Vasectomy by section, luminal fulguration and fascial interposition: results from 6248 cases.

OBJECTIVE

To determine the incidence of complications, including recanalization, in a series of 6248 consecutive vasectomies performed with a section-fulguration-fascial interposition technique.

PATIENTS AND METHODS

Over a 38-year period, 6248 vasectomies were performed by one surgeon (S.S.S.) as a clinic procedure under local anaesthesia with no resection of a vasal segment. The mucosa of the cut ends of the vas was destroyed by cauterization and the fascial sheath of the vas was interposed as a barrier. Semen specimens were examined until two specimens, one month apart, showed no sperm.

RESULTS

Complications were minimal, with few cases of haematoma or wound infection. Spermatic granulomas were uncommon. No post-vasectomy pregnancies were reported and no patient showed a persistence of sperm.

CONCLUSION

The section-fulguration-fascial interposition technique of vasectomy was uniformly effective, with few post-operative problems.