Abstract
The ligation of the ductus deferens combined with vasectomy has become now generally known as the “Steinach operation.” By its effects, I am inclined to designate it as “endocrine surgery.” I shall assume that the theory on which Steinach based his practice is fairly well known, and discuss it only very briefly, referring to my other publications for more detailed information.† In the 22 cases herewith presented unilateral ligation under local anaesthesia was the rule. The vas was carefully isolated and separated from all accompanying structures for a distance of about 2 cm. Two heavy silk ligatures were placed around the vas, about 2 cm. apart. The one nearer to the testicle was reinforced by a fine silk ligature in order to use it later for sewing the lower stump into the tissue near the upper corner of the wound, for the purpose of suspension. Before this was done, a short piece of the vas between the heavy ligatures was resected.
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