Open Access Open Access  Restricted Access Subscription Access

CLINICAL AND FOLLOW UP STUDY OF LIGATION OF VAS DEFERENS AND VASOVASOSTOMY

Swapan Kumar Datta, Trisha Das, Shubhra Datta

Abstract


Introduction: The sterilisation operation on males is known as V.T. or Vasectomy. Vasectomy has been a popular and ideal method of birth control because it is simple, economic, effective, reversible in good number of cases and have very minimal complications. The importance of vasectomy is great in family planning, particularly where the general population is poor like in India. The cost of operation is one-tenth of providing free supply of contraceptives to cover the complete period of reproductive span. Moreover, other methods are not 100% reliable. The testicular changes following vasectomy has not been studied much in humans. Hence this study aims to find out the postoperative complications vasectomy, its effect on the psychology of the persons concerned, its effect on the testes and various factors effecting the success of vasovasostomy.

Material & Methods: The present study was carried out on 205 males of age 22 years to 55 years, admitted during January 1976 to August 1978. Complete history, clinical examinations, relevant investigations and divided in two groups for - a) vasectomy performed followed by histopathological examination and, b) for vasovasostomy performed in previously vasectomised patients. Patients were regularly followed up for two years. Postoperative complications and their psychosexual problems and testicular changes recorded.

Conclusion: Vasectomy is a painless procedure with minimal and manageable complications. Psychosexual problem can also be dealt with proper counselling. Vasectomy does not produce any testicular changes.

Keywords


Vas deferens, Male sterilisation, Population explosion, Vasectomy, Vasovasostomy, Testicular changes.

Full Text:

PDF

References


Apte JS, and Gandhi VN. (1972). “A follow up study of vasectomy cases”, Jour. Family Planning and Welfare, Vol.17(1), p.3.

Banerjee TP. (1961). “A study of male sterilisation at Kanpur, report on 202 cases of vasectomy”, JIMA, Vol.36, p.578.

Cameron CS. (1945). “Anastomosis of the vas deferens”, JAMA, Vol.127, p.119.

Frieberg HS, and Lepsky HO. (1939). “Restoration of continuity of the vas deferens eight years after bilateral vasectomy”, Jour. of Urology, Vol.41, p.934.

Gupta AS, and Kothari LK, et al. (1975). “Surgical sterilisation by vasectomy and its effect on the structure and function of the testis in man”, British Journal of Surgery, Vol.62, p.59.

Hagner FJ. (1936). “The operative treatment of sterility in male”, JAMA, Vol.107, p.1851.

Halder BN, and Shivraman P. (1969). “A follow up study of vasectomy cases in Orissa”, Family Planning News, Vol.10(3), p.11.

Huffman WL. (1948). “Reanastomosis of vas deferens”, Jour. of Urology, Vol.60, p.643.

Jhaver PS, and Ohri BB. (1959). “Vasectomy – difficulties and complications”, JIMA, Vol.32, p.193.

Lakhtakia HS. (1959). “Vasectomy for male sterilisation – a study of 100 cases”, JIMA, Vol.32, p.194.

Martin E. (1902). “The surgical treatment of sterility due to obstruction at the epididymis”, University of Penn, Med. Bulletin, Vol.15, p.2.

Michelson L. (1946). “Vaso epididymal anastomosis by production of permanent fistulas with use of stainless steel wire”, Journ. of Surgery, Gynaecology and Obstetrics, Vol.82, p.327.

O’ Connor VJ. (1948). “Anastomosis of vas deferens after purposeful division for sterility”, JAMA, Vol.136, p.162.

Pardanani DS, and Kothari ML, et al. (1974). “Surgical restoration of vas continuity after vasectomy, further clinical evaluation of a new operative technique”, Fertil: Steril, Vol.25, p.319.

Phadke GM. (1961). “Vasectomy’, JIMA, Vol.37, p.241.

Phadke GM, and Phadke AG. (1967). “Experience in the reanastomosis of the vas deferens”, Fertil: Steril, Vol.97, p.888.

Schmidt SS. (1966). “Technique and complications of elective vasectomy. The role of spermatic granuloma in spontaneous recanalization”, Fertil:Steril, Vol.17, p.467.

Sharp HC. (1909). “Vasectomy as a means of preventing procreation in defectives”, JAMA, Vol.53, pp.1897-1902.

Shrikhande VN. (1976). “Family planning operations in male”, Recent developments in Surgery, Series no.1, p.362.

Silber SJ. (1976). “Microscopic technique for reversal of vasectomy”, Jour of Surgery, Gynaecology and Obstetrics, Vol.143, p.630.

Silber SJ. (1978). “Vasectomy andvasectomy reversal, Fertil:Steril, Vol.29, p.125.

Singh N. (1971). “Clinical and experimental study of the effect of ligation of testicular vessels and vas deferens on testes”, Thesis for M.S. Gen Surgery, A.P.S. University, Rewa.

Strode JE. (1937). “A technique of vasovasostomy for sterilisation”, Jour. of Urology, Vol.37, p.733.

Verma RN, and Boparai MS. (1971). “Vasectomy in the army”, Indian jour. Of Medical Research, Vol.59, p.655.


Refbacks

  • There are currently no refbacks.


Send mail to ijsss@ijsss.com with questions or comments about this web site. 

International Journal of Surgery and Surgical Sciences, All rights reserved.