Vasectomy is an excellent method of permanent contraception for the couple whose family is complete, who are mature and fully informed, and who will accept permanent sterility. It is also valuable in preventing bacterial epididymitis. Vasectomy is customarily performed in the office or clinic setting under local anesthesia. Many techniques may be used, but the cut-fulgurate-and-cover technique has never failed in my experience. Postoperative testing is mandatory, and negative results on two samples, collected one month apart, will ensure that delayed spontaneous recanalization has not occurred. The specific complications of vasectomy are spermatic granulomas of vas or epididymis, congestive epididymitis, and antisperm antibodies. Numerous studies have shown no deleterious effects upon the patient's general health. Manhood, pleasure, and sensation are unchanged, and the woman need no longer fear the possibility of an unwanted pregnancy.
输精管切除术对于那些家庭完整、成熟且充分知情并愿意接受永久性不育的夫妇来说，是一种极佳的永久性避孕方法。它在预防细菌性附睾炎方面也很有价值。输精管切除术通常在办公室或诊所环境中在局部麻醉下进行。可以使用多种技术，但就我的经验而言，切割-电灼-覆盖技术从未失败过。术后检测是必需的，相隔一个月采集的两份样本结果均为阴性，可确保未发生延迟性自然再通。输精管切除术的特定并发症包括输精管或附睾的精子肉芽肿、充血性附睾炎和抗精子抗体。大量研究表明，该手术对患者的总体健康没有有害影响。男子气概、性快感和感觉均未改变，女性也无需再担心意外怀孕的可能性。
