Broul Marek

(247) VASECTOMY METHODS, THEIR RESULTS AND COMPLICATIONS

  • Urology
  • Reproductive Medicine
  • Endocrinology
  • Endocrinology, Diabetes and Metabolism
  • Psychiatry and Mental health
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Abstract Objectives Vasectomy is a common method of male sterilization. However, it is less popular worldwide than tubal ligation in women. Vasectomy is also a potential cause of lawsuits related to its complications. This paper summarizes the early and late complications of this surgical procedure. Methods Data from the Medline database were used and the search terms used were "vasectomy complications", "vasectomy + infection", "vasectomy + endocarditis", "vasectomy + failure", vasectomy + cancer" and "vasectomy + death". Results According to the Guidelines of the European Urological Society, vasectomy is evaluated as a safe and effective method and is recommended as one of the methods of male contraception. The recommended vasectomy procedure is a scalpel-free approach to the fallopian tube, followed by dissection with fascia interposition or coagulation of the fallopian tube lumen. This method has fewer complications immediately after surgery and a higher long-term success rate than the method with a scalpel approach and without coagulation or fascial interposition. Furthermore, it is generally recommended to perform the procedure under local anaesthesia only, which again has fewer complications than general anaesthesia. Conclusions Vasectomy is a safe and relatively simple method of male contraception. It has a lower morbidity and mortality rate than tubal ligation in women. No relationship between vasectomy and the development of immunological, cardiovascular or cancer diseases has been confirmed. The possible complications are summarized in Table 1. Patients must always be informed before the procedure about the possible complications and the possibility of irreversibility of the procedure. Conflicts of Interest None.

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