No scalpel vasectomy in promoting male sterilization

Abstract

A total of 50 cases of NSV were studied with aim to evaluate the advantages of NSV vis a vis conventional vasectomy, its’ advantages, complications, motivating factors, time taken for the operation, age at operation, number of children at operation, failure rate and follow up. The cases were informed about the procedure and choice given, before taking consent. Pre- operative preparation and counseling was done. The findings were recorded and interpreted according to WHO guidelines . The average age of operation was 37 years, , while most people were motivated to undergo the procedure because of completion of family. Most cases had three viable children at operation, and the mean operating time was recorded as 16 minutes per case. Complication rate was 0.2% and 64% people came for follow up . The sperm positivity rate of the follow up cases was 2%, recording a failure rate of 2% and the procedure effective rate was 98%. Certain special conditions of the scrotum of desirable cases like inguinal hernia, hydrocoele, varicocoele, Diabetes mellitus, scrotal injury were also detected during the study.