41. Cornell No-Scalpel Vasectomy Center urology, 39173176, 1992). The No-Scalpel vasectomy uses an advanced technique to anesthetize More serious complications of the No-Scalpel vasectomy, http://www.cornellurology.com/uro/cornell/infertility/no_scalpel.shtml

Advanced Search General Information Surgical Procedures Sperm Retrieval Techniques ... Patients Cornell No-Scalpel Vasectomy Center Introduction The history of No-Scalpel vasectomy (NSV) The first No-Scalpel Vasectomy in the United States The leading Center for male surgical contraceptive research and training ... References Introduction Vasectomy is a simple, safe and effective method of permanent surgical contraception for men. It is much safer and less expensive than tubal ligation for women. For this reason, over 500,000 men undergo vasectomy in the United Sates each year. Nearly 7 to 10% of all married couples choose vasectomy as their permanent form of birth control. The history of No-Scalpel Vasectomy (NSV): Dr. Shunqiang Li developed the No-Scalpel Vasectomy (NSV) in 1974 in China. It is a safe and minimally invasive procedure with a much lower complication rate than that of the conventional vasectomy. It was first introduced to physicians in the West when the New York-based " Association for Voluntary Surgical Contraception" (now AVSC International) sponsored an international team that visited China in 1985 and witnessed the Chinese vasectomy technique called " The ligation of vas deferens under the direct vision" , now known as the No-Scalpel Vasectomy.

42. Published Physician Abstracts On Vasectomy Retrospective studies on vasectomy report a wide range of complications and varying degrees urology. 59(3)4247. (paper filed under “Semen Analysis”) http://physicians.vasclip.com/Webpage.asp?MID=681286

43. Prostatitis Website -- Vasectomy Page It is called A Late Post vasectomy Syndrome. Journal of urology March 1985 Vol. vasectomy has several known potential complications, including hematomas http://www.prostatitis.org/vasectomy.html

Home Causes of prostatitis Drainage in Prostatitis Methods of treatment ... Archive Vasectomy Many patients report that their chronic prostatitis problems began after they had a vasectomy. Doctors and scientists have not provided any evidence which firmly disproves or proves that vasectomy can lead to chronic prostatitis. As is usual with issues unresolved by science, we're not going to tell you what to think, but just present the several arguments and let you make up your own mind. This file contains a number of newsgroup comments and private e-mails on the topic. Most of the names and e-mail addresses have been removed. Webmaster I've been suffering with pain and a "non bacterial" prostatitis diagnosis for 5 years now, following a painful vasectomy. I too have had a vasectomy, but I had my first run-ins with prostatitis before the vasectomy. I date my chronic prostatitis (continuous symptoms for 9 years now) to the time I was catheterized for unrelated back surgery. I think the catheter introduced drug-resistant, hospital-bred bacteria into my prostate. But who can prove such a thing? My feeling is, with millions of men have vasectomies, and millions of men having prostatitis, there will be many cases of both whether prostatitis is causative or not.

44. Postgraduate Medicine: Vasectomy urology 1998;52(4)68591; Raspa RF. complications of vasectomy. Am Fam Physician 1993;48(7)1264-8; Stockton MD, Davis LE, Bolton KM. http://www.postgradmed.com/issues/2000/08_00/greek.htm

Procedures in Primary Care Vasectomy A safe, effective, economical means of sterilization Greg Greek, MD VOL 108 / NO 2 / AUGUST 2000 / POSTGRADUATE MEDICINE CME learning objectives To appreciate the value of careful patient counseling before vasectomy To review a simple technique To be aware of the potential complications The author discloses no financial interests in this article. Ninth in a series of articles on office procedures coordinated by David A. Driggers, MD, faculty member of the Alaska Family Practice Residency Program, Anchorage, and Roger A. Schauer, MD, director of predoctoral medical education in family medicine and associate professor of family medicine, University of North Dakota School of Medicine, Grand Forks. Preview : Vasectomy is a cost-effective, safe method of contraception with a low failure rate and few complications. Men who request permanent sterilization should be offered vasectomy, but not before thorough counseling about the procedure and its benefits and potential complications. Dr Greek describes the simple vasectomy technique he uses and discusses preoperative and postoperative concerns. Greek G. Vasectomy: a safe, effective, and economical means of sterilization. Postgrad Med 2000;108(2):173-9

45. Men''s Health - May 2002 in the Journal of urology found that only 30 percent of vasectomy reversals Risks or Side Effects Associated With vasectomy. Although complications http://www.healthsystem.virginia.edu/uvahealth/news_menshealth/0205mh.cfm

[ Skip Navigation ] Health System Home For Health Answers Healthcare Professionals ... Advanced Search Health System Search Search for Information People UVa Home Health System News Health System Events (all) Health System Publications ... ARCHIVED ISSUES First Name: Last Name: Email Address: Zip Code: Men's Health Vasectomies - Not Necessarily As Permanent As You Might Think An Oregon urologist contends in a new study that men can successfully reverse vasectomies more than 15 years after the original operation. Some physicians have thought the success rate of reversals declined significantly over time, and some patients wanting to have children were forced to turn to in-vitro fertilization. However, Dr. Eugene Fuchs, a urologist at Oregon Health Sciences University, found half of his patients with old vasectomies were able to impregnate their wives the old-fashioned way. "They do have a realistic chance of fathering a biological child," says Dr. Larry Lipshultz, professor of urology at Baylor College of Medicine. In a vasectomy, a physician snips the vas deferens, the tube that carries sperm to the urethra, and then seals off the two ends. Various methods are used for the sealing process; physicians use stainless steel clips or sutures. No one knows how many vasectomies are performed in the United States each year, Lipshultz says. Some estimate the number near 500,000.

46. ::Urovirt - Primeira Revista Virtual De Urologia Da América Latina :: Urovirt First urology virtual magazine from Latin America vasectomy HOW TO AVOID MEDICAL complications AND MEDICO-LEGAL IMPLICATIONS http://www.urovirt.org.br/urovirt/index2.php?pagina=estrutura1&complemento=estru

47. Denton Urology: Procedures Office Procedures Denton urology. complications (potential) from vasectomy include bleeding, infection, injury to other structures such as nerves, http://www.dentonurology.com/procedure.html

Office Procedures: Office procedures such as vasectomy, cystoscopy, and transrectal ultrasound and prostate biopsy (TRUS and biopsy) are common procedures at Denton Urology. This page will help assist you in preparing for them, and knowing what to expect. Vasectomy Cystoscopy - Male Cystoscopy - Female TRUS/Biopsy Click link above to go to information about each procedure. Vasectomy: Vasectomy is a common procedure for permanent A vasectomy is a procedure designed to interrupt sperm flow, and should not affect sexual function, sexual desire, erectile function, or anything else other than fertility (the ability to impregnate a partner) once the swelling has subsided, and recovery is over. Sex is usually delayed for about a week after vasectomy. The first 48 hours are "couch potato" days relegated to laying around with ice packs (an instruction sheet will be given at your visit) and taking it easy. No heavy lifting, strenuous activity, or sexual activity is recommended for about a week after the procedure. You may begin showering the evening of your procedure, but tub baths, or swimming/hot tubs should not be used for about 48-72 hours afterwards. You will be asked to bring specimens (semen) at 6 and 8 weeks after the procedure to make sure there is no sperm in the specimen. Prior to that, another form of contraception should be used. Remember, a vasectomy DOES NOT protect you from sexually transmitted diseases (STDs). Also remember, a vasectomy should be considered a

48. Urology/Nephrology Medical Illustration, Medical Animation, Anatomical Model urology/Nephrology Medical Illustration, Medical Animation, Anatomical Model complications Following vasectomy exh43529a Medical Exhibit http://www.doereport.com/categories.php?CatID=017&P=8

49. Open-ended Vasectomy: Improved Reversibility With Less Chance Of Chronic Pain If you have had a vasectomy and are experiencing painful complications, Linnet L, Clinical immunology of vasectomy and vasovasectomy urology 1983 http://www.vasectomy-information.com/pages/oevas.htm

Open-ended Vasectomy: Improved Reversibility with Less Chance of Chronic Pain A Literature Study by Kenneth D. Reda Introduction Problems with the Traditional Vasectomy Open-Ended Vasectomy Research Results Open-Ended Vasectomy Technique ... References Introduction: When I was considering vasectomy, I discovered that there is an option to either close both ends of the cut vas (traditional method), or leave the testicular end open (the open-ended method). If you read the relevant literature, you will find the latter procedure leaves the testicles relatively unaffected with improved reversibility and less chance of long term chronic pain. This option is seldom discussed despite a large body of strong evidence that indicates it should be the preferred technique. (Please see the American Family Physician's July '99 Article on Vasectomy Technique .) If you are planning to get a vasectomy, ask your doctor to do it "open-ended". Top Problems with the Traditional Vasectomy: Blocking the normal exit of sperm in a vasectomy can cause pain for a number of reasons: 1) elevated pressure within your testes, 2) swelling (i.e.dilation of seminiferous tubules) 3) thickening sperm debris and 4) interstitial fibrosis. Reversal becomes less successful with time as conditions foster potentially painful complications. In the words of the inventor of the method, "The success rate of reversal after standard vasectomy decreases with time because the rise in pressure produces leaks of sperm in the epididymus resulting in granulomas that obstruct it so that no sperm reaches the vas."(Dr. Edward Shapiro, personal communication, 1999) Please also see Professor Earl Owens'

50. The History Of Vasectomy J urology 1923. 22 Benjamin H The effects of vasectomy (Steinarch 39 PS Jhaver vasectomy after effects, modern techniques, complications, repair. http://www.vasectomy-information.com/moreinfo/history.htm

The history of Vasectomy OK - question time. If you were asked when vasectomy started, what would be your answer? My guess is that most people would say vasectomy came in during the late 1950's/1960's as a male birth control method. This to an extent is true. However, the history of vasectomy is long and interesting. It's also not been used purely as a lifestyle choice as it is today. This page is a history of the procedure - political and clinical, and you will probably find it more interesting than you might think! The vas deferens was named by Berengarius of Carpi (1470–1530) from the Latin for "Vessel", and the Latin "Deferre" - to carry down. He was under the misapprehension that sperm passes down the vas. John Hunter chanced across a blocked vas deferens during the dissection of a corpse, but the vas deferens otherwise seems to have been ignored until Sir Ashley Cooper presented a comprehensive study "Observations on the Structure and Diseases of the Testis" . Cooper's experiments were on dogs - it's not certain who first attempted the operation in humans. The oldest condoms were found in the foundations of Dudley Castle near Birmingham, England. They were made of fish and animal intestine and dated back to 1640. They were probably used to prevent transmission of sexually transmitted infections during the war between the forces of Oliver Cromwell and soldiers loyal to King Charles I.

51. Welcome To Southern Cross complications following vasectomy are uncommon. If any complications are P. J, Kennett, KM (date unknown) vasectomy Tauranga Promed urology Ltd. http://www.southerncross.co.nz/index.cfm?533CCA7B-A32E-4446-BE70-4541F396573F

52. Division Of Urologic Surgery - Vasectomy Reconstructive urology Stone Center vasectomy Services at a Glance. Diagnostic Tests Despite precautions, complications from vasectomy do happen. http://www.urology.wustl.edu/PatientCare/Vasectomy.asp

Overview Bladder Cancer Kidney Cancer Prostate Cancer Laparoscopic Radical Prostatectomy Testicular Cancer Female Urinary Incontinence Male Infertility Nephrectomy Laparoscopic Radical Nephrectomy Pediatric Urologic Surgery Prostate Disease Benign Premalignant Prostatitis Reconstructive Urology ... Services at a Glance Diagnostic Tests CT Scan Cystoscopy Intravenous Pyelogram MRI ... Washington University Physicians Vasectomy Terms Vas: The tube that transports sperm from the testes. Vasectomy: Removal of a small portion of the vas. Testes: The egg-shaped glands in the scrotum that make sperm and male hormones. Epididymis: The small gland, outside of the testes, where sperm matures before entering the vas. Prostate: The gland that makes seminal fluid. When mixed with sperm from the testes, it makes semen. Reasons for having procedure Questions Anatomy Procedure ... Long-term effects Common reasons for having a vasectomy You want to enjoy sex without worrying about pregnancy.

53. Selected Practice Recommendations For Contraceptive Use Morbidity associated with vasectomy. Journal of urology, 1973, Effectiveness and complications associated with 2 vasectomy occlusion techniques. http://www.who.int/reproductive-health/publications/rhr_02_7/spr_q15_vasectomy.h

WHO Home Reproductive Health Home HRP What's new ... Search Department of Reproductive Health and Research (RHR), World Health Organization Family planning Selected Practice Recommendations for Contraceptive Use Second edition Question 15. When can a man rely on his vasectomy for contraception? He should wait 3 months before relying on his vasectomy for contraception. During this period, he should resume sexual activity, but he or his partner will need to use additional contraceptive protection. Semen analysis, where available, can confirm contraceptive effectiveness after the 3–month waiting period. Comments The expert Working Group considered that vasectomy is highly effective when the procedure is properly performed and when the man waits for 3 months after the vasectomy before having unprotected intercourse. The expert Working Group reviewed evidence that a 3–month waiting period after vasectomy will be long enough for most men to be assured of vasectomy effectiveness but noted that semen analysis, where available, is the most reliable means to document vasectomy effectiveness. The expert Working Group also reviewed evidence that having had 20 ejaculations after vasectomy (in the absence of a 3–month waiting period) is not a reliable determinant of vasectomy effectiveness. The man, however, should resume sexual activity (while using contraceptive protection) during the 3–month waiting period after his vasectomy in order to clear any remaining sperm from his semen.

54. Urology San Antonio vasectomy is the most common form of male contraception in this country. Generally, the patient heals quickly with relatively few complications or http://www.urologysanantonio.com/vasectomies.html

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. In a vasectomy, the surgeon 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. Because semen consists of about 95% seminal fluid, there is virtually no discernible difference in the ejaculate. Similarly, because the testes continue to produce the male hormone testosterone, which is absorbed into the bloodstream, the procedure also has no effect on a man's sex drive. A typical vasectomy is done on an outpatient basis. The urologist or surgeon first numbs the scrotum and vas deferens with a local anesthetic. Then, one or two incisions about half a centimeter long are made on each side of the scrotum. The vas deferens are located, a one-centimeter section is removed and the upper end is tied off. Sutures or stitches are used to close the incision in the scrotum. The ties around the vas deferens usually dissolve over a period of 4 to 6 weeks.

55. Urology Consultants - Urology - Orlando, Winter Park And Longwood, Florida - Ser Fewer than 3 in 100 men develop complications such as infection, At urology Consultants the cost of the vasectomy includes the procedure, supplies, http://www.urologyorlando.com/services.shtml

For Men Only - About Your Prostate Vasectomy and Vasectomy Reversals Impotence La Impotencia Sexual ... Other Conditions Vasectomy Information for You and Your Partner The main question a man should ask himself is: Would you like to father another child in your lifetime? If you answer YES....keep on reading but perhaps you should not consider this procedure at this time. If you answer "NO" we are here to help you. If you are not certain or you answer " maybe " sperm freezing or delaying the procedure should be an option for you. Until recent years, few people questioned the long-term safety of vasectomy. A couple considering vasectomy was more likely to ask a doctor about the operation itself, its effectiveness, or how it might change their sexual relationship. Things have changed. Men considering vasectomy and their partners now want to know about long-term side effects. Their biggest concern is hardening of the arteries or heart disease, issues raised by animal studies in the late 1970s. Researchers speculated then that sperm antibodies, produced by many men following vasectomy, could be responsible for these and other health risks.

56. Vasectomy Information Sheet For them, vasectomy is an attractive option since it provides a permanent Psychological complications after this operation do occur and can be serious. http://meds.queensu.ca/medicine/urology/patients/brochures/vasectomyInformationS

Vasectomy Information Sheet Introduction: A vasectomy, or "cutting" of the male sperm tubes, is a simple and very reliable means of permanent birth control. A vasectomy should only be done after mature consideration, and only when both partners in the relationship desire and fully understand the nature of the procedure. This sheet provides many answers to commonly asked questions. Testing must be done prior to ensuring that the vasectomy was successful Surgical Aspects: A small operation will be performed using a local anaesthetic "freezing". If you have any allergies to local anaesthetics (Novocain, or similar agents) please inform your Urologist. Also, if you have a tendency to bleed excessively or are taking any blood thinners (warfarin, coumadin) please let your Urologist know. Complications Preparation Do not shave the scrotum or pubic area. This is not necessary for the operation. Have a light breakfast the morning of the procedure. Care After the Vasectomy

57. CMRM - No Scalpel Vasectomy The complications specific to vasectomy include failure of the procedure, who don’t practice general urology but only specialize in Andrology full time. http://www.vasectomydoc.com/noscalpelvasectomy.html

Home About No-scalpel vasectomy FAQ ... VasClip What is a vasectomy? A vasectomy is a procedure that blocks both sperm ducts called the vas deferens (see diagram) which transport the sperm from the epididymis (where the sperm are stored) up through the prostate to the back of the urethra during an ejaculation. Ninety seven percent of the fluid that comes out during an ejaculation is made in the prostate and seminal vesicles, only 3% of the fluid comes from the testicle and epididymis but this contains all the sperm. The easiest way of eliminating the sperm but leaving everything else the same is to interrupt the vas deferens. The easiest place to do this is in the scrotum because the vas is directly under the skin. - View The Video - Contraception can be divided into several categories: male or female and permanent or temporary. Ideally, only men who are sure that they are finished having their family or men who are positive that they do not want children should consider permanent sterilization. Even though most vasectomies can be successfully reversed, vasectomy should still be considered permanent because the chances of conceiving after a reversal are not 100%. Vasectomy is the easiest and most reliable form of permanent sterilization. At The Center for Male Reproductive Medicine vasectomy is performed as an office procedure that takes about 10-15 minutes to complete. This is much easier then the standard vasectomy and certainly less risky than female sterilization (tubal ligation) which needs to be performed in an operating room under general or epidural anesthesia and runs the risk of injury to the abdominal organs including the intestines and major blood vessels. Because of this risk, many couples choose vasectomy as their form of permanent contraception. Vasectomy is also usually less expensive then tubal ligation.

58. Prostatitis And Vasectomy vasectomy has several known potential complications, including hematomas an associate professor of urology at Case Western Reserve University, http://www.chronicprostatitis.com/vasectomy.html

Home Site Forum News Press Articles ... Use Site Map Post-Vasectomy Syndrome Chronic pain rare side effect of vasectomy NEW YORK, (Reuters) Some men may experience chronic pain after vasectomy, however, the evidence still shows that the surgical procedure does not increase the risk of prostate cancer, according to a National Institutes of Health (NIH)-sponsored meeting that took place recently in Bethesda, Maryland. Dr. Harry Guess of the University of North Carolina in Chapel Hill noted that an NIH expert panel concluded in 1993 that there was no biologic mechanism for a link between vasectomy and cancer. Studies that suggested an association were inherently flawed, he said. Noting that prostate cancer screening and prostate cancer incidence have increased markedly in the last decade, Guess commented, 'The more you look, the more you find.' Vasectomy has several known potential complications, including hematomas (bleeding) and sperm granulomas (an inflammatory response to sperm leakage). Chronic pain syndrome may also be a side effect of the procedure, Guess said. Pain syndrome defined as chronic testicular pain lasting longer than 3 months after the operation in men who had no similar type of pain before the procedure was first defined in 1985, noted Dr. Allen Seftel, an associate professor of urology at Case Western Reserve University, Cleveland, Ohio.

59. UrologyHealth.org - Adult Conditions - Sexual Function - Vasectomy urologyHealth.org was written and reviewed by urology experts in partnership with the More severe pain may indicate infection or other complications. http://www.urologyhealth.org/adult/index.cfm?cat=11&topic=153

60. BioMed Central | Full Text | Vasectomy Surgical Techniques: A Systematic Review We also looked at additional references in urology textbooks, the authors In most studies, assessment of postvasectomy complications was based on http://www.biomedcentral.com/1741-7015/2/21

home journals A-Z subject areas advanced search ... Volume 2 Viewing options Abstract Full text PDF Associated material: Pre-publication history PubMed record Related literature: Articles citing this article on BioMed Central on Google Scholar Other articles by authors ... Similar articles (PubMed) Tools: E-mail to a friend Download references Post a comment Key E-mail Corresponding author Contributed equally Research article Vasectomy surgical techniques: a systematic review Michel Labrecque Caroline Dufresne Mark A Barone and Karine St-Hilaire EngenderHealth, New York, NY 10001, USA BMC Medicine The electronic version of this article is the complete one and can be found online at: http://www.biomedcentral.com/1741-7015/2/21 Received Accepted Published Outline Abstract Abstract Background Methods Results ... Pre-publication history Background A wide variety of surgical techniques are used to perform vasectomy. The purpose of this systematic review was to assess if any surgical techniques to isolate or occlude the vas are associated with better outcomes in terms of occlusive and contraceptive effectiveness, and complications. Methods We searched MEDLINE (1966-June 2003), EMBASE (1980-June 2003), reference lists of retrieved articles, urology textbooks, and our own files looking for studies comparing two or more vasectomy surgical techniques and reporting on effectiveness and complications. From 2,058 titles or abstracts, two independent reviewers identified 224 as potentially relevant. Full reports of 219 articles were retrieved and final selection was made by the same two independent reviewers using the same criteria as for the initial selection. Discrepancies were resolved by involving a third reviewer. Data were extracted and methodological quality of selected studies was assessed by two independent reviewers. Studies were divided in broad categories (isolation, occlusion, and combined isolation and occlusion techniques) and sub-categories of specific surgical techniques performed. Qualitative analyses and syntheses were done.

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