Department of Family and Emergency Medicine, Laval University/Hôpital Saint-François d'Assise, D6-728, 10 rue de l'Espinay, Québec (Qc), Canada G1L 3L5.
Contraception. 2013 Mar;87(3):375-9. doi: 10.1016/j.contraception.2012.08.019. Epub 2012 Sep 11.
Recent developments in vasectomy research indicate that occluding the vas using cautery combined with fascial interposition (FI) significantly lowers failure rates and is an appropriate technology for low-resource settings. We report the introduction of this technique in Ministry of Health (MOH) vasectomy services in Rwanda.
In February 2010, an international vasectomy expert trained three Rwandan physicians to become trainers in no-scalpel vasectomy (NSV) with thermal cautery and FI. The training took place over 5 days in five rural health centers.
A total of 67 men received vasectomies (11-16 per day) and trainees successfully mastered the new occlusion technique. The MOH is now scaling up NSV with cautery and FI services nationwide. The initial cadre of trainers has subsequently trained 46 other physicians in this vasectomy technique across 27 districts of Rwanda.
No-scalpel vasectomy with thermal cautery and FI was successfully introduced in vasectomy services in Rwanda, and a similar initiative should be evaluated in other national vasectomy services worldwide.
最近的输精管结扎术研究进展表明，使用电灼联合筋膜间置（FI）来闭塞输精管可显著降低失败率，是一种适合资源匮乏环境的技术。我们报告了该技术在卢旺达卫生部（MOH）输精管结扎服务中的引入。
2010 年 2 月，一位国际输精管结扎术专家培训了 3 名卢旺达医生，使其成为使用热灼和 FI 的无刀输精管结扎术（NSV）的培训师。培训在五个农村卫生中心进行了 5 天。
共有 67 名男性接受了输精管结扎术（每天 11-16 例），培训生成功掌握了新的闭塞技术。MOH 现在正在全国范围内扩大使用热灼和 FI 的 NSV 服务。最初的培训师队伍随后在卢旺达的 27 个地区培训了 46 名其他医生掌握这种输精管结扎技术。
在卢旺达的输精管结扎服务中成功引入了热灼和 FI 的无刀输精管结扎术，在世界其他国家的国家输精管结扎服务中也应该评估类似的举措。
