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No- scalpel vasectomy
1.
2. Small incision in the scrotum under LA
A piece of vas at least 1cm removed after clamping
Cut ends are ligated & folded upon themselves
Sutured so that cut ends face away from each other
oSterility not immediate (at least 30 ejaculations)
oSperms are stored in reproductive tract upto 3 months
oSperms destroyed intra luminally by phagocytosis
o2 semen analysis- no sperm –man declared sterile
3. COMPLICATIONS OF VASECTOMY
Local pain, skin discolouration, bleeding
Infection, trauma to artery ,gangrene
Ab formation, autoimmune disease
Failure rate
Granuloma formation
Spontaneous recanalization
Spermatocele formation
Haematoma
4. Non Scalpel Vasectomy
Local Anaesthesia is
given
Vas deferens fixed by
a ring forceps so that
only minimal amount
of tissue is present in
the ring
5. Skin directly overlying
the vas in the ring
forceps is punctured
Puncturing hole is
enlarged to about
twice the diameter of
vas deferens
7. Ligaturing the ends
of vas & excising a
small segment
Tied ends are pushed
back into scrotum
Opposite vas is also
manipulated
8. At the end of the
procedure a tiny
puncture hole
results, which
doesn’t require any
closure
9. POST OPERATIVE CARE
Wear a T bandage for 15days
Avoid bathing 24hrs after the operation
• Keep the site clean & dry
Avoid cycling or lifting heavy weights for 15 days
Use contraceptives until aspermia has been
established
Have stitches removed on 5th day after operation
11. ADVANTAGES OF NSV
No incision, no stitch
Minimal dissection using only 3 instruments
Chance of complications reduced from 2% th 0.3%
Safer, convenient, acceptable method
Cheaper compared to tubectomy
12. In spite of all these advantages,
male sterilizations account for
only 15% of all sterilizations in
India !!!!!!!