Recent developments in vasectomy

doi:10.1136/bmj.330.7486.296

BMJ 2005;330:296-299 (5 February), doi:10.1136/bmj.330.7486.296

Clinical review

Recent developments in vasectomy

Kerry Wright Aradhya, senior science writer/editor¹, Kim Best, senior science writer/editor¹, David C Sokal, associate medical director²

¹ Field, Information and Training Services Department, Family Health International, PO Box 13950, Research Triangle Park, NC 27709, USA, ² Clinical Research Department, Family Health International

Correspondence to: D C Sokal dsokal@fhi.org

The first 150 words of the full text of this article appear below.

Introduction

Vasectomy is one of the safest and most effective permanentcontraceptive methods available. Compared with tubal ligation,which is usually done under general anaesthesia and entailssurgery within a woman's peritoneal cavity, vasectomy is saferand men recover more quickly from the procedure. Vasectomiesare usually done under local anaesthesia in outpatient settings,and men usually go home within an hour of the surgery. Nonethe less, for various reasons, vasectomy procedures are lesscommon than tubal ligation procedures in most countries.

Surgical techniques used for vasectomy vary widely throughoutthe world. The two main components of vasectomy are isolationof the vas deferens from the scrotum and subsequent vas occlusion.However, more than 30 different combinations of vas occlusiontechniques probably exist,¹ and poor quality studies, heterogeneousstudy designs, and conflicting results have made it difficultto determine which are the most effective.²

The most common technique, especially in . . . [Full text of this article]

Methods

Recent research results

Points of consensus

Future research priorities

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Rapid Responses:

Read all Rapid Responses

Cauter without dividing?: Svend O. Mortensen
bmj.com, 4 Feb 2005 [Full text]
Recanalisation after vasectomy: Diwa Das, et al.
bmj.com, 5 Feb 2005 [Full text]
Post Vasectomy Syndrome?: Amanda Simsek
bmj.com, 5 Feb 2005 [Full text]
Triple procedure for most effective vasectomies?: Vinod K Gupta
bmj.com, 5 Feb 2005 [Full text]
Re: Cauter without dividing?: Michel Labrecque
bmj.com, 6 Feb 2005 [Full text]
Re: Post Vasectomy Syndrome?: David Sokal
bmj.com, 8 Feb 2005 [Full text]
Re: Recanalisation after vasectomy: David C Sokal
bmj.com, 8 Feb 2005 [Full text]
Important ommissions for family doctors: ted willis
bmj.com, 10 Feb 2005 [Full text]
The Elliot-Smith Clinic experience of vasectomy performed with electrocautery alone.: Rowland O. Illing, et al.
bmj.com, 12 Feb 2005 [Full text]
HIFU Non-invasive vasectomy: Iqbal S Shergill, et al.
bmj.com, 13 Feb 2005 [Full text]
Post Vasectomy : Seminal Analysis: Rajesh K Choudhary
bmj.com, 24 Feb 2005 [Full text]
Vasectomy Failure Rates: David Araujo, MD
bmj.com, 28 May 2005 [Full text]
Question: G.I. Kruizinga
bmj.com, 21 Mar 2006 [Full text]
Post-Vasectomy Pain Syndrome: Anthony Ellis
bmj.com, 4 Aug 2008 [Full text]