which takes about 10 -15 minutes of operative time. Vasectomy is the most common urologic procedure performed in the United States. Approximately 500,000 vasectomies are performed in the United States every year. A vasectomy does not change the patient's male hormone levels or desire for sex. Likewise, erectile function and quality of orgasm remain the same. The only difference is the absence of sperm in the semen which develops postoperatively. The sperm only comprise approximately 10 percent of the volume of the semen. Why have a Vasectomy Vasectomy should be considered a permanent form of sterilization. It is a completely elective operative procedure. It is not appropriate for patients who might consider starting a new family or having additional children in the future should their social situations change . The decision to have a vasectomy should be made only after careful consideration regarding the possibility of wanting to have additional children in the future. The decision to have a vasectomy should almost always be made after discussion with the patient's partner. The patient considering a vasectomy should also consider the risks and side effects of an unwanted pregnancy. While there are many other ways to prevent pregnancy, vasectomy is one of the most reliable ways to permanently prevent pregnancy. It requires less expense and is much safer than tubal ligation in women.

22. Urology Of Indiana > Male > Vasectomy vasectomy is a simple operation designed to make a man unable to father a child, less expensive, and has a lower incidence of complications. http://www.urologyin.com/male/vasectomy.html

Balanitis Bladder Cancer BPH Epididymitis ... Male > Vasectomy Overview Vasectomy is a simple operation designed to make a man unable to father a child, and is used as a means of contraception in many parts of the world. Approximately half a million vasectomies are performed in the U.S. each year. Among couples in the U.S., only female sterilization and oral contraception are used more often for family planning. Vasectomy involves blocking the tubes, or vas deferens , through which sperm pass into the semen. There are several vasectomy techniques, including traditional and no-scalpel. A new device called VasClip employs the no-scalpel technique, and promises to reduce pain and complications, although it does not have the long-term track record of standard vasectomy. Please talk with your doctor about the pros and cons of each type of vasectomy procedure. All vasectomy techniques involve cutting or otherwise blocking both the left and right vas deferens, so the ejaculate will no longer contain sperm thereby effectively eliminating the potential for pregnancy. Regardless of how it is performed, vasectomy offers many advantages as a method of birth control. It is a highly effective one-time procedure that provides permanent contraception. Unlike female sterilization, vasectomy is much simpler, less expensive, and has a lower incidence of complications.

23. Virtual Hospital: Department Of Urology: Fact Sheet: Vasectomy Reversal vasectomy Reversal. Jay Sandlow, MD* Department of urology check to be sure there are no complications, and then another followup at six weeks, http://www.vh.org/adult/patient/urology/vasectomyreversal/

Vasectomy Reversal Jay Sandlow, M.D. Department of Urology University of Iowa Hospitals and Clinics Creation Date: August 2001 Last Revision Date: August 2001 Peer Review Status: Internally Peer Reviewed *Currently Associate Professor and Vice Chair, Medical College of Wisconsin, Department of Urology Vasovasostomy Vasoepididymostomy Introduction Vasectomy is currently one of the most common methods of birth control in the United States. However, circumstances occasionally arise in which a couple wishes to have a child of their own after the male has had a vasectomy. Because of the greater availability of assisted reproductive techniques, as well as improvements in microsurgical techniques, a greater number of couples can now conceive a child of their own following vasectomy. The following is a brief overview of the evaluation, success rates, and costs of a vasectomy reversal. There are two types of reversal, depending upon the level of obstruction in the male reproductive tract. Vasovasostomy involves re-connecting the two ends of the vas deferens back together, whereas vasoepididymostomy connects the epididymis to the vas deferens. The decision of which to perform is made at the time of surgery, depending upon the surgical findings. It is partially related to the length of time since the vasectomy, since a longer period of time can cause a secondary obstruction in the epididymis. Evaluation The initial evaluation consists of a thorough history and physical, in order to identify any concurrent conditions that may also lead to fertility problems. This would include the male's partner as well, since a woman with significant fertility problems would need to be evaluated prior to performing a vasectomy reversal. Important information for the history would include the date of the vasectomy, a copy of the operative report if available, any medical conditions, medications, or previous surgeries. It is also beneficial to identify any problems that may have occurred following the vasectomy procedure. The physical exam consists of a general exam, as well as a detailed genital exam to assess the condition of the vas deferens. We do not routinely check any blood tests or a semen analysis unless there are specific reasons for which to do so.

24. Why Vasectomy Is Risky? Some Men Suffer Some Pretty Severe Side Effects After Un Again from Campbell’s urology “vasectomy results in violation of the bloodtestis The pain resulting from post-vasectomy complications can be so great, http://www.skfriends.com/is-vasectomy-risky.htm

var site="s19sk2kgso" Diagrams Source: http://dontfixit.org/references.htm Click on images to enlarge (Don't get the wrong idea) Friday May 11 08:56 PM EDT Why Vasectomy Is Risky? Some men suffer some pretty severe side effects after undergoing the operation. Aired Thursday, May 10, 2001 at 11 p.m. By CBS 2 News Special Assignment reporter Linda Alvarez bringing to light some of the risks of vasectomy. Alvarez met Rob Morrison, an active guy who's raced dirt bikes competitively and won a number of championships. When Rob and his wife Jodie decided that they were done having kids, he decided to have a vasectomy. "I'd say within 3 to 4 months, I started feeling these things, these symptoms which I hadn't experienced prior to my vasectomy," he told Special Assignment. Allergic reactions, aches in his joints and pain in his testicles caused him constant discomfort. "I've got pain now that I didn't have before; I've got these allergic types of symptoms that I didn't have before and they're telling us it's a safe and simple operation they do on 500,000 guys a year," Morrison said. It wasn't until after he found a book on the Internet that Morrison discovered he may have been suffering from post vasectomy pain syndrome.

25. Vasectomy Techniques - July 1999 - American Academy Of Family Physicians complications of vasectomy. Am Fam Physician 1993;4812648. urology 1992;40468-70. Schmidt SS. vasectomy by section, luminal fulguration and fascial http://www.aafp.org/afp/990700ap/137.html

Advanced Search AAFP Home Page Journals Vol. 60/No. 1 (July, 1999) Vasectomy Techniques TIMOTHY L. CLENNEY, LCDR, MC, USN, and JAMES C. HIGGINS, CDR, MC, USN Naval Hospital Jacksonville, Florida A patient information handout on vasectomy, written by the authors of this article, is provided on page 151. Vasectomy can be performed by means of various techniques, although each vasectomy technique requires isolation and division of the vas and operative management of the vasal ends. Removal of at least 15 mm of vas is recommended, although division of the vas without removal of a segment is effective when this technique is combined with other techniques for handling the vasal ends, such as thermal luminal fulguration and proximal fascial interposition. Ligation of the ends without the aid of surgical clips may result in necrosis and sloughing of the ends, which may cause early failure. Leaving the testicular end of the vas open has been shown to be effective and to result in a lower incidence of epididymal congestion and sperm granuloma. The no-scalpel technique offers shorter operating time, less pain and swelling, and faster recovery. (Am Fam Physician 1999;60:137-52.) V asectomy is among the most reliable and cost-effective methods of contraception. Family physicians perform approximately 15 percent of the estimated 500,000 vasectomies performed each year in the United States.

26. Review Of The Complications And Medicolegal Implications Of Vasectomy -- Gingell For the majority of men, with a low risk of complications, vasectomy is an Specialist Advisory Committee in urology. Specialist training in urology. http://pmj.bmjjournals.com/cgi/content/full/77/912/656

HOME HELP FEEDBACK SUBSCRIPTIONS ... TABLE OF CONTENTS Author Keyword(s) Vol Page [Advanced] This Article Extract Full Text (PDF) Submit a response ... Alert me if a correction is posted Services Email this link to a friend Similar articles in this journal Similar articles in PubMed Add article to my folders ... Cited by other online articles PubMed PubMed Citation Articles by Gingell, C Articles by Carroll, R Related Collections Urology Postgrad Med J 656-659 ( October ) Personal view Review of the complications and medicolegal implications of vasectomy C Gingell a , D Crosby b , R Carroll c a Department of Urology, Southmead Hospital, Westbury-on-Trym, Bristol BS10 5NB, UK, b University Hospital, Wales, Cardiff, c Manchester Clinic Correspondence to: Mr Gingell Submitted 8 December 2000 Accepted 22 February 2001 Introduction Top Introduction Counselling and consent Can operative difficulties be...

27. Review Of The Complications And Medicolegal Implications Of Vasectomy -- Gingell Review of the complications and medicolegal implications of vasectomy a Department of urology, Southmead Hospital, Westburyon-Trym, Bristol BS10 5NB, http://pmj.bmjjournals.com/cgi/content/extract/77/912/656

HOME HELP FEEDBACK SUBSCRIPTIONS ... TABLE OF CONTENTS Author Keyword(s) Vol Page [Advanced] This Article Full Text Full Text (PDF) Submit a response ... Alert me if a correction is posted Services Email this link to a friend Similar articles in this journal Similar articles in PubMed Add article to my folders ... Cited by other online articles PubMed PubMed Citation Articles by Gingell, C Articles by Carroll, R Related Collections Urology Postgrad Med J 656-659 ( October ) Personal view Review of the complications and medicolegal implications of vasectomy C Gingell a , D Crosby b , R Carroll c a Department of Urology, Southmead Hospital, Westbury-on-Trym, Bristol BS10 5NB, UK, b University Hospital, Wales, Cardiff, c Manchester Clinic Correspondence to: Mr Gingell LitfieldHouse@dial.pipex.com Submitted 8 December 2000 Accepted 22 February 2001 The first 150 words of the full text of this article appear below.

28. Urology At MUC-No-Scalpel Vasectomy Dr. Ohl has performed vasectomies since joining the urology Department faculty in potential complications, medical history and a physical examination. http://www.med.umich.edu/urology/PatientInfo/PatientInfoPages/NS-Vasectomy.htm

Department of Urology at the Michigan Urology Center Patient Information Clinical Specialties Residency and Fellowships Research Programs ... Department History No-Scalpel Vasectomy A vasectomy is a form of permanent male sterilization. During the vasectomy, the doctor will make one opening in the scrotal sac, then cut and block the tubes (the vas deferens) that carry sperm from where they are made in the testicles to where they enter the semen. Following the vasectomy, these tubes are blocked. A vasectomy will not alter erectile function, testosterone level or urinary function. It is very important to recognize the permanent nature of this procedure. It is possible to reverse a vasectomy, but it is expensive and there is no guarantee that it will be successful. It is possible to cryopreserve sperm prior to a vasectomy; this service is offered at University of Michigan for interested men [link to gamete cryopreservation]. Dr. Ohl

29. NSV complications of vasectomy are infrequent and may be divided into 2 categories urology 1992;39 173176; 4.Shapiro EI., Silber SJ. Ipen-ended vasectomy http://www.uhmc.sunysb.edu/urology/male_infertility/NSV.html

Male Infertility Program No-Scalpel Vasectomy The two currently available male methods of contraception are condom use and vasectomy. Vasectomy is the major male contraceptive method in the USA, New Zealand, Australia, Great Britain, Canada, The Netherlands, China, India and Korea. Over the past two decades, the number of American couples choosing vasectomy as their method of contraception has risen. Nearly 7% of all married couples choose vasectomy as their form of birth control making it the third most popular form of contraception after female sterilization and oral contraception. However, vasectomy is faster, safer and less expansive than tubal ligation. In 1995, an estimated 493,882 vasectomies were performed in USA. 29% of all procedures were " no-scalpel " vasectomies. NSV requires less operating time and is performed in the office No scalpel vasectomy (NSV) was developed in China in 1974 and introduced to United States by Dr. Marc Goldstein from Cornell Medical Center, New York, in 1985. The procedure performed under local anesthesia using two specialized instruments designed in China: an extracutaneous vas deferens fixation clamp and dissecting clamp. The primary difference between NSV and conventional incisional technique lies in the delivery of the vas deferens. In a traditional vasectomy, the surgeon makes one or two incisions to gain access to the vas deferens; in the no-scalpel method, a small puncture in size is all that required. The puncture hole is gently stretched to pull the vas deferens. Then the vas deferens is cut and both ends are cauterized and closed with titanium clips or tied. This method results in fewer complications and rarely requires sutures to close the surgical site. Recovery time is usually faster and less painful because the procedure itself is less traumatic.

30. Common Urological Problems: No-Scalpel Vasectomy Department of urology Common Urological Problems NoScalpel vasectomy complications of vasectomy are infrequent and may be divided into 2 http://www.hsc.stonybrook.edu/som/urology/urology_cp_vasectomy.cfm

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31. Iatrogenic Urethral Injury During Vasectomy The Internet Journal of urology. 2005. Volume 2 Number 2. complications during vasectomy are extremely rare especially urethral injuries, http://www.ispub.com/ostia/index.php?xmlFilePath=journals/iju/vol2n2/vasectomy.x

32. The Internet Journal Of Urology TM Specialist Registrar in urology Department of urology Morriston Hospital complications during vasectomy are extremely rare especially urethral injuries, http://www.ispub.com/ostia/index.php?xmlPrinter=true&xmlFilePath=journals/iju/vo

33. Current Opinion In Urology - UserLogin Correspondence to Dr John P. Mulhall, Department of urology, The complications associated with vasectomy reversal, whether in the form of either http://www.co-urology.com/pt/re/courology/fulltext.00042307-199811000-00009.htm

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34. About Urology Associates Of Danbury, PC: Vasectomy Information Although complications are rare with vasectomies, any surgical procedure, urology Associates of Danbury does provide vasectomy reversals to our http://www.danburyuro.com/procedures/vasinfo.html

SEARCH Vasectomy What a Vasectomy Does and Doesn't Do Preparing for a Vasectomy How a Vasectomy is Performed - "No Scalpel" Vasectomies What to Expect During the Postoperative Period ... How to Arrange for a Vasectomy Vasectomy is the most common form of male contraception in this country. Each year, about half a million men in the United States who want to practice reliable birth control without placing the burden on their female partners undergo this relatively simple surgical procedure. Vasectomy is the clinical term given to the process of dividing the tubes that deliver sperm from testes. The procedure typically takes about half an hour and involves minimal surgery. Generally, the patient heals quickly with relatively few complications or failures, and no discernible negative impact on sexual performance. Although intended as a permanent form of male sterilization, it is sometimes possible to reverse the process surgically at a later date. What a Vasectomy Does and Doesn't Do In a vasectomy, the physician cuts and ties off the ends of the vas deferens. This prevents sperm from mixing with the seminal fluid. At ejaculation then, the semen is devoid of sperm. Although the testes will continue to produce sperm, they can no longer pass through the vas deferens. Instead, they die and are absorbed into the body.

35. Entrez PubMed Trial of ibuprofen to prevent postvasectomy complications. Manson AL. Department of urology, Naval Hospital, Great Lakes, Illinois. http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=3

36. Entrez PubMed Department of urology, Henry Ford Hospital, Detroit Michigan, USA. A questionnaire of 154 questions addressing postvasectomy complications, http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=8

37. Vasectomy Reversal & MESA For Male Infertility Article vasectomy Reversal Success Risks and complications Before having surgery The urology Team physician will obtain a complete history and physical if http://www.intra-focus.com/urology/F13CFB43-65BE-CC3C-1CA1DE5D32120315.htm

What is Vasectomy Reversal? Vasectomy Reversal Success Risks and Complications Procedure Preparations ... Options if the Reversal Does Not Work For the past thirty years, vasectomy has been one of the most popular, effective and safest methods of contraception or sterilization because of its success rate. In 1982 more than 15% of all couples using contraception relied on sterilization of the male partner. Vasectomy causes sterility by blocking the flow of sperm from the testicles. This method of contraception involves a minor surgical procedure usually done in doctors' offices. Because of the simplicity of this method and its effectiveness, about a million men have this procedure done yearly. It is important to note that a vasectomy does not significantly alter a person's ability to produce sperm. Therefore almost all men who fathered children in the past will have sperm present within the testis and epididymis following a vasectomy. A vasectomy is reversible, but the reversal is not always successful. Approximately 300,000 men of the million

38. Urology/Nephrology Medical Illustration, Medical Animation, Anatomical Model urology/Nephrology Medical Illustration, Medical Animation, Anatomical Model complications Following vasectomy exh43529a Medical Chart http://catalog.nucleusinc.com/categories.php?CatID=017&P=7

39. Vasectomy Psychiatry Radiology Surgery urology. Account. Administrator Login complications Following vasectomy Medical Chart Add to my lightbox http://catalog.nucleusinc.com/displaymonograph.php?MID=164

40. Morristown Urology Associates - Urologists - New Jersey - Vasectomy Morristown urology. vasectomy is a simple, safe, and effective means of permanent The vasectomy Procedure Surgery After Surgery Risks and complications http://www.morristownurology.com/vasectomy.shtml

Vasectomy is a simple, safe, and effective means of permanent birth control or sterility. Each year about one-half million men in the United States are choosing vasectomy as their method of birth control. It is and important decision because it is potentially irreversible. There are two important decisions that you need to make before proceeding with a vasectomy. Number one is that you don't want to have anymore children. This is a decision that you need to make with your partner. A vasectomy may not be for you if you are very young, if your current relationship is not permanent, if you are having a vasectomy to please your partner and you do not really want it, if you are under a lot of stress, or if you are counting on it being reversed at a later day. Your Reproductive System How a Vasectomy Works The Vasectomy Procedure Surgery ... Pre and Post-Operative Instructions for Vasectomy Patients Your Reproductive System To understand how a vasectomy works, you need to know how sperm is produced, stored and released by your reproductive system. The testes are glands that sit inside pouch of skin called the scrotum . The testis produce tiny sperm (male reproductive cells)and male hormones. The epididymis is a coiled tube that holds the sperm while they mature.

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