Vasectomy by section, luminal fulguration and fascial interposition: results from 6248 cases

Br J Urol. 1995 Sep;76(3):373-4; discussion 375.

Abstract

Objective: To determine the incidence of complications, including recanalization, in a series of 6248 consecutive vasectomies performed with a section-fulguration-fascial interposition technique.

Patients and methods: Over a 38-year period, 6248 vasectomies were performed by one surgeon (S.S.S.) as a clinic procedure under local anaesthesia with no resection of a vasal segment. The mucosa of the cut ends of the vas was destroyed by cauterization and the fascial sheath of the vas was interposed as a barrier. Semen specimens were examined until two specimens, one month apart, showed no sperm.

Results: Complications were minimal, with few cases of haematoma or wound infection. Spermatic granulomas were uncommon. No post-vasectomy pregnancies were reported and no patient showed a persistence of sperm.

Conclusion: The section-fulguration-fascial interposition technique of vasectomy was uniformly effective, with few post-operative problems.

MeSH terms

  • Adult
  • Aged
  • Epididymitis / prevention & control
  • Granuloma / etiology
  • Humans
  • Male
  • Middle Aged
  • Pain, Postoperative / etiology
  • Sperm Count
  • Testicular Diseases / etiology
  • Vasectomy / adverse effects
  • Vasectomy / methods*