Vasectomy Research Articles

Exploring barriers to vasectomy adoption among married men in Dadra and Nagar Haveli

Introduction and aim. Vasectomy was introduced in India in 1992 and is the most effective, simple, and safe permanent method of contraception yet its use is very limited among the population. The study’s objectives were to assess the knowledge, attitude, and perception towards vasectomy and the barriers to adoption among married men in Dadra and Nagar Haveli. Material and methods. A cross-sectional hospital-based study was conducted on married male attendants of patients and data were collected on sociodemographic details, knowledge regarding vasectomy, their attitude and perceptions towards vasec tomy, and their intention of using vasectomy in the future. Results. Out of 300 participants, 258 (86%) participants have heard of vasectomy as a contraceptive method, and only one participant has undergone vasectomy. The majority (285; 95%) of the participants agreed that family planning is also a responsi bility of males while nearly two-third (185; 61.7%) of them were not willing to undergo vasectomy in the future. Procedure-re lated factors, post-procedure-related factors, social factors, availability of alternate contraceptive methods, and preference for tubectomy were the barriers to the adoption of vasectomy. Conclusion. There is a need to provide correct information and counseling about vasectomy and non-scalpel vasectomy to eligible couples to increase the acceptance of vasectomy as a safe, effective, and cheaper method of contraception.

Axial length variation with the use of silicone oil tamponade

Background Silicone oil (SO) tamponade is the method of choice as a long-term stable retinal tamponade. Axial length (AL) and ocular biometry are reported to change with the use of SO. However, these changes are not well studied in eyes. Objectives To measure the change in AL before SO injection, as a tamponade, and then following its removal for accurate choice of intraocular lens (IOL) power. Patients and methods This prospective case series study was conducted in the Ophthalmology Department, Menoufia University Hospital, Egypt. The study included 100 eyes of 100 patients who gave consent, with age ranging from 9 to 83 years, undergoing retinal detachment (RD) repair via three-port vasectomy with SO injection and combined SO removal with phacoemulsification after 3–6 months. Eyes with rhegmatogenous RD less than 3 months old with no other significant eye disease were included. Ophthalmic examination included best-corrected visual acuity, intraocular pressure Goldmann tonometry, and AL measurement by A-scan ultrasound and IOL Master500. Results Using IOL Master500 and A-scan, there were no significant differences between the two devices in the mean values of AL at different times of assessment (P = 0.137 and 0.075); otherwise, there was a significant higher mean values of the AL in SO-filled eyes than before operation (P 1 = 0.053 and 0.025). On the contrary, there were no significant differences in the AL either after SO removal than before operation (P 2 = 0.577 and 0.151, respectively), or after SO removal than in SO-filled eyes (P 3 = 0.167 and 0.415, respectively). Conclusion From our study, we conclude that the AL after injection of SO increased by 0.70 mm, whereas following removal of SO would increase by 0.2 mm compared with before SO injection in cases with RD status.

Analysis of the related factors affecting the recurrence of microvasectomy after epididymis anastomosis

Objective To explore the related factors of reconnection after microvasectomy and epididymis anastomosis. Methods From January 2014 to December 2017, 120 cases of microsurgical vasoepididymostomy treated in our hospital from January 2014 to December 2017 were randomly selected.During the study period, the operative methods, age, course of disease, anti-sperm antibody and the relationship between them and the patient's reproduction were investigated in detail. Logistic regression equation was used to calculate and analyzed the related factors of recanalization after microsurgical vasoepididymostomy. Results We found that 102 cases were recanalized after microsurgical vasoepididymostomy, the recanalization rate was 85.0%, 18 cases were not recanalized, and the recanalization rate was 15.0%. Comparison of two sets of general data found, there were significant differences between the two groups in age, course of disease, number of anastomosis, epididymal fluid analysis and anastomosis site(P<0.05). The differences were calculated by logistic regression equation. Age, course of disease, number of anastomosis, analysis of epididymal fluid and site of anastomosis were found to be the influencing factors of vasectomy under microscope. Conclusions There are many related factors that cause the recanalization after microsurgical vasoepididymostomy.Therefore, doctors can further improve the recanalization rate by reducing the intraoperative factors. Key words: Vasovasostomy; Recovery of Function

Re: Original Investigations into the Clearance of Spermatozoa after Vasectomy.

Re: Original Investigations into the Clearance of Spermatozoa after Vasectomy.

Single-arch laparoscopic combined with self-made spring clip line with arc wire feeding needle and thread needle in the treatment of traffic hydrocele

Objective To investigate the effect of single-arch laparoscopic combined with self-made spring clip line with arc wire feeding needle and thread needle in the treatment of traffic hydrocele. Methods From May 2013 to February 2017, 130 cases of traffic hydrocele were collected, aged between 1 and 8 years, with an average age of 2.3 years. Among them, 25 cases of lateral scabbard (hernia) were combined, and all cases were selected for laparoscopic single-hole method combined with wire needle and pin for the scabbard high ligation, and the therapeutic effect was observed. Results All the 130 cases were successful, with one side operation time (5.0±1.5) min and bilateral operation time (12.0±1.8) min. There was no obvious bleeding in the operation, no blood vessels in the abdominal wall, no vasectomy and vasectomy, no cases of transshipment. There was no obvious pain in the children with 6 h after surgery. No postoperative complications such as scrotal hematoma, iatrogenic cryptorchidism, reactivity of line junction, prodding hernia, and testicular atrophy occured. Postoperative 1-2 d, all patients was discharged and no recurrence was observed for 3-24 months. Conclusions By umbilical single-arch laparoscopic combined with self-made spring clip line with arc wire feeding needle and thread needle in the treatment of traffic hydrocele, the clinical curative effect is significant, and the apparatus is simple and easy to operate, and the trauma is small, the recovery was quick, and no scar, and it can discover and deal with unclosed (hernia) of the scabbard.The method is worthy of clinical popularization and application. Key words: Testicular Hydrocele; Laparoscopy

Productive Age Couple’s and Society’s Perception on Vasectomy in Mojokerto Regency of East Java Province

ABSTRACT Productive Age Couple’s and Society’s Perception on Vasectomy in Mojokerto Regency of East Java Province Author’s Linda Presti Fibriana (1) , Tedjo Danudjo Oepomo (2) , Suminah (3) , AA Subiyanto (4) 1) Development Extension and Community Empowerment Study Program of Health Promotion Concentration, Surakarta Sebelas Maret University 2) Medical Faculty, Surakarta Sebelas Maret University 3) Agricultural Science Study Program, Surakarta Sebelas Maret University 4) Master of Family Medicine, Surakarta Sebelas Maret University Background : Indonesia is the state with the fourth densest population and growth rate of 1.49 percent per year. A large number of people with poor knowledge and inadequate skill become a challenge in issues related to national development. Generally, the result of Family Planning Program among Indonesian women has been successful, in which about 60 percents of participants were women. Fear and anxiety is the main reason of why men have varying perceptions on vasectomy. There is also a false perception sometimes making husband hesitant and decide not to undertake vasectomy. It is because of inadequate general information and knowledge on vasectomy and its side effect on the men’s physical, psychological and social aspects. The objective of research was to explore the productive age couple having undertaken vasectomy and community’s perception on vasectomy in Mojokerto Regency of East Java Province. Subjects and Method: The research method employed was qualitative one with ground theory approach. The sample was taken using theoretical sampling technique. The instruments of collecting data used were field report, audio recording, video recording, and field note. The data was analyzed using Colaizzi method. Results: The result of research was obtained from 10 informants participating in this research. The participants’ reasons of deciding to undertake vasectomy are their social responsibility, feeling of pity to their wife, and caring about their children’s welfare in the future. Generally, there is no change seen on the participants’ physique. Sexual ability after vasectomy operation showed no change. Social perception on vasectomy is varying. Most people believe that having child is important and that family wellbeing is important as well. Conclusion : The participants felt no significant physical change having undertaken vasectomy. They decided to undertake vasectomy to show their love to their wife, responsibility for family wellbeing and children in the future. Therefore, undertaking vasectomy could improve the quality of marriage relationship. Keywords: vasectomy, perception, productive age couple, society Correspondence: Linda Presti Fibriana, Doctoral Program in Health Promotion/ Community Empowerment, Sebelas Maret University, Jl. Ir. Sutami 36A, Surakarta, 57126, Central Java. Email: linda.fibriana@yahoo.com Mobile: 081330569663

Vasectomy occlusion technology for male sterilization

Vasectomy occlusion technology for male sterilization

Gel-based 'vasectomy' could be an effective male contraceptive

Gel-based 'vasectomy' could be an effective male contraceptive

Vasectomy: A Long, Slow Haul to Successful Takeoff

Vasectomy: A Long, Slow Haul to Successful Takeoff

No Association Between Vasectomy and Prostate Cancer

Results have been mixed about whether an association exists between vasectomy and prostate cancer (NEJM JW Gen Med Jul 15 2002 and JAMA 2002; 287:3110). In this population-based cohort study, researchers in Canada examined the relation between vasectomy and risk for prostate cancer and other prostate …

The Effect of Injection with Papaya (Carica Papaya L.) Seed Extract on Sperm Concentration and Spermatogenic Cells of Male Rats (Rattus norvegicus L.) Strain LMR.

So far men as a subject in family planning program had no priority, however recently men become a focus. Established mothodes for male contraception are through condom and vasectomy. Using condoms create psychological complaints, whereas vasectomy although very effective has often permanent effect. An other method of contraception is hormonal; besides that it is important to develop contraception using plants with antifertility effect such as papaya seed. Therefore, the aim of this research is to know the effect of extract papaya seeds on concentration and viability of sperms in vas deferens of male rat Strain LMR. This research was done using papaya seed extract, Bangka variety with 7 treatments, doses/kg/body weight, including 0 mg; 0.1 mg; 0.5 mg; 0.9 mg; 1.0 mg; 5.0 mg; 9.0 mg for times each treatment. Administration of papaya seed extract was performed by intramusculary injection for 20 days (1,5 seminiferous epithelium cycles). Investigation were done on 1) sperms concentration of vas deferens, 2) weight of testis, 3) seminiferous tubules diametric, 4) condition of spermatogenic cells. Injection with papaya seed extract for 20 days increased sperm concentration of vas deferens significantly (P 0,05)

Reversing Vasectomy

Reversing Vasectomy

The kindest cut: global need to increase vasectomy availability.

The kindest cut: global need to increase vasectomy availability.

HUBUNGAN PENGETAHUAN, PERSEPSI, SOSIAL BUDAYA DENGAN PERAN AKTIF PRIA DALAM VASEKTOMI DI KECAMATAN PAGUYANGAN KABUPATEN BREBES TAHUN 2011-2012

Participation rate of men in the use of contraceptives in Indonesia is still very low, at only 2.1 % men and they generally using a condom. Yet unsupported use of vasectomy as a contraceptive program is because of the social environment, culture, society and family are still considered male participation has not been or is not important, knowledge and awareness of men and their families in family planning still low. The purpose of this research was to know the correlation between knowledge, perseption and social culture in men’s active participation on vasectomy program. This research was observational with Cross Sectional study. This research was using simple random sampling technic. Based on the result of this research, there was significant correlation between perception and men's participation on vasectomy program (p value=0.047), there was significant correlation between social culture and men's participation on vasectomy program (p value=0.002), there was no correlation between knowledgeand men's participation on vasectomy program (p value=0.054). Vasectomy acceptors were suggested to become models by doing a persuasive approach through a familial conversation, so the other men have desire to contribute on vasectomy program.

From the decision to the results: narrative of adult men about vasectomy

Objetivo: descrever o papel da família na opção pela vasectomia, o período de aconselhamento profissional e os resultados diante do procedimento na perspectiva de homens adultos. Método: investigação descritiva e exploratória de abordagem qualitativa. Os dados foram coletados em agosto de 2013, por meio de entrevista, junto a 13 homens que haviam sido submetidos à esterilização cirúrgica há, no mínimo, seis meses, em um município paranaense. Resultados: a família representou para os homens fator decisório ante a escolha pela cirurgia, pois foi descrita como suporte emocional. Apesar de o enfermeiro não ter participado do processo de aconselhamento para a realização da vasectomia, o procedimento cirúrgico e seus resultados foram descritos como satisfatórios. Conclusão: os enfermeiros necessitam participar mais ativamente do aconselhamento aos homens que buscam os serviços de saúde para a realização da vasectomia e a família deve ser incluída neste processo por constituir suporte para a decisão masculina.

Prostate cancer: Unravelling bias in vasectomy associations.

Prostate cancer: Unravelling bias in vasectomy associations.

AKT answer relating to vasectomy

AKT answer relating to vasectomy

AKT question relating to vasectomy

AKT question relating to vasectomy

MALE PARTICIPATION IN CONTRACEPTION AMONG COUPLES USING FAMILY PLANNING METHODS

Abstract: Introduction: Males are an equal component of family planning but they are considered to be un-co-operative in this respect. Most family planning programs focus mainly on women as part of maternal and child health programs keeping in mind that they are the direct sufferers of reproductive issues. Success of any family planning program requires involvement of both males and females. So special efforts have to be made to involve males actively in reproductive health issues and emphasize their responsibility in sexual and reproductive behavior including family planning, maternal and child health and prevention of unwanted pregnancies. Objectives: The objective of the study was to assess the male contraceptive method usage among couples practicing contraception. Main outcome measures: Male participation in family planning methods among couples using contraceptives. Study design: Cross sectional study. Study setting: Outpatient department of Akhtar Saeed Medical and Dental College, Lahore. Subjects & methods: 500 couples of child bearing age using contraceptive methods were interviewed regarding their contraceptive practices according to a pre-designed proforma during period from September to December 2010. Demographic data was gathered from the respondents. Frequency tables were generated for male and female contraception method choices. Results: 500 respondents were interviewed for their contraceptive practices. 39.6% of women were below 30 years of age and the rest were older. Majority (41.4%) of women were P2-3 Among these couples, male contraceptive methods prevalence was 42.4 % including condoms and withdrawal methods. The prevalence of other contraceptive methods usage was intrauterine contraceptives devices 23.6%, injections were used by 14.6%, COCs were used by 5.8% and 11.6% of females had undergone bilateral tubal ligation, 1.2% used emergency contraceptive pills while none of the males had undergone vasectomy in our study. Conclusion: Male participation in contraception is not as low as is generally thought. Male involvement is reasonably high (42.4 %) among contraceptive users in our study. Key Words: Male Contraception, reproductive health, Contraception.

THE ACHIEVEMENT OF MALE FAMILY PLANNING PROGRAM: VASECTOMY IN DLINGO AND SEWON DISTRICTS, BANTUL REGION

One of male contraception methods in family planning program is vasectomy; however, its achievement has been still far behind due to several obstacles in its implementation. In Bantul, Dlingo is a rural sub-district with the highest achievement of vasectomy participants during the last three years (2007-2009). Such a condition is contrary to that found in Sewon as an urban sub-district. This study aimed to identify factors influencing the differences in the achievement, and its results would be beneficial in improving the participation level of vasectomy male contraception. This was a qualitative study comparing the conditions of the two sub-districts through the use of primary and secondary data. Subjects in the research considered information accuracy and validation; hence, its number was subject to the expected results. Data validity testing was performed by utilizing triangulation. Data analysis techniques involved data reduction, presentation, and verification, or tentative conclusion drawing possibly answered the research problem. The result of the research which influenced vasectomy male participation involved un-wealthy or limited economic conditions. This was supported by officers’ attitude and behavior, peer support, public/ religious leaders and community association that actively provided greater contribution in improving participation, and association as the media of socialization and motivation. The results recommended data updating, dialogues with public leaders/religious leaders, and also socialization concerning vasectomy. Tomaintain and increase the male contraception participation level, it is necessary to perform establishment, activation, supervision on the association of male contraception participants, with regard to welfare improvement. Recognition awarded to vasectomy participants and Family Planning Field Officer for their achievement is also necessary. Keywords: Vasectomy, Socialization, Recognition