No-scalpel vasectomy: Difference between revisions
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'''No-scalpel vasectomy''' (also called ''keyhole vasectomy or NSV'') is a [[vasectomy]] procedure variant in which a sharp [[hemostat]] is used to puncture the [[scrotum]]<ref>{{cite journal|last1=LA|first1=Cook|title=Scalpel versus no scalpel incision for vasectomy|journal=Cochrane Library|date=2007|issue=4|url=http://apps.who.int/rhl/reviews/CD004112sp.pdf|accessdate=17 November 2016}}</ref> to access the [[Vas deferens|vas]] instead of giving an incision as in conventional vasectomy. This offers several benefits, key being no need for [[Surgical suture|surgical sutures]] to close the skin. Because of the inherent simplicity of the procedure it affords itself to be used in [[Public health|public health programs]] worldwide.This method is used in over 40 countries for [[Male sterilization|male sterilisation]]. |
'''No-scalpel vasectomy''' (also called ''keyhole vasectomy or NSV'') is a [[vasectomy]] procedure variant in which a sharp [[hemostat]] is used to puncture the [[scrotum]]<ref>{{cite journal|last1=LA|first1=Cook|title=Scalpel versus no scalpel incision for vasectomy|journal=Cochrane Library|date=2007|issue=4|url=http://apps.who.int/rhl/reviews/CD004112sp.pdf|accessdate=17 November 2016}}</ref> to access the [[Vas deferens|vas]] instead of giving an incision as in conventional vasectomy. This offers several benefits, key being no need for [[Surgical suture|surgical sutures]] to close the skin. Because of the inherent simplicity of the procedure it affords itself to be used in [[Public health|public health programs]] worldwide.This method is used in over 40 countries for [[Male sterilization|male sterilisation]].<ref>{{Cite journal|last=Shattuck|first=Dominick|last2=Perry|first2=Brian|last3=Packer|first3=Catherine|last4=Chin Quee|first4=Dawn|date=2016-12-23|title=A Review of 10 Years of Vasectomy Programming and Research in Low-Resource Settings|url=https://www.ncbi.nlm.nih.gov/pubmed/28031302|journal=Global Health, Science and Practice|volume=4|issue=4|pages=647–660|doi=10.9745/GHSP-D-16-00235|issn=2169-575X|pmc=PMC5199180|pmid=28031302}}</ref> |
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==History== |
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No-scalpel vasectomy was developed in China by Dr. Li Shunqiang with the aim of reducing men’s fear related to the incision and increasing vasectomy use in China<ref>{{Cite journal|last=Huber|first=D. H.|date=April 1988|title=A short history of no-scalpel vasectomy|url=https://www.ncbi.nlm.nih.gov/pubmed/12269069|journal=AVSC news (Association for Voluntary Surgical Contraception (U.S.))|volume=26|issue=1|pages=1,3|pmid=12269069}}</ref>. No-scalpel vasectomy was developed and first performed in China in 1974 by Dr. Li Shunqiang of the Chongqing Family Planning Scientific Research Institute, located in Sichuan Province primarily in response to the fear of chinese men to undergo vasectomy.<ref name=":0" /> Under the sponsorship of [[EngenderHealth]], an international team of experts visited Dr. Li Shunqiang in 1985 and observed his refined vasectomy technique. They were convinced that the technique should become the standard approach for vasectomy. One of the team members, Dr. Phaitun Gojaseni, introduced the no-scalpel technique in Thailand upon his return, while another member of the team, Dr. [[Marc Goldstein]], performed the first no-scalpel vasectomy in the United States at the [[NewYork–Presbyterian Hospital|New York Presbyterian Hospital]]. Over time, the technique gained popularity and it is now a preferred method of male sterilization in many countries<ref name=":0" />. |
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== History of No Scalpel Vasectomy in India == |
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No scalpel vasectomy was introduced in India in 1998. A team of Indian surgeons lead by Dr RCM Kaza travelled to Chengdu, China to learn the technique under the aegis of Engender Health and [[United Nations|UN]]. They then introduced the procedure in India, under the [[National Rural Health Mission]]. The [[Government of India]] then proceeded to introduce the procedure in every district of India as an alternative to tubal ligation offered to women. |
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7th November every year is celebrated as World Vasectomy Day in India.<ref>{{Cite web|url=http://www.delhi.gov.in/wps/wcm/connect/2527da8046262a2e8b1def4329907a47/Worldv.pdf?MOD=AJPERES&lmod=4595710|title=World Vasectomy Day|last=|first=|date=|website=|archive-url=|archive-date=|dead-url=|access-date=}}</ref> |
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== Technical Procedure == |
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| ⚫ | The procedure is done under [[local anesthesia]], usually in an outpatient clinic. Certain diseases of the male genital system, including infections, filariasis and large hydrocoele are contraindications for no-scalpel vasectomy. These diseases should be treated before no-scalpel vasectomy is performed. The vas is isolated by [[three-finger technique]] on both sides. The ideal entry point for the needle is midway between the top of the [[testes]] and the base of the [[penis]]. Usually, 100 mg [[lidocaine]] (without [[epinephrine]]) is injected to create a wheal. Afterwards, a ringed clamp is used to puncture the scrotal skin and elevate the vas deferens. A dissecting forceps is used to spread the tissue, pierce the wall of the vas and deliver it outside. It is then occluded and ligated.<ref name=":0">{{cite book|title=No-Scalpel Vasectomy : An Illustrated Guide for Surgeons|date=1997|publisher=Engender Health|location=New York|url=https://www.engenderhealth.org/files/pubs/family-planning/no-scalpel.pdf|accessdate=17 November 2016}}</ref> This procedure has less pain, bleeding and infection than conventional vasectomy. NSV can be done in less time and the individual is able to return to sexual activity sooner than traditional vasectomy surgery. |
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==References== |
==References== |
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[[Category:Family planning]] |
[[Category:Family planning]] |
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[[Category:Male Sterilization]] |
[[Category:Male Sterilization]] |
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[[Category:Contraception for males]] |
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Revision as of 17:49, 25 August 2017
 | This article needs additional citations for verification. (November 2016) |
No-scalpel vasectomy (also called keyhole vasectomy or NSV) is a vasectomy procedure variant in which a sharp hemostat is used to puncture the scrotum[1] to access the vas instead of giving an incision as in conventional vasectomy. This offers several benefits, key being no need for surgical sutures to close the skin. Because of the inherent simplicity of the procedure it affords itself to be used in public health programs worldwide.This method is used in over 40 countries for male sterilisation.[2]
History
No-scalpel vasectomy was developed in China by Dr. Li Shunqiang with the aim of reducing men’s fear related to the incision and increasing vasectomy use in China[3]. No-scalpel vasectomy was developed and first performed in China in 1974 by Dr. Li Shunqiang of the Chongqing Family Planning Scientific Research Institute, located in Sichuan Province primarily in response to the fear of chinese men to undergo vasectomy.[4] Under the sponsorship of EngenderHealth, an international team of experts visited Dr. Li Shunqiang in 1985 and observed his refined vasectomy technique. They were convinced that the technique should become the standard approach for vasectomy. One of the team members, Dr. Phaitun Gojaseni, introduced the no-scalpel technique in Thailand upon his return, while another member of the team, Dr. Marc Goldstein, performed the first no-scalpel vasectomy in the United States at the New York Presbyterian Hospital. Over time, the technique gained popularity and it is now a preferred method of male sterilization in many countries[4].
History of No Scalpel Vasectomy in India
No scalpel vasectomy was introduced in India in 1998. A team of Indian surgeons lead by Dr RCM Kaza travelled to Chengdu, China to learn the technique under the aegis of Engender Health and UN. They then introduced the procedure in India, under the National Rural Health Mission. The Government of India then proceeded to introduce the procedure in every district of India as an alternative to tubal ligation offered to women.
7th November every year is celebrated as World Vasectomy Day in India.[5]
Technical Procedure
The procedure is done under local anesthesia, usually in an outpatient clinic. Certain diseases of the male genital system, including infections, filariasis and large hydrocoele are contraindications for no-scalpel vasectomy. These diseases should be treated before no-scalpel vasectomy is performed. The vas is isolated by three-finger technique on both sides. The ideal entry point for the needle is midway between the top of the testes and the base of the penis. Usually, 100 mg lidocaine (without epinephrine) is injected to create a wheal. Afterwards, a ringed clamp is used to puncture the scrotal skin and elevate the vas deferens. A dissecting forceps is used to spread the tissue, pierce the wall of the vas and deliver it outside. It is then occluded and ligated.[4] This procedure has less pain, bleeding and infection than conventional vasectomy. NSV can be done in less time and the individual is able to return to sexual activity sooner than traditional vasectomy surgery.
References
- ^ LA, Cook (2007). "Scalpel versus no scalpel incision for vasectomy" (PDF). Cochrane Library (4). Retrieved 17 November 2016.
- ^ Shattuck, Dominick; Perry, Brian; Packer, Catherine; Chin Quee, Dawn (2016-12-23). "A Review of 10 Years of Vasectomy Programming and Research in Low-Resource Settings". Global Health, Science and Practice. 4 (4): 647–660. doi:10.9745/GHSP-D-16-00235. ISSN 2169-575X. PMC 5199180. PMID 28031302.
{{cite journal}}: CS1 maint: PMC format (link) - ^ Huber, D. H. (April 1988). "A short history of no-scalpel vasectomy". AVSC news (Association for Voluntary Surgical Contraception (U.S.)). 26 (1): 1, 3. PMID 12269069.
- ^ a b c No-Scalpel Vasectomy : An Illustrated Guide for Surgeons (PDF). New York: Engender Health. 1997. Retrieved 17 November 2016.
- ^ "World Vasectomy Day" (PDF).
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