Labrecque M
Can Fam Physician. 1987 Sep;33:2067-71.
Vasectomy is done by a family physician at the family planning clinic of le Centre Hospitalier de l'Université Laval. The technique used combines an occlusion with metal clips and an excision of one to two centimetres of the vas deferens. The post-operative complications encountered with 304 vasectomies were hematomas (4%), infections of the scotal skin (1%), orchi-epididymitis (1%) and granulomas (1%). All these problems were treated on an out-patient basis, and no consultation with specialists was required. Of 151 patients who came back for a post-vasectomy semen examination, one had a test result showing motile spermatozoa. These figures are comparable to other results published. The family physician can easily incorporate this simple and safe procedure into his practice.
输精管切除术由拉瓦尔大学中心医院计划生育诊所的家庭医生进行。所采用的技术是将金属夹闭塞法与切除1至2厘米输精管相结合。304例输精管切除术中遇到的术后并发症有血肿(4%)、阴囊皮肤感染(1%)、睾丸附睾炎(1%)和肉芽肿(1%)。所有这些问题均在门诊治疗,无需请专科医生会诊。在151例回来接受输精管切除术后精液检查的患者中,有1例的检查结果显示有活动精子。这些数据与已发表的其他结果相当。家庭医生可轻松地将这种简单且安全的手术纳入其诊疗工作中。