Shakeri S, Aminsharifi A R, Khalafi M
Department of Urology, Shiraz University of Medical Sciences, Shiraz, Iran.
Urol Int. 2009;82(3):361-4. doi: 10.1159/000209373. Epub 2009 May 11.
To assess the feasibility of the fascial interposition (FI) technique to improve the results of non-scalpel vasectomy (NSV) through a cost-effective modification.
The outcome of the FI technique for NSV in 954 consecutive candidates treated by two surgeons was evaluated retrospectively. 726 (76%) of the clients had undergone NSV with FI (FI group) and for the other 228 (24%) NSV by simple ligation and excision (LE) without FI (NFI group) was performed. Demographic data, operative time and complications as well as vasectomy failures were analyzed between the two groups.
The two groups were age-matched and there were no significant differences between the two procedures regarding operative complications and operative time. 13 cases of vasectomy failures (5.7%) were detected after 3 months of follow-up, all in the NFI group. No vasectomy failure was recognized in the FI group.
Combined use of FI with simple LE could be considered a simple effective method for NSV with a high success rate that allows the NSV to remain as a reliable option for contraception.
通过一种经济有效的改良方法，评估筋膜置入（FI）技术改善非手术刀输精管结扎术（NSV）效果的可行性。
回顾性评估两位外科医生连续治疗的954例候选者采用FI技术进行NSV的结果。其中726例（76%）患者接受了采用FI的NSV（FI组），另外228例（24%）患者采用简单结扎和切除（LE）的NSV，未采用FI（非FI组）。分析两组之间的人口统计学数据、手术时间、并发症以及输精管结扎失败情况。
两组年龄匹配，两种手术在手术并发症和手术时间方面无显著差异。随访3个月后发现13例输精管结扎失败（5.7%），均在非FI组。FI组未发现输精管结扎失败情况。
FI与简单LE联合使用可被认为是一种简单有效的NSV方法，成功率高，使NSV仍然是一种可靠的避孕选择。
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