Lara-Ricalde Roger, Velázquez-Ramírez Norma, Reyes-Muñoz Enrique
Departamento de Biología de la Reproducción, Instituto Nacional de Perinatología Isidro Espinosa de los Reyes, México, DF.
Ginecol Obstet Mex. 2010 Apr;78(4):226-31.
Men have few effective methods for birth control. The surgical method vasectomy is highly safe and effective, although in Mexico represents only 2.4% of all contraceptive methods used.
To determine the characteristics, complications and results of the men who requested and underwent no-scalpel vasectomy in the Instituto Nacional de Perinatología Isidro Espinosa de los Reyes, in México.
Retrospective cohort study with data of clinical records of men who underwent no-scalpel vasectomy from 2003 to 2007. Sociodemographic and clinical variables, and complications reported as well as espermatobioscopy data were included. Descriptive analysis was performed of different variables and chi squared test between proportions.
A total of 596 no-scalpel vasectomies were performed. The average age was 36.5 years and 13.4 of schooling, 86.9% were married with 9.6 years of union. Socioeconomic status was as follows: medium (25%), middle high (20.1%), and high (24.7%). The 94.3% of men requested the no-scalpel vasectomy because of satisfied fertility and 5.7% by morbidity in his couple. The complications were as follows: epididymitis (2.2%), mild haematoma (1.5%) and contact dermatitis (0.2%). The surgical complications were significantly more frequent for the group with varicocele compared with the normal men group (p < 0.05). Azoospermia was achieved in 99.1% of men at 18 weeks after the no-scalpel vasectomy. Early recanalization occurred in 0.5% of men. There were no pregnancies.
The profile of men who requested no-scalpel vasectomy was in a great proportion healthy, in the fourth decade of life, with high school or greater, satisfied fertility and high socioeconomic status. No-scalpel vasectomy is a method of fertility planning very effective with low morbidity.
男性有效的节育方法很少。手术方法输精管结扎术非常安全有效，不过在墨西哥，该方法仅占所有避孕方法使用量的2.4%。
确定在墨西哥伊西德罗·埃斯皮诺萨·德洛斯雷耶斯国家围产医学研究所要求并接受无刀输精管结扎术的男性的特征、并发症及结果。
对2003年至2007年接受无刀输精管结扎术男性的临床记录数据进行回顾性队列研究。纳入社会人口统计学和临床变量、报告的并发症以及精液显微镜检查数据。对不同变量进行描述性分析，并对比例进行卡方检验。
共进行了596例无刀输精管结扎术。平均年龄为36.5岁，受教育年限为13.4年，86.9%已婚，婚姻时长9.6年。社会经济状况如下：中等（25%）、中高（20.1%）和高（24.7%）。94.3%的男性因生育意愿得到满足而要求进行无刀输精管结扎术，5.7%的男性因配偶患病而要求。并发症如下：附睾炎（2.2%）、轻度血肿（1.5%）和接触性皮炎（0.2%）。与正常男性组相比，精索静脉曲张组的手术并发症明显更频繁（p < 0.05）。无刀输精管结扎术后18周，99.1%的男性达到无精子症。0.5%的男性出现早期再通。无妊娠情况。
要求进行无刀输精管结扎术的男性在很大程度上是健康的，处于人生第四个十年，具有高中及以上学历，生育意愿得到满足且社会经济地位较高。无刀输精管结扎术是一种非常有效的生育规划方法，发病率低。
