| Autor: |
Schill, Wolf-Bernhard, Comhaire, Frank, Hargreave, Timothy B., Shah, J., Fisch, H. |
| Zdroj: |
Andrology for the Clinician; 2006, p114-118, 5p |
| Abstrakt: |
Vasectomy remains among the safest, easiest, and surest methods of male sterilization. As such, it is one of the most popular methods of permanent contraception worldwide. However, despite the popularity of the technique itself, there has been a notable lack of consensus on the appropriate management of patients after vasectomy. We recommend waiting at least 3 months after vasectomy to assess azoospermia on semen analysis. A semen analysis indicating the complete absence of spermatozoa or the presence of only rare nonmotile spermatozoa is considered a marker of vasectomy success. Routine centrifugation of azoospermic semen to detect rare nonmotile spermatozoa is not currently considered the clinical standard of care in the United States. It is clear that multiple issues must be addressed after vasectomy. In a patient's mind, the judicious handling of these issues can make the difference between a successful sterilization and an unpleasant experience. It would behove all urologists to amend our practice such that vasectomy is no longer considered a procedure but rather a process. In this context, patients may be more appropriately counselled on the facts that continued follow-up after vasectomy is essential; sterilization after vasectomy is not guaranteed; and the possibilities of spontaneous recanalization or postvasectomy pain syndrome, though small, do exist. [ABSTRACT FROM AUTHOR] |
| Databáze: |
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