21. Vasectomy - UROLOGY ASSOCIATES OF NORTH TEXAS Approximately 1 in 200400 patients who undergo vasectomy will not have sperm Tubalpregnancies 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. The Urology Center - Various Centers undergo a vasectomy evaluation at The urology Center and for at least seven daysafter the vasectomy. to do so may increase complications including unplanned http://www.theurologycenter.org/vasectomycenter.html

Vasectomy Center No-Scalpel Vasectomy Simplified Method to Stress-Free Living The vas deferens is the tube that delivers sperm from the testicle to the prostate. Vasectomy is the process of dividing the vas in order to prevent pregnancy. It is the most common method of male contraception in the US, where about 500,000 vasectomies are performed each year. Since vasectomy simply interrupts the delivery of sperm, it does not change the hormonal function of the testis. Sexual drive and ability remain intact. Since most of the semen is composed of fluid from the prostate, the semen will look the same even after vasectomy. Vasectomy is thought to be free of known long-term side effects and is considered to be the safest and most reliable method of permanent male sterilization. ... no-scalpel vasectomy was developed in 1974 and has been performed for millions of men. The technique of no-scalpel vasectomy was developed in 1974 by a Chinese physician, Dr. Li Shungiang, and has been performed for millions of men. This technique has become very popular in the United States since it was introduced here about ten years ago. The procedure is performed in the office and or surgery center under a local anesthetic with additional sedation if desired. Most insurance companies pay for the procedure regardless of where it is performed.

23. Virtual Hospital: Department Of Urology: Fact Sheet: Vasectomy Reversal check to be sure there are no complications, and then We perform vasectomy reversalson a regular basis at the See related Patient Textbooks about urology. http://www.vh.org/adult/patient/urology/vasectomyreversal/

For Patients 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 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. Vasectomy - Huron Valley Urology Associates POST vasectomy INSTRUCTIONS. To minimize the potential for complications,it is important that certain post vasectomy instructions be followed. http://www.urology-michigan.com/vasectom.htm

VASECTOMY RISKS As any other surgical procedure, the main risks include bleeding and infection. These risks, however, are very low. There is also a risk of recanalization. To be sure that this has not happened, we recommend that contraception be used for intercourse for six weeks following the procedure. At that time, we recommend that you bring in a semen specimen to our office. It will be examined under the microscope to document the absence of sperm. A second specimen should then be brought in two weeks later to be sure that no recanalization has occurred. If, again, no sperm is seen then contraception is no longer required. There still may be a remote risk of recanalization many years later, but it is very unlikely. POST VASECTOMY INSTRUCTIONS To minimize the potential for complications, it is important that certain post vasectomy instructions be followed. It is recommended that an athletic supporter or snug cotton briefs be brought to the office. When arriving home, it is recommended that you stay off your feet until the following morning, and to place an ice pack to the scrotum until then. It is also recommended not to lift anything heavier than a newspaper for two days. Intercourse is also not recommended for a week following the procedure. It is common to see some bruising and swelling of the scrotum for a week following the procedure. There may also be a small amount of bloody discharge from the incision. WHAT IF YOU CHANGE YOUR MIND?

25. Health.iafrica.com | Doc Online | Ask The Doctor | Renal & Urology Vasectomy RENAL urology vasectomy. Reversal of vasectomy, should you change your mind andwant more children, is not often There are few complications from the surgery. http://health.iafrica.com/doconline/qa/renal/vasectomy.htm

Communities: [ h o m e ] Advice Africa Afrikaans Aids Wise Business Cars Careers Cooltech Dating Easy Money Entertainment Fun Stuff Games Highlife Men Motoring My Money News Sport Talk Travel Weather Win Women Services: Book Airtickets Chat Online Classifieds Directories Ecards Homeloans Mobile Magic myiafrica.com Property Search Shop Online Streetfinder Search Sat, 12 Apr 2003 DIET AND HEALTH DOC ONLINE allergies breast cancer ... HEALTH NEWS You are in: Doc Online Ask The Doctor ASK THE DOCTOR allergies blood diseases cancer cardiac diseases ... skin disorders Vasectomy Question What are the pros and cons of vasectomy? Do you still ejaculate after a vasectomy? Answer To answer you second question first - yes, but your ejaculate does not contain sperm. Vasectomy is a quick, simple operation, often carried out under local anaesthetic as an outpatient procedure. The tube which carries the sperm from the testicles to the organ which produces the fluid which carries them, is cut on both sides. After a vasectomy about 15 to 20 ejaculations are needed before the fluid can be considered sterile. Most centres will insist on two sperm-free ejaculates before considering that the man is sterile. The advantages of vasectomy are that it is has the lowest failure rate of any form of birth control. It has no effect on sexual function. The main disadvantage is that it should be considered permanent. Reversal of vasectomy, should you change your mind and want more children, is not often successful.

26. Links Page Lots of information on fertility, infertility, vasectomy and reversal, and much more.CORNELL urology NSV, LONG TERM complications, Post vasectomy Pain syndrome. http://www.vasectomy-information.com/links/

Useful links Please help us by submitting any links you find whilst surfing the net that you feel are useful. We do check each link that is submitted, also we attempt to regularly check that the links featured here are still available. What we are looking for are quality information sites. Sites do not have to be specifically vasectomy sites - we also feature general men's health sites of interest. We will feature sites that mutually "Trade links" with us also. What we do not want to feature are advertising sites, or pornographic sites. To email your links to our webmaster CLICK HERE ORGANISATIONS PROMOTING BIRTH CONTROL ONLINE MEDICAL JOURNALS MEDICAL SITES ... MEN'S HEALTH SITES A flag beside a link indicates that the link's content is particularly applicable to that country Organisations promoting birth control MARIE STOPES UK based international charity promoting all methods of birth control PLANNED PARENTHOOD US organisation advising on birth control VASECTOMY SUPPORT FOUNDATION, Inc. "Eliminating Financial Barriers to Vasectomy". Florida based organisation who will find low or no cost providors in your area. Back to top Online Medical Journals BRITISH MEDICAL JOURNAL General medical publications - searchable archive.

27. Open-ended Vasectomy: Improved Reversibility With Less Chance Of Chronic Pain at least 20,000 men in the US suffer painful complications from vasectomy 9. LinnetL, Clinical immunology of vasectomy and vasovasectomy urology 1983;22 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'

28. Vasectomy Chapter, urology Index. vasectomy should not affect libido and sexuality. Discusspotential complications (11%) Failed vasectomy http://www.fpnotebook.com/URO114.htm

Home About Links Index ... Editor's Choice Paid Advertisement (click above). Please see the privacy statement Urology Surgery Prostate ... Radical Prostatectomy Assorted Pages Vasectomy Vasectomy Counseling Vasectomy Postoperative Counseling Vasectomy Book Home Page Cardiovascular Medicine Dental Dermatology Emergency Medicine Endocrinology Gastroenterology General Medicine Geriatric Medicine Gynecology Hematology and Oncology HIV Infectious Disease Jokes Laboratory Neonatology Nephrology Neurology Obstetrics Ophthalmology Orthopedics Otolaryngology Pediatrics Pharmacology Prevention Psychiatry Pulmonology Radiology Rheumatology Sports Medicine Surgery Urology Chapter Urology Index Bladder Endocrinology Examination Hematology and Oncology Infectious Disease Impotence Incontinence Laboratory General Obstetrics Pediatrics Penis Pharmacology Prevention Procedure Prostate Radiology Nephrology Surgery Symptom Evaluation Testes Urine Page Surgery Index Prostate BPH TUIP Prostate BPH TURP Prostate Cancer Radiation Prostate Cancer Radiation Brachytherapy Prostate Cancer Resection Vasectomy Vasectomy Counseling Preop Vasectomy Counseling Postop See Also Vasectomy Counseling Vasectomy Postoperative Counseling Epidemiology Vasectomy Incidence in U.S.: 500,000 per year

29. Michigan Urological Clinic | Male Urology Services birth control. The most common vasectomy procedure is relatively painless– with a very low chance of complications. Usually done http://www.michiganurological.com/maleurology/vasectomy.html

Vasectomy the procedure blocks the vas deferens, which means that sperm will no longer be added to the semen. There are no noticeable sexual or hormonal changes that take place. On arrival at the doctor's office, we will discuss with you the techniques and expectations of a vasectomy. Any questions you might have will be answered at that time. You'll be given a mild sedative to help you relax before the procedure and a local anesthetic will be used during the procedure. No special skin preparation or shaving is necessary. Bring tight fitting underpants to wear home. In the procedure, double surgical clips are placed on each end of the Vas Deferens with a segment of the Vas Deferens removed and the ends scarred shut. This procedure is performed on each side through one small mid-line incision.

30. Denton Urology: Procedures ultrasound and prostate biopsy (TRUS and biopsy) are common procedures at DentonUrology. complications (potential) from vasectomy include bleeding 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: The consult visit lasts about 10-15 minutes, and wives/significant others are encouraged to come. The process of vasectomy will be discussed, and benefits and potential complications will be discussed as well. Complications (potential) from vasectomy include bleeding, infection, injury to other structures such as nerves, arteries, or veins, and regrowth of the vas deferens resulting in regaining fertility. Swelling at the site of the surgery or down around the testicle (epididymis) can occur immediately or in a delayed fashionsay after 6-24 months of being "normal." This last phenomenon is likely due to a combination of congestion (sperm having nowhere to go) and to autoimmunity (where antibodies are attacking sperm as if they are "self".) All complications are usually minor and respond to taking it easy a few days and perhaps anti-inflammatories. Antibiotics may be necessary for infection if that were to occur. 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 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

31. Zeal.com - United States - New - Personal - Health - Tests & Procedures - Surger details on the risks, complications and benefits. Reproductive Health Online vasectomy http//www.reproline Springs, Florida, offers urology and urological http://www.zeal.com/category/preview.jhtml?cid=531336

32. Zeal.com - United States - New - Personal - Health - Tests & Procedures - Surger reviews, and research papers on urology, updated every Read about postsurgery complications.3. Reproductive Health Online vasectomy http//www.reproline http://www.zeal.com/category/preview.jhtml?cid=550957

33. Advanced Search urology 1992;4046870. 2 No-scalpel vasectomy has several advantages over traditionalvasectomy techniques that include fewer complications, an improved http://www.aafp.org/afp/20000115/letters.html

Advanced Search 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. Leaving the incision open requires no special treatment other than the normal postoperative scrotal support. The "clamp technique" involves approximating the scrotal incision with the "first click" of a hemostat to lightly approximate the skin for five minutes. These two techniques would save suture cost and time, especially if suture is not required in another part of the procedure.

34. Member Sign In Retik AB, Stamey TA, et al (eds) Campbell's urology, ed 6 JM, Kirkemo AK Questionnairebasedoutcomes study of nononcological post-vasectomy complications. http://www.medscape.com/viewarticle/405396_print

If you are having trouble logging in: In order to use Medscape, your browser must be set to accept "cookies." To find out how to adjust your browser settings, please click here Log In Username Password Forgot your password? Not a Member? Register Now for free access to: MEDLINE (Optimized for Physicians) 200+ Free CME Courses 25 Medical Specialty Sites 100+ Medical Journals Conference Coverage Daily Medical News About Medscape Help WebMD Health

35. Member Sign In Fournier Gangrene Following vasectomy from Infections in urology ® Of the possiblemajor complications following vasectomy, Fournier gangren is rare http://www.medscape.com/viewarticle/410241

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36. NSV 2.Raspa RF. complications of vasectomy. External Spermatic Sheath Injection for VasalNerve Block. urology 1992;39 173176; 4.Shapiro EI., Silber SJ. 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.

37. Microsoft BCentral - SurfPoint Ophthalmology (7), urology (4 Click for Info, vasectomy complications and Male Menopause For information on Mens Health, Male Menopause, vasectomy complications http://www.surfpoint.com/Health_Fitness/Medicine/T_Z.html

SurfPoint Home : Medicine Anesthesiology Orthopedics Cardiology Otolaryngology ... Urology 120 sites total A-C D-L M-S Thai pharmaceutical distributors - Thai pharmaceutical distributors with network of GMP manufacturers THE EXTREME ONLINE PHARMACY - Find out how to order ANY prescription medication online WITHOUT a prescription!!! the GASTROLAB Home Page - Information about gastrointestinal diseases the GASTROLAB Home Page - Information about digestive disorders The Law Engine, The Med Engine, The Realty Engine - Hundreds of prime on-line legal, medical, real estate sources in a fast, one-page format! The Little Surgery - The Little Surgery, Stamford, Lincs, UK....medical services including acupuncture The MED Page - Brasilian Medical and Health site dedicated to everyone who is interested on Medical issues. The Nurses Waiting Room - Nursing Humor and graphics The World of Pediatric Surgery - Pediatric surgery website specializing in laparoscopic surgery, research and laparoscopic training of pediatric surgeons. Case reports, intraoperative video-clips and reserch abstracts are presented. Small section devoted to the 3Com PalmPilot. The Writings of Jane Orient - Fiction and nonfiction writing of this Tucson AZ physician This Doctor Is In - Questions posted through questionnaire and bulletin board system. Doctors answer questions for free.

38. Library urology; 1992391736. 10. Haw Jm, Feigin J vasectomy counseling Kendrick JS, GonzalesB, Huber DH, Grubb GS, Rubin GL complications of vasectomy in the United http://www.ameditech.com/medinfo/bibliog.htm

TEL: (800) 635-2452 FAX: (718) 672-8501 info@ameditech.com Below is a partial list of research and clinical articles and studies that pertain to Advanced Meditech's products. Copies of many of these articles / studies are available by contacting your Sales Specialist. Diamond Knives Microsurgical Varicocelectomy No-Scalpel Vasectomy Norplant® Removal ... Vasal Occlusion Diamond Knives Articles 1. Jacobi, F.K. et al. Histological and ultrastructural study of corneal tunnel incisions using diamond and steel keratomes. J Cataract Refract Surg Microsurgical Varicocelectomy Articles 1. Goldstein M., Gilbert BR, Dicker AP, Dwosh J, Gnecco C: Microsurgical inguinal varicocelectomy with delivery of the testis: An artery and lymphatic sparing technique. J. Urol 148:1808-1811, 1992 2. Matthews, GJ., Matthews, ED., Goldstein, M: Induction of spermatogenesis and achievement of pregnancy after microsurgical varicocelectomy in men with azoospermia and severe oligoasthenospermia. Fertil Steril, 70 (1):71-75, 1998.

39. Marin Urology Unanswered Questions torn frenulum; chlamydia testing at urology clinic? 3 weeks after vasectomy; bruisedteste; I am stricture; coconut juice; post prostatectomy complications; Blood in http://www.greenspun.com/bboard/q-and-a-unanswered.tcl?topic=Marin Urology

40. Marin Urology Top Level Blood in Urine; post prostatectomy complications; Blood in regular dr wants urologyconsult; voiding after intercourse, 6 months post vasectomy; kidney stones and http://www.greenspun.com/bboard/q-and-a.tcl?topic=Marin Urology

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