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- W4299353032 abstract "Some researchers now recommend an open-ended vasectomy technique, and their studies have shown a reversal success rate of over 90%. In addition, the procedure apparently alleviates pressure buildup in the epididymis that can cause chronic pain in some men. Open-ended vasectomy, developed by Dr. Sherman Silber, is characterized by leaving the testicular side of the divided vas open, while the abdominal side is clipped or cauterized as usual. The importance of that technique is 2-fold, according to Silber. The resulting reduction in pressure prevents ruptures and leakage in the epididymis, vastly improving the patient's chances of successful reversal. It also reduces chronic orchitic pain, noted in about 10% of vasectomy patients. Silber notes that his open-ended procedure recorded an unacceptably high failure rate as it was first developed -- 4% if cautery was used to seal the abdominal lumen, dropping to 0.04% when a Hemoclip was applied. Since Silber's initial study in 1979, several physicians have explored the open-ended vasectomy technique and have reported good results. Dr. William M. Moss has performed 2050 vasectomies using his own modification of Silber's technique and had recorded only 2 failures. The Moss technique is sutureless, resulting in greater patient comfort, and it takes only 5 minutes to perform. Both Moss and Silber cited a reversal success rate of 90% or better for the open-ended technique, and Silber estimated the subsequent pregnancy rate for spouses of vasectomy reversal patients to be 83%. Initial concern over formation of painful sperm granuloma or sperm antibodies have proved unfounded under further study. Few men change their minds after vasectomy; only 1% will ultimately seek reversal." @default.
- W4299353032 created "2022-10-02" @default.
- W4299353032 date "1986-05-01" @default.
- W4299353032 modified "2023-10-18" @default.
- W4299353032 title "Open-ended vasectomy prevents pain, may enhance reversibility." @default.
- W4299353032 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/12340687" @default.
- W4299353032 hasPublicationYear "1986" @default.
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