Article Text

PDF

A combination of check tug and fascial interposition with no-scalpel vasectomy
  1. Vivek Kumar, MS, FRCS, Senior SHO-Urology1 and
  2. Ramchandra M Kaza, MS, Prof. Surgery2
  1. Leighton Hospital, Crewe, UK
  2. Maulana Azad Medical College, Delhi, India
  1. Correspondence Mr Vivek Kumar, MH-79, Leighton Hospital, Crewe, Cheshire, CW1 4QJ, UK. Tel: 01270 255141 extn. 2691 bleep: 2422, Fax: 01270 587696, Email: vkumar3908{at}hotmail.com

Abstract

The prospective study was carried out to evaluate the success rates of combining a check tug and fascial interposition while performing a no-scalpel vasectomy.

A total of 2150 male acceptors visiting the family welfare clinic of Lok Nayak Hospital, Delhi, from July 1992 to June 1995 and opting for a no-scalpel vasectomy, underwent a combination of check tug and fascial interposition during the procedure. These men were followed-up for failure rates as shown by semen analysis, 3 months and at least 20 ejaculations following the procedure.

All the clients showed a negative sperm count during the subsequent follow-up, less than two non-motile sperms per high power field being taken as a negative count (n = 5) and there were no reported pregnancies.

A check tug ensures that the same vas deferens is not ligated twice, particularly as the approach is a midline one. The fascial interposition prevents spontaneous recanalisation of the cut vas. Thus the combination of the two would further increase the reliability of the procedure.

  • check tug
  • fascial interposition
  • midline
  • Accepted August 24, 2000.

Statistics from Altmetric.com

  • Accepted August 24, 2000.

Request permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.