title: Vasectomy occlusion technique combining thermal cautery and fascial interposition.
abstract: BACKGROUND
  Recent research on vasectomy shows that combining cautery and fascial interposition (FI) achieves the most effective occlusion of the vas and minimizes the risk of failure. We present a technique that combines cautery and FI and is suitable for low-resource settings.
  
  
  METHODS
  The surgical technique consists of 1) exposing the vas with the no-scalpel approach; 2) cauterizing the epithelium of lumen of the vas using a portable battery-powered cautery device; 3) performing FI by grasping internal spermatic fascia and applying a free tie with suture material on the fascia to cover the prostatic stump of the vas and separate the two ends of the cut vas; and 4) excising a small 0.5 to 1 cm of the testicular stump.
  
  
  CONCLUSIONS
  To maximize vasectomy effectiveness, vasectomy providers should consider learning thermal cautery and FI to occlude vas deferens.
authors.affiliation: Research Center, Hôpital Saint-François d'Assise, Centre Hospitalier Universitaire de Quebec, Quebec, Canada. michel.labrecque@mfa.ulaval.ca
authors.forename: Michel
authors.initials: M
authors.lastname: Labrecque
mesh_terms: D002425:Cautery / Q000379:methods*; D005205:Fascia; D006801:Humans; D008026:Ligation; D008297:Male; D008488:Medical Illustration; D017211:Treatment Failure; D014649:Vas Deferens / Q000601:surgery*; D014659:Vasectomy / Q000295:instrumentation / Q000379:methods*