Die ambulante Vasektomie |
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Authors: | Priv.-Doz. Dr. J. Leißner F. Reiher M. Böhm E. P. Allhoff |
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Affiliation: | 1. Urologische Universit?tsklinik der Otto-von-Guericke-Universit?t, Magdeburg 2. Urologische Universit?tsklink, Otto-von-Guericke-Universit?t, Leipziger Stra?e 44, 39120, Magdeburg
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Abstract: | Vasectomy is the simplest and most effective method of permanent sterilization in men. In most cases, the surgical technique includes conventional vasoresection with incision of the scrotal skin or no-scalpel vasectomy as a minimally invasive method.The most important complications following surgery are haemorrhage and haematoma (1.2%), infection (3.5%), epididymitis/epididymo-orchitis (2.1%), sperm granuloma (2-70%), and chronic pain (3-8%). No long-term negative organic effects have been proven in clinical studies. The surgeon's experience and the technique applied are essential for the postoperative course, whereas performing vasectomy either on an in-patient or out-patient basis does not seem to have an influence.To evaluate the success of the vasectomy, follow-up spermiograms are obligatory. If immotile spermatozoa are present further follow-ups are necessary. Vasectomy needs to be reperformed if motile spermatozoa are detected. The chance of an unsuccessful vasectomy is below 1%. Unprotected intercourse must not be performed before two consecutive spermiograms show azoospermia. |
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