Vasectomy and vasectomy reversal: important issues
Gespeichert in:
| 1. Verfasser: | |
|---|---|
| Format: | Buch |
| Sprache: | English |
| Veröffentlicht: |
Philadelphia, PA
Saunders
2009
|
| Schriftenreihe: | Urologic clinics of North America
36,3 |
| Schlagworte: | |
| Online-Zugang: | Inhaltsverzeichnis |
| Beschreibung: | XIV S., S. 285 - 401 Ill., graph. Darst. |
| ISBN: | 9781437712780 1437712789 |
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| 650 | 4 | |a Male contraception | |
| 650 | 4 | |a Sterilization Reversal | |
| 650 | 4 | |a Sterilization, Reproductive | |
| 650 | 4 | |a Vasectomy | |
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Datensatz im Suchindex
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| adam_text | Titel: Vasectomy and vasectomy reversal
Autor: Sandlow, Jay I.
Jahr: 2009
Vasectomy and Vasectomy Reversal: Important Issues
Contents
Preface xiii
Jay I. Sandlowand Harris M. Nagler
History of Vasectomy 285
Yef im R. Sheynkin
Vasectomy as a medical term is a misnomer because only part of the vas deferens is
excised during the procedure. Vas deferens as an anatomic structure was not a sub¬
ject of significant clinical and research interest until the nineteenth century. It is dif¬
ficult to find another surgical procedure as simple as vasectomy that has sparked so
much medical and social controversies for more than a century. Vasectomy is a his¬
torical, social, philosophic, medical, demographic, and legal phenomenon. It is not
surprising that the history of this procedure combines not only a constant quest for
ideal technique and better results but also misconceptions, false beliefs, and erro¬
neous indications.
Demographics of Vasectomy—USA and International 295
John M. Pile and Mark A. Barone
Vasectomy is safer, simpler, less expensive, and equally as effective as female
sterilization—yet it remains one of the least known and least used methods of con¬
traception. Worldwide, an estimated 33 million of married women ages 15 to 49 (less
than 3%) rely on their partner s vasectomy for contraception.
Techniques of Vasectomy 307
Kevin S. Art and Ajay K. Nangia
Vasectomy remains a safe and effective method of contraception for men. Many var¬
iations in surgical technique currently are used by surgeons in the United States,
each with its own benefits and drawbacks. Regardless of the surgical method
used, the most important factor for successful vasectomy remains the experience
and skill of the surgeon. The amount of evidence-based literature on the rationale
for the different techniques for vasectomy remains limited. Careful study and inno¬
vation of vasectomy techniques will ensure that the most commonly performed uro-
logic surgical procedure remain an excellent form of contraception in the future.
Effectiveness of Vasectomy Techniques 317
David C. Sokal and Michel Labrecque
The effectiveness of various vasectomy techniques is reviewed, with a focus on
methods used for vas occlusion. Spontaneous recanalization of the vas is more
common than generally recognized and Is often transient. Simple ligation and exci¬
sion has an unacceptably high risk for failure. Techniques that include cautery seem
to have a lower risk for failure than techniques that do not include cautery. There is
insufficient evidence to recommend a particular standardized cautery technique, but
adding fascial interposition to cautery seems to be associated with the lowest risk
for failure.
Contents I
Risks and Complications of Vasectomy 331
Christopher E. Adams and MosheWald
Vasectomy is a safe and effective procedure for permanent contraception, Vasec¬
tomy is 30 times less likely to fail and 20 times less likely to have postoperative com¬
plications than its gynecologic counterpart. Complications from vasectomy are
rare and minor in nature. Immediate risks include infection, hematoma, and pain.
Complications seldom lead to hospitalization or aggressive medical management.
Technique is surgeon dependent; however, certain techniques, such as fascial inter- )
position, seem to decrease rates of vasectomy failure. Despite myriad vasectomy
techniques, failure rates are less than those seen with tubal ligation. Available
data suggest that vasectomized men do not seem at increased risk for immune-
complex diseases.
Putative Health Risks Associated with Vasectomy 337
Tobias S. Kohler, Anees A. Fazili, and Robert E. Brannigan
Vasectomy is widely regarded as a safe method of contraception, but over the
years there have been many reports suggesting putative health risks associated
with the procedure. Concerns over the possible association of vasectomy with
a number of medical conditions, including cardiovascular disease, testicular can¬
cer, prostate cancer, psychologic distress, and a variety of immune complex-
mediated disease processes have been reported. Most recently, a manuscript
from the neurology literature has described an association between vasectomy
and primary progressive aphasia, a rare variety of frontotemporal dementia.
This article reviews the literature surrounding each of these purported health con¬
cerns. Because the ultimate findings have important ramifications for both
informed consent of vasectomy patients and for public health, the reported health
risks in question should be critically evaluated.
The Law and Vasectomy 347
Andrew I. Kaplan and Jay A. Rappaport
This article explores why the national court system has seen a steady influx of claims
alleging practitioners failure properly to perform vasectomy or ensure sterilization
and the manner in which that influx has caused physicians to reassess their methods
of practicing medicine in an increasingly litigious environment and make the appro¬
priate and necessary accommodations. Through their experiences as medical mal¬
practice litigators and through the analysis of reported cases, national jury verdicts,
and insurance claims made and paid in lawsuits arising from claims regarding the
performance of vasectomy, the authors enlighten the reader as to the legal theories
and hurdles applicable to such claims and the medical theories most often eluci¬
dated and litigated by the patients who bring them. Also offered are suggestions ¦
as to the manner in which the practitioner may be proactive in both preventing
and defending exposure to malpractice litigation.
History of Vasectomy Reversal 359
Howard H. Kim and Marc Goldstein i
Vasectomy reversal has come a long way since the first anastomosis of the vas j
deferens and epididymis. Although its history is not as politically charged as that I
of vasectomy, the progress of reversal surgery has had its share of brilliant discov¬
eries and missteps. In the early part of the twentieth century, vasovasostomy and
Contents
vasoepididymostomy were esoteric procedures, but by the 1970s, a majority of urol¬
ogists had some experience with reversal surgery. With the advent of micrasurgical
technique, reversal surgery has become once more a specialist s undertaking. The
history of vasectomy reversal is an excellent case study in the evolution of surgery.
Techniques for Vasectomy Reversal 375
Larry I. Lipshultz, Jon A, Rumohr, and Richard C. Bennett
This article details the contemporary preoperative preparation, micrasurgical tech¬
niques, and postoperative care recommended for vasectomy reversal. The two-
layer vasovasostomy and intussuscepted epididymovasostomy techniques are
presented in detail.
Factors Predicting Successful Microsurgical Vasectomy Reversal 383
Harris M. Naglerand Howard Jung
A man who desires restoration of fertility after vasectomy has two main treatment
options for having his genetic child: vasectomy reversal or sperm extraction with
subsequent in vitro fertilization with intracytoplasmic sperm injection. Micrasurgical
reconstructive techniques and their widespread availability have made vasectomy
reversal a realistic option for many couples; however, vasectomy reversal outcomes
are varied because there are many factors that alter the chance of success. Some of
these factors become known preoperatively, whereas others can only be ascer¬
tained at the time of surgery. Intraoperatively, the urologist must identify factors
and understand how they will affect the decision to proceed. This article systemat¬
ically reviews each of these phases of decision-making and management.
Cost-Effectiveness of Vasectomy Reversal 391
Paul Robb and Jay I. Sandlow
In this era of cost-consciousness and containment, it is imperative to examine not
only treatment outcomes but also cost of these treatments. With improvements of
in vitro fertilization outcome and continued development of less-invasive sperm re¬
trieval methods, physicians and couples must examine all options available after
surgical sterilization. Vasectomy reversal remains the gold standard of treatment;
however, certain situations may be present in which sperm acquisition/in vitro fertil¬
ization may be a better option. A physician s responsibility is to present all options
with the pros and cons of each, including cost, to help arrive at an informed
decision.
Index 397
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| spelling | Sandlow, Jay I. Verfasser aut Vasectomy and vasectomy reversal important issues guest ed. Jay I. Sandlow Philadelphia, PA Saunders 2009 XIV S., S. 285 - 401 Ill., graph. Darst. txt rdacontent n rdamedia nc rdacarrier Urologic clinics of North America 36,3 Male contraception Sterilization Reversal Sterilization, Reproductive Vasectomy Vasektomie (DE-588)4283936-1 gnd rswk-swf (DE-588)4143413-4 Aufsatzsammlung gnd-content Vasektomie (DE-588)4283936-1 s b DE-604 Urologic clinics of North America 36,3 (DE-604)BV000001584 36,3 HBZ Datenaustausch application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=017999106&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis |
| spellingShingle | Sandlow, Jay I. Vasectomy and vasectomy reversal important issues Urologic clinics of North America Male contraception Sterilization Reversal Sterilization, Reproductive Vasectomy Vasektomie (DE-588)4283936-1 gnd |
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| title | Vasectomy and vasectomy reversal important issues |
| title_auth | Vasectomy and vasectomy reversal important issues |
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| title_full | Vasectomy and vasectomy reversal important issues guest ed. Jay I. Sandlow |
| title_fullStr | Vasectomy and vasectomy reversal important issues guest ed. Jay I. Sandlow |
| title_full_unstemmed | Vasectomy and vasectomy reversal important issues guest ed. Jay I. Sandlow |
| title_short | Vasectomy and vasectomy reversal |
| title_sort | vasectomy and vasectomy reversal important issues |
| title_sub | important issues |
| topic | Male contraception Sterilization Reversal Sterilization, Reproductive Vasectomy Vasektomie (DE-588)4283936-1 gnd |
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