Ajay Kumar
BACKGROUND In contrast to female sterilisation in India, a very less percentage of the couples opt for male sterilisation. This is in spite of male sterilisation being a shorter, simpler procedure fraught with lesser complications, having a shorter recovery time and has less failure rate. The barriers to adoption of male sterilisation in India are profound with reasons ranging from unfounded fears among males characterising vasectomy with physical weakness, loss of virility, manhood and inability to enjoy intercourse. The aim of the study is to compare the effectiveness of No-scalpel vasectomy (NSV) with fascial interposition of the stumps of vas with non-interposition
MATERIALS AND METHODS The study was conducted in the family planning unit of the Department of O & G, Govt. Medical College, Kottayam. The period of study was one year from November 2015 to October 2016. The number of vasectomies during this period was 46. Acceptors posted for vasectomy were divided into 2 groups on a one-to-one basis. Hence, 22 were without fascial interposition and 24 with fascial interposition of the stumps of vas. After the vas is excised to 1 cm, the ligature of the testicular end is cut. The cut ends are passed into the scrotum. The uncut ligature of the prostatic end is pulled out through the wound. With the dissecting forceps, the fascial sheath of the vas deferens is grasped. The fascial membrane is tied below the tie of the prostatic end and then the stump of the prostatic end is slipped back into the scrotum. Hence, the stump of the testicular end is inside the fascial sheath, while the prostatic end is outside. During followup, satisfaction with the procedure was measured on the following domains - pain involved, time required to return to work after the procedure, problems in sexual life, by a questionnaire. A semen analysis was also done after 3 months.
RESULTS
No significance in the acceptor’s satisfaction between the two groups in terms of pain, return to work or sexual life. No significant difference in the failure rates (p >0.05).
CONCLUSION
Both techniques of vasectomy had no significant difference. However, there was a slight increase in the operating time in the fascial interposition technique.
