Schirren C, Scholz-Jordan D
MMW Munch Med Wochenschr. 1976 Jul 9;118(28):889-902.
A prerequisite for medical agreement with the desire for vicarious sterilization of the male is the procedure which has become known as the Hamburg model, in which the discussion between doctor and the married couple assumes a pre-eminent role. The operation is performed by a second doctor who did not participate in the consultation and is consequently impartial. There is no accquiescence on the medical side if, for example, the marital situation must be considered as tense, if the ideas of the couple on the finality associated with vasectomy are aboslutely unsatisfactory, and if the decision as a partnership is expressly rejected and instead the freedom of the individual is given primary importance. Both partners must have the opportunity for repeated confidential consultation before the written agreement is signed.
医生同意男性替代绝育意愿的一个前提条件是被称为汉堡模式的程序,在该模式中,医生与已婚夫妇之间的讨论起着至关重要的作用。手术由未参与咨询的第二位医生进行,因此他是公正的。如果例如婚姻状况被认为紧张,如果夫妇双方对输精管切除术的不可逆转性的想法绝对不能令人满意,并且如果明确拒绝作为伙伴关系的决定,而是将个人自由置于首要地位,那么在医学方面是不会默许的。在签署书面协议之前,双方都必须有机会进行多次保密咨询。