A novel modification of no-scalpel vasectomy: A preliminary report

Abstract

Objective To present a novel technique of no-scalpel vasectomy (NSV) that has the potential to decrease the failure rate.

Patients and methods From 2006 until 2008 vasectomy was performed by ligating head-to-head and tail-to-tail the cut ends of the vasa deferentia. The outcome of the procedure was assessed by three semen analyses, the first two of which were carried out three months postoperatively and the third one at the end of the study period. SPSS version 13 was used to analyse data.

Results Fifty-four patients participated in this study. The operating time amounted to an average of 16 minutes. The mean duration of follow-up was 17.7 ± 6.69 months (range: 12–34). The outcome of the procedure overall was excellent with a minimum of complications.

Conclusion Vasal head-to-head and tail-to-tail ligation in NSV shows promise as a safe and effective sterilisation procedure.

KEYWORDS:

• Male contraception
• Vasectomy

Acknowledgement

The authors are grateful to Mr Hasan Mirzaie Motlagh, operating room technician, for drawing the figures.

Declaration of interest: The authors report no conflicts of interest. The authors alone are responsible for the content and writing of the paper.