title: A combination of check tug and fascial interposition with no-scalpel vasectomy.
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.
authors.affiliation: Leighton Hospital, Crewe, UK. vkumar3908@hotmail.com
authors.forename: V
authors.initials: V
authors.lastname: Kumar
authors.forename: R M
authors.initials: RM
authors.lastname: Kaza
mesh_terms: D006801:Humans; D008297:Male; D011446:Prospective Studies; D013076:Sperm Count; D016896:Treatment Outcome; D014649:Vas Deferens; D014659:Vasectomy / Q000379:methods*