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Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado
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2011, Number 1

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Rev Esp Med Quir 2011; 16 (1)

Vasectomy: 25-year summary at the Ambulatory Surgery Center of ISSSTE

Córdoba BDI, Sapién LJS, Valdepeña ER, Patiño OSP, Castellanos HH
Full text How to cite this article

Language: Spanish
References: 10
Page: 33-38
PDF size: 73.98 Kb.


Key words:

vasectomy without bistouries, masculine contraception, congenital anomalies, multidisciplinary attention.

ABSTRACT

Background: The vasectomy is a definitive masculine contraceptive method that is made in the Ambulatory Surgery Center (ISSSTE) since 1985.
Objective: To describe the results obtained during the 25 years of the vasectomy in the Ambulatory Surgery Center, the intra-operative findings and the contributions of the multidisciplinary work.
Patients and method: Retrospective, descriptive and qualitative study. The statistics of vasectomies made since July 1985 to July 2010 were analyzed. Socio-demographic data of the last five years were considered as a sample of the whole vasectomized population, and field notes were elaborated.
Results: 4,106 vasectomies have been made. The practice of the technique of vasectomy without bistouries began in 1995. The age average of the men with vasectomy was 36.6 years. The condom was the contraceptive method most used before the vasectomy. The age average of sexual initiation of men was 17.4 years. The majority of men had two children at the time of the vasectomy. Intraoperative findings were: agenesia, supernumerary vas deferens and bilateral duplication of vas deferens.
Conclusions: The accomplishment of the vasectomy without bistouries requires of qualification. It is an ambulatory procedure of low morbidity and effectiveness of 99%. It is necessary to continue with the multidisciplinary work to offer integral attention to the patient, before, during and after surgery.


REFERENCES

  1. Li SQ, Goldstein M, Zhu J, Huber D. The no-scalpel vasectomy. J Urol 1991;145:341-344.

  2. Sokal DC. Recent research on vasectomy techniques. Asian J Androl 2003;5:227-230.

  3. Suck BK, Young YS. Transverse testicular ectopia with bilateral duplication of the vas deferens. Report of a case. J Pediatr Surg 1999;46(4).

  4. Tolete-Velcek F, Bernstein MO, Hansbrough F. Crossed testicular ectopia with bilateral duplication of the vasa deferentia: an unusual finding in cryptorchism. J Pediatr Surg 1988;23(7):641-643. Citado en Suck BK, Young YS. Transverse testicular ectopia with bilateral duplication of the vas deferens. Report of a case. J Pediatr Surg 1999;46(4).

  5. Carr R. Apparent bilateral duplication of the vas deferens. Br J Urol 1993;71(3):354.

  6. Valdepeña ER, Córdoba BDI, Sapién LJS, Flores TJP, Patiño OSP. Duplicidad bilateral de conductos deferentes: reporte de un caso y revisión de la literatura (en prensa).

  7. Barone AM, Irsula B, Chen-Mok M, Sokal DC. Effectiveness of vasectomy using cautery. BMC Urol 2004;4:10.

  8. Cortes M, Flick A, Barone MA, Amatya R, et al. Results of a pilot study of the time to azoospermia after vasectomy in Mexico City. Contraception 1997;56:215-222.

  9. Córdoba BDI, Valdepeña ER, Sapién LJS, Salguero VA, Patiño OSP. Recomendaciones sobre esterilización voluntaria que hacen los hombres con vasectomía sin bisturí. Rev Esp Med Quir 2008;13(4):167-172.

  10. Prieto DCE, Méndez CR, Medina CJL, Trujillo HB, Vásquez C. Vasectomía sin bisturí. Experiencia de 10 años. Rev Med IMSS 2004;42(4):337-341.




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Rev Esp Med Quir. 2011;16