title: A novel modification of no-scalpel vasectomy: a preliminary report.
abstract: OBJECTIVE
  To present a novel technique of no-scalpel vasectomy (NSV) that has the potential to decrease the failure rate.
  
  
  METHODS
  From 2006 until 2008 vasectomy was performed by ligating head-to-head and tail-to-tail the cut ends of the vasa deferentia. The outcome of the procedure was assessed by three semen analyses, the first two of which were carried out three months postoperatively and the third one at the end of the study period. SPSS version 13 was used to analyse data.
  
  
  RESULTS
  Fifty-four patients participated in this study. The operating time amounted to an average of 16 minutes. The mean duration of follow-up was 17.7 +/- 6.69 months (range: 12-34). The outcome of the procedure overall was excellent with a minimum of complications.
  
  
  CONCLUSIONS
  Vasal head-to-head and tail-to-tail ligation in NSV shows promise as a safe and effective sterilisation procedure.
authors.affiliation: Baharloo Hospital, Tehran University of Medical Sciences, Tehran, Iran. hamed_akhavizadegan@yahoo.com
authors.forename: Hamed
authors.initials: H
authors.lastname: Akhavizadegan
authors.forename: Mojgan
authors.initials: M
authors.lastname: Karbakhsh
mesh_terms: D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D017063:Outcome Assessment, Health Care; D013997:Time Factors; D014659:Vasectomy / Q000295:instrumentation / Q000379:methods*