Complications of vasectomy.
| Autor: | Awsare NS; Department of Urology, Lister Hospital, Stevenage, UK. ninaad_awsare@hotmail.com, Krishnan J, Boustead GB, Hanbury DC, McNicholas TA |
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| Jazyk: | angličtina |
| Zdroj: | Annals of the Royal College of Surgeons of England [Ann R Coll Surg Engl] 2005 Nov; Vol. 87 (6), pp. 406-10. |
| DOI: | 10.1308/003588405X71054 |
| Abstrakt: | Introduction: Vasectomy is a common method of sterilisation. However, it is less popular than tubal ligation world-wide. It is also a frequent cause of litigation relating to its complications. This article reviews the early and late risks associated with the procedure. Patients and Methods: Data collection was done using the internet to search Medline for obtaining evidence-based medicine reviews. Cross-references were obtained from key articles. Websites of government bodies and medical associations were searched for guidelines relating to vasectomy. Discussion: Early complications include haematoma, wound and genito-urinary infections, and traumatic fistulae. Vasectomy failure occurs in 0-2% of patients. Late recanalisation causes failure in 0.2% of vasectomies. Significant chronic orchalgia may occur in up to 15% of men after vasectomy, and may require epididyectomy or vasectomy reversal. Antisperm antibodies develop in a significant proportion of men post-vasectomy, but do not increase the risk of immune-complex or atherosclerotic heart disease. Similarly, vasectomy does not enhance risk of testicular or prostate cancer. Vasectomy has a lower mortality as compared to tubal occlusion, but is still significantly high in non-industrialised countries because of infections. Conclusions: Vasectomy, though safe and relatively simple, requires a high level of expertise to minimise complications. Adequate pre-operative counselling is essential to increase patient acceptability of this method of permanent contraception. |
| Databáze: | MEDLINE |
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