No-Scalpel Vasectomy in A Camp Approach: Follow-Up, Complications and Compliance

Authors

  • Piyush R Patel Government Medical College, Surat
  • D K Shah Baroda Medical College, Vadodara
  • Anjali Modi Government Medical College, Surat
  • Sunita N Mistry Smt. N.H.L. Municipal Medical College, Ahmedabad

Keywords:

No scalpel Vasectomy, Compliance, sterilization services in camps

Abstract

Background: This study was done to evaluate the no scalpel technique (NSV) for vasectomy in camp approach and establish recommendations for health education and special attention to issues affecting compliance to post vasectomy instructions and post vasectomy semen analysis (PVSA).

Materials and Methods: This was a prospective study of various aspects of NSV like details of procedure, characteristics, complications and compliance rate among clients who were operated in camps organized at six Primary/ Community Health Centers (PHCs/CHCs) in Vadodara district during January 2007 to November 2008. A predesigned, pretested questionnaire was used to collect information. Follow up data was gathered on all 1000 men by home/clinic visits. PVSA was done three months post procedure at camp site.

Results: The mean age of clients was 37.5±13.54 years and mean duration of procedure 9.61 minutes. Six patients developed post procedure complications like hematoma (0.1%), infection (0.2%), epididymitis (0.1%) and urethral injury (0.2%) while two failures were reported. Older men and men having more than two children are least likely to follow post-vasectomy instructions or report for PVSA (P<0.001).

Conclusion: The present study confirms the safety and efficacy of No-scalpel technique as a minimally invasive approach and shows promising and equivalent results of camp approach to hospital settings for delivering Family Planning Services. Age of client and the number of children were important determinants and correlated to post vasectomy compliance. Our study underscores the need of client education in a different perspective where emphasis is on those who are least likely to return for follow-up.

References

International Institute of Political Sciences and Macrointernational 2007. National Family and Health Survey-3, 2005-06. Mumbai, India: IIPS: 2007: p-173,205.

International Institute of Political Sciences and Macrointernational 1995. National Family and Health Survey-1, 1992-93. Mumbai, India: IIPS:1995: p-133

Singh A, Arora AK. The changing profile of pregnant women and quality of Antenatal Care in rural North India. Indian Journ of Community Medicine. 2007;32(2):135-6.

Roy Jacob stein, No-scalpel vasectomy an illustrated guide for surgeons, 3rd edition. (Engender health) 2005. (1):1-4.

Cook LA, Pun A, van Vliet H, Gallo MF, Lopez LM. Scalpel versus no-scalpel incision for vasectomy. Cochrane Database Syst. Rev.2007;18(2): CD00412.

Family planning division. Ministry of Health and Family Welfare. Government of India. Standard Operating Procedures for Sterilization Services in Camps. March 2008. New Delhi, India: GOI: 2008: Pg 9-11

Cook LA, Van VH, Lopez LM, Pun A, Gallo MF. Vasectomy Occlusion techniques for male sterilization. Cochane Database Syst Rev. 2007;18(2): CD 003991.

Huber D. (1989) No-scalpel vasectomy – the transfer of a refined surgical technique from China to other countries, Adv Contracept; 5: 217-218

Division of Research Studies and Standards. Ministry of Health and Family Welfare. Government of India. Standards for Female and Male Sterilization Services. October 2006. New Delhi, India: GOI: 2006:p17-26, 74, 77-8.

Kumar V, Kaza R M, Singh I, Singhal S, Kumaran N. An evaluation of the No-scalpel vasectomy technique. BJU international.1999;83:283-284.

Macdonald I A, Page S A. No-scalpel vasectomy as performed by a general practitioner/surgeon between 1990 and 1999. Canadian JRM.2002;7(1): 30-3

Griffin T, Tooher R, Nowakowski K, Llyod M, Maddern G. How little is enough? The evidence for post-vasectomy testing. J urol.2005;174(1):29-36.

Pant PR, Sharma J, Subba S. Scrotal hematoma: The most common complication of no-scalpel vasectomy; Kathmandu University Medical Journal.2007;5(2): 279-280.

Maatman TL, ALdrin L, Carothers GG. Patient noncompliance after vasectomy. Fertil Steril.1997;68(3):552-5

Christensen RE, Malples DC Jr. Postvasectomy semen analysis: are men following up? J Am Board Fam Pract.2005;18(1):44-7

Downloads

Published

2012-09-30

How to Cite

1.
Patel PR, Shah DK, Modi A, Mistry SN. No-Scalpel Vasectomy in A Camp Approach: Follow-Up, Complications and Compliance. Natl J Community Med [Internet]. 2012 Sep. 30 [cited 2024 May 29];3(03):480-5. Available from: https://njcmindia.com/index.php/file/article/view/1748

Issue

Section

Original Research Articles