Hendry W F
St Bartholomew's Hospital, London.
Br J Urol. 1994 Apr;73(4):337-44. doi: 10.1111/j.1464-410x.1994.tb07592.x.
Vasectomy remains the safest method of birth control and there is much to commend it in the setting of a stable family relationship. However, some aspects of this operation have been wrongly presented in an attempt to widen its popularity and increase public acceptance. A simple procedure it may be but it is not totally free of complications; sometimes the operation has to be repeated and rarely it may reverse spontaneously even after the most stringent precautions. The family planning officer who counsels a prospective candidate and the surgeon who undertakes the procedure must ensure that these facts are understood by the patient with crystal clarity and that this fact is duly recorded on a signed and witnessed permission slip. Any organization which includes vasectomy in its programme of family planning should include advice and referral for vasectomy reversal in exactly the same way that the pill may be stopped or a coil can be removed. Fertility can be successfully restored by vasovasostomy in 50% of men who wish to have their vasectomies reversed, which often is due to a change in circumstances beyond their direct control.
输精管切除术仍然是最安全的节育方法，在稳定的家庭关系背景下，有很多值得推荐之处。然而，为了扩大其受欢迎程度并提高公众接受度，该手术的某些方面被错误地呈现了。它可能是一个简单的手术，但并非完全没有并发症；有时手术必须重复进行，而且即使采取了最严格的预防措施，也很少会自发恢复。为潜在候选人提供咨询的计划生育官员和进行该手术的外科医生必须确保患者清楚地理解这些事实，并将这一事实正式记录在一份有签名和见证的同意书上。任何将输精管切除术纳入其计划生育计划的组织，都应该像提供停止服用避孕药或取出宫内节育器的建议和转诊一样，提供输精管复通术的建议和转诊。对于希望逆转输精管切除术的男性，50%可以通过输精管吻合术成功恢复生育能力，这通常是由于他们无法直接控制的情况变化所致。
