61. Shands HealthCare Vasectomy Information The patient heals quickly and complications or failures are rare. vasectomy causes no change in sexual performance, but the semen no longer carries sperm, http://www.shands.org/find/service/urology/vasectomy.htm

urology circumcision erection problems hematuria ... urologic evaluations Vasectomy Postoperative effect The patient heals quickly and complications or failures are rare. Vasectomy causes no change in sexual performance, but the semen no longer carries sperm, which are reabsorbed in each testis. No-scalpel vasectomy Reversal surgery Although vasectomy is intended as a permanent form of male sterilization, it is sometimes possible to reverse the process surgically several years after the original operation. Information For more information or to schedule an appointment, please call the UF Division of Urologic Surgery at (352) 392-2501 or the Shands HealthCare Consultation Center at (800) 749-7424 or (352) 265-8000. home doctors' offices hospitals jobs at shands ... FAQ search medical services find a healthcare professional clinical trials

62. Portal Toolkit Invalid Site URL The 1999 guidelines of the German Society of urology recommend the following Schmidt SS (1966) Techniques and complications of elective vasectomy. http://ppv.ovid.com/pt/re/andr/fulltext.00000536-200105000-00001.htm

Sorry, the URL specified, http://ppv.ovid.com:80/pt/re/andr/fulltext.00000536-200105000-00001.htm , is invalid. To go to site for "OvidPPV" please click here http://ppv.ovid.com To go to site for "Andrologia" please click here http://www.lwwonline.com To go to the LWW Online site, please click here http://www.lwwonline.com Thank you

63. Portal Toolkit Invalid Site URL Questionnairebased outcomes study of nononcological post-vasectomy complications. Journal of urology 1996; 155 1284-6. Context Link http://ppv.ovid.com/pt/re/anesb/fulltext.00000524-199801000-00016.htm

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64. Vasectomy | Arkansas Urology Arkansas urology is the largest group of privatepractice urologists in the state and the first to bring What are the risks and possible complications? http://www.arkansasurology.com/vasectomy.html

Arkansas Urology Toll-free: 1-877-321-8452 1300 Centerview Drive 3401 Springhill Drive, Suite 345 Vasectomy What is a vasectomy? A vasectomy is a procedure in which the vas deferens tube, which transports sperm from the testicles to the semen, is cut and removed, making a man sterile. The procedure lasts only 30 to 45 minutes and requires one or two small incisions in the scrotum. When will the procedure become effective? It takes a period of eight to 10 weeks and 12 to 20 ejaculations after the procedure to become permanently sterile. A semen test is required two months after the operation to determine if sperm are out of the semen. Though the procedure should result in permanent sterility, in rare cases, the tubes can grow back together and the patient is no longer sterile. Is the procedure reversible? Though you sometimes hear about men having a vasectomy reversed in order to father a child, the reversal procedure does not always work. It is important to carefully consider your decision to have a vasectomy before choosing to go through with the procedure. How will the procedure affect my sex life?

65. FHI - Expert Consultation On Vasectomy (2003) Effectiveness and complications associated with 2 vasectomy occlusion techniques. J urology 2002;168(6)249598. A cross-sectional study of 1052 Nepalese http://www.fhi.org/en/RH/Pubs/booksReports/vasconrpt.htm

@import "/nr/shared/enFHI/Styles/Sophisto.css"; Visit fhi.org in: Russian Arabic Search fhi.org: Browse by topic Advanced search Site map Help ... Countries //Place preload image functionality here fhi.org Reproductive Health Publications Books and Reports ... Expert Consultation on Vasectomy (2003) Reproductive Health Expert Consultation on Vasectomy An interagency workshop organized by Family Health International, EngenderHealth and the ACQUIRE Project December 3-5, 2003 Washington, D.C. PDF What's New on fhi.org Family Planning and the Prevention of Mother-to-Child Transmission of HIV Learn more... Also: View our HIV/AIDS country programs. Order publications Read the Youth Participation Guide Products and Services FHI offers a range of technical services, including clinical and other research, in HIV/AIDS, sexually transmitted infections and other infectious diseases, contraceptive technology, and women’s health. Learn more... Media Center Over 50 representatives from 24 reproductive health research, service delivery, training, advocacy, and donor organizations and institutions, as well as universities, met in Washington, DC, December 3 to 5, 2003 to prioritize future research related to vas occlusion techniques and to develop guidelines for vasectomy techniques in diverse health care settings. The first day of the meeting, led by Family Health International (FHI), featured discussion of recent clinical research findings on vasectomy techniques. Several points of consensus on the strength of the evidence favoring certain occlusion methods were developed (see

66. Johns Hopkins - Brady Urological Institute- Jonathan P. Jarow, M.D.- PUBLICATION Jarow JP. vasectomy reversal. urology International 1996;3(1)1517.. Jarow JP. complications of vasectomy postvasectomy testicular changes. http://urology.jhu.edu/jonathanjarow/publications.php

//Top Navigational Bar III v3.4.1.1b (By BrotherCake @ cake@brothercake.net) //Permission granted/modified by Dynamicdrive.com to include script in archive //For this and 100's more DHTML scripts, visit http://www.dynamicdrive.com/ //This notice MUST stay intact for legal use Search For.. Faculty Clinical Trials Keywords Jonathan P. Jarow, M.D. Professor of Urology, Pathology, Radiology, Reproductive Biology Johns Hopkins Medical Institutions Main Page Education Publications Membership ... Free Access to abstracts at PubMed PUBLICATIONS Michaels EK, Jarow JP , Schaeffer AJ. Ventral bladder hernia facilitates study of urinary tract infections in rats. Urol Res Jarow JP , Budin RE, Dym M, Zirkin BR, Noren S, Marshall FF. Quantitative pathologic changes of the human testis following vasectomy: a controlled study. New Engl J Med Jarow JP , Marshall FF, Isaacs JT. A chicken chorioallantoic membrane assay for the evaluation of the androgen responsiveness of prostatic tissue. J Urol Jarow JP , Berkowitz GD, Migeon CJ, Gearhart JP, Walsh PC. Elevation of serum gonadotropins establishes the diagnosis of anorchism in prepubertal boys with bilateral cryptorchidism.

67. Vasectomy - Center For No-Scalpel Vasectomy, New Jersey (NJ) - Atlantic Urology Atlantic urology Associates, PC and the Center for NoScalpel vasectomy are Bleeding and infection are the most common (although rare) complications of http://www.vasectomynj.com/vasectomy.shtml

Atlantic Urology Associates, P.C. Center for No-Scalpel Vasectomy About the Center for No-Scalpel Vasectomy No-Scalpel Vasectomy Pre-Vasectomy Consultation What to Do Before the Vasectomy Procedure ... More Info on Vasectomy About the Center for No-Scalpel Vasectomy The Center for No-Scalpel Vasectomy, located in Red Bank and Freehold, New Jersey, is a state-of-the-art facility specializing in comfortable, safe and effective No-Scalpel vasectomy procedures. Our practice is recognized for providing quality care in a warm, friendly and personalized manner. We pride ourselves in being the practice many New York and New Jersey physicians choose for their own vasectomies. The Center was founded and is under the direction of Dr. Jeffrey I. Silverstein, a board-certified urologist trained in NYC. Dr. Silverstein has published articles and co-authored chapters in many peer-reviewed journals. He is presently Clinical Assistant Professor, Robert Wood Johnson Medical School, UMDNJ. Dr. Silverstein's commitment to excellence and attention to detail makes him an optimal choice to perform your procedure. No-Scalpel Vasectomy Vasectomy has become a popular form of contraception. It is one of the safest and most effective means of permanent birth control.

68. Sterilization, Vasectomy And Tubal Ligation Disadvantages Late complications of sterilization by laparoscopy and tubal ligation, The Journal of urology Vol 133, Jan. 1985. Effect of vasectomy On High Density http://www.geocities.com/Heartland/Meadows/2879/fixed.html

The Downside of Sterilization Out of desperation, you may be considering getting cut open and having your plumbing plugged to destroy your fertility, probably forever. You may be afraid of the alternatives: side effects, sickness or death from the Pill and/or the IUD; the abortion causing effects of the IUD and the Pill; fear of unplanned pregnancies resulting from the less effective barrier methods, perhaps fear of exercising sexual self-control. After you see the rest of our website on natural family planning, we hope you will see sterilization as drastic, unwise, and completely unnecessary, since Natural Family Planning is very effective, safe, and reversible. We wouldn't recommend it for your cat. But you are smarter than your cat. POP QUIZ: What are the three 100% effective ways of preventing pregnancy? If you guessed vasectomy or tubal ligation, give yourself zero points. Vasectomy has a failure rate of .15, or 15 pregnancies per 10,000 woman-years of exposure.[1] (Notes are at the end of this piece.) Recannulation, the reestablishment of a vas deferens by internal healing processes, occurs in one instance per thousand, and sometimes the urologist misses a rare third vas deferens. More often pregnancies result from the failure to wait until two negative sperm counts are obtained before considering oneself sterile. And it takes over 22 weeks for sperm counts to go to zero, according to recent research: http://www.fhi.org/en/fp/fpother/conferences/vascet/vasectomymtg.html

69. What You Never Hear Journal of urology. J Urol 1997 Oct;158(4)1528. Re vasectomy reversal for treatment of outcomes study of nononcological postvasectomy complications. http://www.missouri.edu/~cak307/vasect.htm

What You Never Hear About Vasectomy By Michael Hall The vasectomy is not free. It can cause frightening and frustrating long term effects which are about as permanent as the sterility that it was intended to produce. The numbers of dissatisfied vasectomized men are increasing, primarily with the affliction of post vasectomy pain, (about 20%, but that number is adjusted upwardly every year). Once one finds out that there are others like him, he is more likely to drop stoic pretenses and admit that his balls hurt. A vasectomy is almost always referred to in terms of "harmless," no "secondary long term effects." It's a good sell, but it is not the whole truth. Little or nothing is said about life after except for the benefits of sterility. In more true to life terms, a vasectomy is having your vas defrens cut in two, the ends are cauterized or sutured, interrupting the flow of sperm from the testis, sterility is achieved. Unfortunately the testis aren't informed and continue to function normally, producing sperm cells. With the holes on the tubes bunged up and the testis of a normal healthy man still dedicated to the production of sperm, something has got to give... and it does. The sperm backs up and eventually forms a tooth paste like sludge. as the sperm backs up so does the pressure and blow outs begin to occur along the epididymis. Because the body is not ordinarily exposed to sperm (with leakage after the blow outs) antibodies to the sperm are produced and the problems begin. The sperm cells are actually quite irritating and resistant, they have to be to withstand the hostile environment of someone else's body in a reproductive role.. they were never meant to be out in the blood stream.

70. Vasectomy (Sterilization) Compared to female sterilization, vasectomy is simpler, more effective, Although complications such as inflammation, bleeding or infection may occur, http://cms.clevelandclinic.org/urology/body.cfm?id=98

71. :: Brazilian Journal Of Urology :: vasectomy REVERSAL IN THE ERA OF INTRACYTOPLASMIC SPERM INJECTION (ICSI) complications are similar to those related to scrotal surgery scrotal http://www.brazjurol.com.br/vis.asp?code=53

72. A Randomized Clinical Trial Of The Effect Of Intraoperative Saline Perfusion On Abstract; Philp T, Guillebaud J, Budd D. complications of vasectomy review of 16000 Recanalization following vasectomy. urology. 1974;3211–214. http://www.annfammed.org/cgi/content/full/2/3/221

HOME HELP FEEDBACK SUBSCRIPTIONS ... TABLE OF CONTENTS QUICK SEARCH: [advanced] Author: Keyword(s): Year: Vol: Page: Annals of Family Medicine Annals of Family Medicine, Inc. doi: 10.1370/afm.59 This Article Abstract Full Text (PDF) In Brief ... Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Download to citation manager ... Cited by other online articles PubMed PubMed Citation Articles by Eisner, B. Articles by Ohl, D. A Randomized Clinical Trial of the Effect of Intraoperative Saline Perfusion on Postvasectomy Azoospermia Brian Eisner, MD Timothy Schuster, MD Phillip Rodgers, MD Muzammil Ahmed, MD Gary Faerber, MD Gary Smith, PhD and Dana Ohl, MD Department of Urology, University of Michigan, Arbor, Mich Department of Family Medicine, University of Michigan, Ann Arbor, Mich Departments of Urology, Obstetrics/Gynecology, and Physiology, University of Michigan, Ann Arbor, Mich CORRESPONDING AUTHOR: Timothy G. Schuster, MD, Department of Urology, University of Michigan, 2917 Taubman Center 0330, 1500 E Medical Center Dr, Ann Arbor, MI 48109-0330

73. Consultants Special Interests - Region: . Keyword: Kidney complications of kidney failure, Consultant, London (NHS), Nephrology, urology, Kidney cancer, PUJ obstruction, vasectomy reversal, urodynamics, http://www.specialistinfo.com/thget.php?t=t_si&r=kidney

74. New Times - San Luis Obispo - Cover Story Series on urology procedures. Today s topic, of course, is vasectomy. The pain resulting from postvasectomy complications can be so great, http://newtimesslo.com/archives/cov_stories_2001/cov_02082001.html

FYI: Vasectomies gone bad This simple procedure may hurt more than you think BY STACEY WARDE Kevin Hauber would love nothing more than to walk down the street without excruciating pain, or to enjoy making love to his wife without the searing stabbing sensations he sometimes feels when she touches him. Following his vasectomy on Aug. 12, 1999, Hauber returned to his San Luis Obispo urologist several times to complain of pain and discomfort. Finally the pain was so unbearable he asked his urologist, "OK, level with me. Why do I feel like I've been kicked in the balls all the time?" What Hauber's urologist never told him, what he later discovered on his own, was that he was suffering from post-vasectomy pain syndrome (PVPS), a malady that he estimates afflicts 6 to 25 percent of the 50 million men in the U.S. who have had this surgical procedure. The range depends on the medical data you look at and how you define chronic pain. Additionally, Hauber says, nearly 75 percent of men who undergo vasectomies experience autoimmune responses to sperm in their bodies. In such cases the body manufactures antibodies that attack sperm cells. Worse, according to Hauber, was that his urologist, whom he declines to name, never informed him of these potential risks, or of links with prostate cancer, which are far more common than the unsuspecting patient realizes.

75. Georgia Urology - Vasectomy This is the website for Georgia urology, the largest private urology practice The most significant complication of a vasectomy is its failure to confer http://www.georgiaurology.com/vasectomy.shtml

VASECTOMY Vasectomy is the most efficacious form of surgical sterilization for men. Over 500,000 of these procedures are performed annually in the United States. It is a safe, simple, and reliable form of birth control. Nevertheless, individuals considering a vasectomy should understand the preparation, technique, follow-up, and potential complications of the procedure. Patient Preparation Only individuals seeking a permanent form of sterilization should consider a vasectomy. The procedure should be considered nonreversible. Almost all vasectomies can be performed in an office setting without the need for pre-medication or sedation. Patients taking aspirin or other blood thinners are often asked to stop the medication for 5-7 days prior to the procedure. We often ask out patient to shave the scrotum at home just prior to the procedure. Technique There are several ways of performing a vasectomy. A patients body habitus and physician preference dictate the type of procedure performed. The goal of the vasectomy is to interrupt the vas deferens and prevent sperm from entering the ejaculate. Most techniques have similar outcomes and complication rates. In general, the patient lays on a table and the scrotum is cleansed with an antiseptic solution. The surgeon will then grasp the vas deferens which is readily palpable through the scrotal skin, and inject lidocaine or any other numbing medicine through the skin and into the tissue surrounding the vas deferens. A small incision or puncture (the no-scalpel technique) will then be carried out through the skin directly over the vas deferens. The vas deferens can then be grasped directly with an instrument and surrounding tissue swept away. Once isolated, a segment of the vas deferens is removed and the cut ends of the vas can be clipped, sutured, or cauterized in a variety of ways. A similar procedure is performed on the other vas deferens, often through the same scrotal incision or puncture. A small suture is then placed in the skin incision at the termination of the procedure. This suture may dissolve on its own and not require future removal.

76. Vasectomy - Sterility - Urologychannel vasectomy is the clinical term given to the process of dividing the tubes that Serious complications are rare. Up to 10% of men experience more pain, http://www.urologychannel.com/vasectomy/sterility.shtml

Home Search SiteMap Ask the Dr. ... Physician Board VASECTOMY Overview Preparation Procedure Postoperative ... Find a Urologist CONDITIONS Adrenal Cancer Bladder Cancer Bladder Control Problems BPH/Enlarged Prostate Emergencies Erectile Dysfunction Female Sexual Dysfunction Hematuria Incontinence Interstitial Cystitis Kidney Cancer ... Testosterone Deficiency Upper Tract Tumors Urethral Cancer Urinary Tract Infection Varicocele Vasectomy DIAGNOSTIC TESTS CT Scan Cystoscopy MRI Scan TRUS/ Prostate Biopsy RESOURCES Anatomy Clinical Trials Education Glossary ... What Is a Urologist? Videos FOR DOCTORS ONLY Website Services Get Listed in MDLocator CME ABOUT US Healthcommunities.com Testimonials Link to urologychannel Urologkanalen (Swedish) ... email this Postoperative Care Rest and limited mobility are required for 1 to 3 days following the procedure to reduce swelling and to allow the vas deferens to heal. Most men lie on their back with their feet elevated. Although it is not necessary to remain immobile, excessive motion, lifting, and excessive walking increases the chance for inflammation and bleeding in the scrotum. Moderate discomfort is normal for a week or more. Anti-inflammatory drugs and prescription painkillers may be used. Ice packs applied 15 minutes on and 15 minutes off can minimize swelling. Strenuous exercise and lifting should be avoided for a few days or longer if it causes pain or discomfort. The degree of discomfort should dictate activity, as overexertion can postpone healing and a return to normal routine. It may take a week before erection and ejaculation is comfortable.

77. Urological Conditions And Treatments - Vasectomy vasectomy is a minor surgical procedure to cut and close off the tubes (vas Serious complications are rare. Up to 10% of men experience more pain, http://www.uclaurology.com/conditions/Vasec36.cfm

UROLOGY MAIN SITE GEN. ADULT UROLOGY UROLOGIC ONCOLOGY MALE UROLOGY ... MIN. INVASIVE SURGERY // SIDoffset=31 About Us Our History Faculty Information Conditions ... Blood and Platelet Donation Vasectomy Vasectomy Specialists Mark S. Litwin, MD, MPH Jacob Rajfer, MD Ongoing Clinical Trials No Current Trials... Related Research Projects No Current Research Projects... General Information Vasectomy Overview Vasectomy is a minor surgical procedure to cut and close off the tubes ( vas deferens ) that deliver sperm from the testes; it is usually performed as a means of contraception. The procedure typically takes about 30 minutes and usually causes few complications and no change in sexual function. About 500,000 vasectomies are performed annually in the United States. A vasectomy is less invasive than a tubal ligation (i.e., the procedure used to prevent a woman's eggs from reaching the uterus) and more easily reversed. An increasing number of couples choose it as a means of permanent birth control. Male Reproductive System To understand a vasectomy, it is helpful to understand the male reproductive system and how it functions. The testicles, or

78. Letters To The Editor - January 15, 2000 - American Academy Of Family Physicians The shortterm complication rate was found to be virtually identical Schlegal PN, Marc G. No-scalpel vasectomy. Seminars in urology 1992;10252-56. http://www.aafp.org/afp/20000115/letters.html

Advanced Search AAFP Home Page Journals Vol. 61/No. 2 (January 15, 2000) Letters to the Editor Comments on Vasectomy Closure Techniques TO THE EDITOR: We found the article "Vasectomy Techniques" to be an excellent review by Drs. Clenney and Higgins. In their description of scrotal incision closure, the authors state that "the incision is closed with absorbable suture." No reference or alternate techniques are offered. Leaving the scrotal incision open or briefly clamping the scrotal incision may be a superior technique. A Medline search (1966 to 1999) provided no comparisons of scrotal closure techniques. However, Campbell's Urology states, "Suture closure of the scrotal wounds is optional. Leaving the small incision open helps prevent hematoma formation. The wound seals itself in 24 hours." Additionally, an unpublished review of scrotal closure practices in one community hospital showed no statistical difference and a very low complication rate with all three techniques. This review included approximately 150 patients in whom the scrotal incision was left open, 500 in whom scrotal incisions were clamped and 900 in whom scrotal incisions were closed with suture.

79. Urology At MUC-Vasectomy Reversal Dr. Tim Schuster has joined the staff of the Michigan urology Center after vasectomy reversal surgery is an outpatient surgery, and can be done either http://www.med.umich.edu/urology/PatientInfo/PatientInfoPages/VasReversal.htm

Department of Urology at the Michigan Urology Center Patient Information Clinical Specialties Residency and Fellowships Research Programs ... Department History Vasectomy Reversal While it is possible to reverse a vasectomy, the procedure is more complicated than having the vasectomy itself. This procedure can also be called a vasovasostomy or vasoepididymostomy depending on the specifics of the surgery. Dr. Dana Ohl Dr. Tim Schuster During the vasectomy, the doctor made one or two incisions in the scrotal sac, then cut and blocked 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. To reverse the vasectomy, two small openings are made in the scrotal sac and the blocked areas of the vas deferens are removed. Using an operating microscope and very fine suture material, the vas deferens are reconnected and sewn together on each side. The use of the operating microscope for the surgery allows a greater degree of accuracy, as the channels in the vas are quite small, slightly smaller than a period on a typewritten page. A vasovasostomy is the reconnection of the cut ends of the vas deferens, and in many cases this is the surgical option used when it has been only a few years since the vasectomy. A vasoepididymostomy is the connection of the vas deferens directly to the epididymis, and may be the surgical option if it has been a longer period of time since the vasectomy. The decision for a particular surgical approach is guided in part by the findings during a physical examination.

80. Current Opinion In Urology - UserLogin urology Department, Hannover Medical School Medizinische Hochschule, In cases of failed vasectomy reversal or when no spontaneous pregnancy ensues in http://www.co-urology.com/pt/re/courology/fulltext.00042307-199805000-00008.htm

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