Prepubic suprascrotal vasectomy
Sharma, K.C.; Chrungoo, R.K.; Sharma, U.
Journal of the Indian Medical Association 75(4): 69-71
1980
ISSN/ISBN: 0019-5847 PMID: 7217688 Document Number: 164770
Observations of 300 males vasectomized by a prepubic suprascrotal procedure are presented in this series from India. Acceptability of the scrotal method was less than for the prepubic. More discomfort was associated with the scrotal procedure. There were also more complications with the scrotal approach: 34 vs. no hematomas; 20 vs. 2 stitch abscess and wound infection; 12 vs. 1 persistent sinus; 8 vs. no orchitis; and 30 vs. 6 palpable granuloma. The procedure requires no sedation or general anaesthsia. An oblique incision about 1.5-2 cm long was made in skin just above and medial to each pubic tubercle with its center almost opposite the tubercle. The vas is palpated and using the tip of an index finger is caught and held out with the help of tissue holding forceps. Excision and ligation were carried out and hemostasis was ensured.