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Infertility: Vasectomy 

Infertility: Vasectomy
Chapter:
Infertility: Vasectomy
Author(s):

Yacov Reisman

DOI:
10.1093/med/9780199659579.003.0099
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date: 20 November 2019

Vasectomy is now well recognized worldwide as one of the safest and most effective contraceptive methods. A history should be taken and an examination should be carried out on every person requesting sterilization. Preoperative counselling should include alternative methods of contraception, complication and failure rates, and the need for postoperative semen analysis. There are no absolute contraindications to sterilization, provided that they make the request themselves, are of sound mind, and are not acting under external duress. Relative contraindications may be the absence of children, age <30 years, severe illness, no current relationship, and scrotal pain. Although various vasectomy techniques have been described, all share three essential steps: isolation of the vas deferens, delivery and interruption of the vas, and management of the vasal ends.

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