Studies on male sterilization techniques
Lee, H.Y.
Taehan Uihak Hyophoe Chi. Journal of the Korean Medical Association 18(6): 1-24
1975
ISSN/ISBN: 0023-4028 PMID: 12177903 Document Number: 431585
After a review of the theory, incidence in Korea, indications, complications, and operative technique of vasectomy, clinical observations on 2 procedures are given. Vas reanastomosis was performed on 185 men, aged 19-58, using general anesthesia. Ejaculates of 178 of the men showed 81% contained viable sperm. more than 10 years, 58%). Later pregnancies were reported by 35% of the men. Reversible vas occlusion by insertion of intravasal thread (IVT) was performed on 544 men under local anesthesia. Sperm passage was occluded in 96% of the men. After 9 months, 42 men had the IVT removed; 83% had viable sperm 1 month later. Advantages of the IVT technique are 1) simplicity of reversibility, 2) low cost, 3) no postoperative pain or discomfort, and 4) outpatient/local anesthesia procedure. A disadvantage is the lower success rate of vas occlusion due to luminal dilation around the IVT.