A combination of check tug and fascial interposition with no-scalpel vasectomy. Issue 2 (1st April 2001)

• Record Type: Journal Article
• Authors: Kumar, Vivek; Kaza, Ramchandra M
• Is Part Of: Journal of family planning and reproductive health care. Volume 27:Issue 2(2001)
• Page Start: 100
• Page End: 100
• Publication Date: 2001-04-01
• Subjects: check tug -- fascial interposition -- midline; Birth control -- Periodicals; Contraception -- Periodicals; Reproductive health -- Periodicals; 613.905
• DOI: 10.1783/147118901101195146
• Languages: English
• ISSNs: 1471-1893

Abstract

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.