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- W2292361770 abstract "No AccessJournal of Urology1 Feb 1991The No-Scalpel Vasectomy Shunqiang Li, Marc Goldstein, Jinbo Zhu, and Douglas Huber Shunqiang LiShunqiang Li More articles by this author , Marc GoldsteinMarc Goldstein More articles by this author , Jinbo ZhuJinbo Zhu More articles by this author , and Douglas HuberDouglas Huber More articles by this author View All Author Informationhttps://doi.org/10.1016/S0022-5347(17)38334-9AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail A refined method of delivering the vas deferens for vasectomy has been developed and used in China since 1974. This method eliminates the scalpel, results in fewer hematomas and infections, and leaves a smaller wound than conventional techniques. An extracutaneous fixation ring clamp encircles and firmly secures the vas without penetrating the skin. A sharp curved hemostat punctures and dilates the scrotal skin and vas sheath. The vas is delivered, cleaned and occluded by the surgeon’s preferred technique. The contralateral vas is delivered through the same opening. The puncture wound contracts to about 2mm., is not visible to the man and requires no sutures for closure. The reported incidence of hematoma in 179,741 men followed in China was 0.09%. No hematomas or infections were identified in the first 273 procedures performed by a surgeon in the United States. The operating time in China and for the last 50 United States procedures has ranged from 5 to 11 minutes. The disadvantage of the technique is the hands-on training and number of cases necessary to gain proficiency. However, the advantages for surgeons and patients should enhance the popularity of vasectomy. © 1991 by The American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetailsCited byPathak R, Edge C, Thomas G, Thiel D, Broderick G, La Rosa D, Lannen A, Moore M, Frank R and Igel T (2019) Vasectomy Simulation Curriculum and Trainer with Enhanced Face, Content and Construct ValidityUrology Practice, VOL. 6, NO. 3, (180-184), Online publication date: 1-May-2019.Sharlip I, Belker A, Honig S, Labrecque M, Marmar J, Ross L, Sandlow J and Sokal D (2012) Vasectomy: AUA GuidelineJournal of Urology, VOL. 188, NO. 6S, (2482-2491), Online publication date: 1-Dec-2012.Eisenberg M and Lipshultz L (2010) Estimating the Number of Vasectomies Performed Annually in the United States: Data From the National Survey of Family GrowthJournal of Urology, VOL. 184, NO. 5, (2068-2072), Online publication date: 1-Nov-2010.Shih G, Njoya M, Lessard M and Labrecque M (2010) Minimizing Pain During Vasectomy: The Mini-Needle Anesthetic TechniqueJournal of Urology, VOL. 183, NO. 5, (1959-1963), Online publication date: 1-May-2010.Wilson C (2018) RE: NO-NEEDLE JET ANESTHETIC TECHNIQUE FOR NO-SCALPEL VASECTOMYJournal of Urology, VOL. 174, NO. 4 Part 1, (1504-1505), Online publication date: 1-Oct-2005. (2018) RE: NO-NEEDLE JET ANESTHETIC TECHNIQUE FOR NO-SCALPEL VASECTOMYJournal of Urology, VOL. 174, NO. 4 Part 1, (1505-1505), Online publication date: 1-Oct-2005.WEISS R and LI P (2018) NO-NEEDLE JET ANESTHETIC TECHNIQUE FOR NO-SCALPEL VASECTOMYJournal of Urology, VOL. 173, NO. 5, (1677-1680), Online publication date: 1-May-2005.JONES J (2018) Percutaneous Vasectomy: A Simple Modification Eliminates the Steep Learning Curve of No-Scalpel VasectomyJournal of Urology, VOL. 169, NO. 4, (1434-1436), Online publication date: 1-Apr-2003.SOKAL D, McMULLEN S, GATES D and DOMINIK R (2018) A COMPARATIVE STUDY OF THE NO SCALPEL AND STANDARD INCISION APPROACHES TO VASECTOMY IN 5 COUNTRIESJournal of Urology, VOL. 162, NO. 5, (1621-1625), Online publication date: 1-Nov-1999.Choe J and Kirkemo A (2018) Questionnaire-Based Outcomes Study of Nononcological Post-Vasectomy ComplicationsJournal of Urology, VOL. 155, NO. 4, (1284-1286), Online publication date: 1-Apr-1996. Volume 145Issue 2February 1991Page: 341-344 Advertisement Copyright & Permissions© 1991 by The American Urological Association Education and Research, Inc.Keywordsvasectomyvas deferenscontraceptionsterilizationsexualMetricsAuthor Information Shunqiang Li More articles by this author Marc Goldstein More articles by this author Jinbo Zhu More articles by this author Douglas Huber More articles by this author Expand All Advertisement PDF downloadLoading ..." @default.
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