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One Thousand Vasectomies

The author reviewed a series of 223 of his patients who underwent bilateral vasectomy. The method involved resecting 2.5 cm of the vas on each side doubling back each end for 1.5 cm and double ligating the ends with nonabsorbable sutures. The ends are then replaced in the anatomical position. No sperm granulomas hematomas or scrotal infection have been noted using this technique. However the operation must be done under general anesthetic and there is more postoperative pain. By the fourth month after the operation 91% of the patients produced 2 specimens that were azoospermic. The method may be more efficient in the long run.