title: The percutaneous electrocoagulation vasectomy technique--a comparative trial with the standard incision technique at Marie Stopes House, London.
abstract: One-hundred-and-one men requesting vasectomy in 1985 for the purpose of limiting family size were admitted to a study of standard incision and monopolar diathermy, and a new percutaneous electrocoagulation vasectomy procedure. Semen specimens were tested at 10 and 12 weeks after surgery. Men were telephoned at 2, 12 and 24 weeks post-surgery to elicit complications and complaints. Half of the men having the standard incision procedure and about one-third of the men undergoing the percutaneous procedure complained of discomfort during the surgery. At the two-week telephone contact, 23% of those having the standard incision and 66% of those having the percutaneous procedure reported complications. There were few complications or complaints reported at the long-term follow-up contacts with either method; although twice as many men in the percutaneous group were not declared sterile by the end of the study period. Failure rates were 2.0% for the standard incision procedure and 7.8% for the percutaneous approach.
authors.affiliation: Marie Stopes House, London, England.
authors.forename: T R
authors.initials: TR
authors.lastname: Black
authors.forename: D S
authors.initials: DS
authors.lastname: Gates
authors.forename: K
authors.initials: K
authors.lastname: Lavely
authors.forename: P
authors.initials: P
authors.lastname: Lamptey
mesh_terms: D000328:Adult; D004564:Electrocoagulation / Q000379:methods*; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D011183:Postoperative Complications; D012661:Semen / Q000166:cytology; D014659:Vasectomy / Q000379:methods*