Vasectomy by section, luminal fulguration and fascial interposition: results from 6248 cases.
OBJECTIVE
To determine the incidence of complications, including recanalization, in a series of 6248 consecutive vasectomies performed with a section-fulguration-fascial interposition technique.


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.


CONCLUSIONS
The section-fulguration-fascial interposition technique of vasectomy was uniformly effective, with few post-operative problems.
Schmidt
S S
SS
Department of Urology, University of California School of Medicine, San Francisco, USA.
D000328:Adult; D000368:Aged; D004823:Epididymitis / Q000517:prevention & control; D006099:Granuloma / Q000209:etiology; D006801:Humans; D008297:Male; D008875:Middle Aged; D010149:Postoperative Pain / Q000209:etiology; D013076:Sperm Count; D013733:Testicular Diseases / Q000209:etiology; D014659:Vasectomy / Q000009:adverse effects / Q000379:methods*