Benefit Of Vasectomy Using Cautery In Comparison With Excision And Ligation 45-49
Dr Ziaee. N=24,Zarifnia Alley, Pesyan Str., Zaferanieh, 198764555 Tehran,Iran
Tel & Fax: 098 21 22410261, Email: Sali_Ziaee@yahoo.com.
Background: The data from a lot of comparatives analyses provided a strong hypothesis that the use of cautery is a very effective method. The main objectives of this study were to evaluate the cautery occlusion method against ligation and excision in terms of complications. The other objectives were to estimate the time of the procedure and the failures of cautery versus ligation and excision.
Methods: A prospective, comparative observational study was conducted at a referral center in Iran. One hundred men who chose vasectomy were enrolled and observed for 48 weeks. More frequent than normal semen analysis (12, 18, and 48 weeks after vasectomy) were performed. Planned outcome included early and late complication, early scrotal pain, consuming time and effectiveness (based on semen analysis).
Results: A total of 98(98%) participants in both groups completed a follow up. Significantly, the cautery technique took less time than ligation excision (7.56±1.08 min versus 9.88±1.24 min respectively).Early post-vasectomy scrotal pain based on VAS score in cautery group was significantly lower than ligation and excision (1.61±0.88 versus 2.39±1.40 respectively) .Among complications, the incidence of granuloma and epididymitis in the cautery group is significantly less than ligation and excision. The overall failure rate based on semen analysis was 0.9% in the cautery group versus 4.7% in ligation and excision. (OR=4.8 CI=95%, 1.6-14.3)
Conclusions: Cautery is a very effective method for occluding the Vas deferensDespite the reduction in failure rate, it takes less time, and risk of the complications is acceptable compared to the ligation-excision technique