Urology and incidence of surgical complications associated with impotence and infertility;vasectomy and vasectomy reversal. and Minimally Invasive urology 203.785.2815 http://info.med.yale.edu/yfp/referral/surg/uro.html
Extractions: Home Page UROLOGY The Section of Urology is comprised of physicians whose express purpose is excellence in the treatment of urologic disease. Each physician has developed clinical expertise in subspecialty disciplines within urology to provide comprehensive treatment of even the most complicated urologic problems. The strong academic and research backgrounds of the group assures a cutting edge approach to treatment. The Stone Center at Yale offers treatment and prevention of kidney stones. Extracorporeal shock wave treatment is available through the Renal Lithotripsy Center . Patients who undergo this therapy, or surgical treatment, are followed-up in the Stone Center with physicians from the sections of urology and endocrinology to ensure that the cause and prevention of the stone is understood. Prevention through nutrition, counseling, and medical management is individualized for each patient. The section utilizes laparoscopic techniques such as laparoscopic nephrectomy. The length of stay and incidence of surgical complications associated with these procedures have proven to be significantly lower than for that of traditional methods.
No-Scalpel Vasectomy Center urology; 1992391736; Farley TM, Meririk O, Mehta S 5)644-9; Haw Jm, Feigin J vasectomycounseling B, Huber DH, Grubb GS, Rubin GL complications of vasectomy http://www.cornellurology.com/uro/cornell/infertility/no_scalpel.shtml
Extractions: Cornell No-Scalpel Vasectomy Center Introduction The history of No-Scalpel vasectomy (NSV) The first No-Scalpel Vasectomy in the United States The leading Center for male surgical contraceptive research and training ... References Introduction Vasectomy is a simple, safe and effective method of permanent surgical contraception for men. It is much safer and less expensive than tubal ligation for women. For this reason, over 500,000 men undergo vasectomy in the United Sates each year. Nearly 7 to 10% of all married couples choose vasectomy as their permanent form of birth control. The history of No-Scalpel Vasectomy (NSV): Dr. Shunqiang Li developed the No-Scalpel Vasectomy (NSV) in 1974 in China. It is a safe and minimally invasive procedure with a much lower complication rate than that of the conventional vasectomy. It was first introduced to physicians in the West when the New York-based " Association for Voluntary Surgical Contraception" (now AVSC International) sponsored an international team that visited China in 1985 and witnessed the Chinese vasectomy technique called " The ligation of vas deferens under the direct vision" , now known as the No-Scalpel Vasectomy.
South County Urological, Inc. - Vasectomy Other rare complications that may arise in the first There have been reports thatvasectomy increases the the December 1995 Yearbook of urology reported that http://www.southcountyurological.com/vasectomy.shtml
Extractions: Information for Patients Considering Vasectomy Choosing To Have A Vasectomy Every year in the United States about one-half million men choose sterilization by vasectomy as their method of birth control. They choose vasectomy because it is a simple, safe, and effective surgical procedure that prevents sperm from reaching an egg and fertilizing it. A vasectomy only affects your ability to father a child. Nothing else is changed. However, because it is very difficult and expensive to reverse a vasectomy, and reversal often is not successful, having a vasectomy must be viewed as a serious step to take. The decision should be discussed and shared with your partner. You and your partner should make sure that you understand all the facts. You should be comfortable with your decision and not view sterilization as a solution for sexual or marital problems. There are many issues you and your partner need to think about. You must be certain that you do not wish to have any more children. You should consider the possibility of divorce and remarriage. Might you want children if you were to marry again? You should consider other forms of birth control if you have any doubts about these issues. If you decide to have a vasectomy, you will be asked to sign a consent form beforehand which states that you are aware of the risks involved. Make sure all your questions have been answered before you sign this consent form. Also, check with your insurance company to see if it covers vasectomies. Many insurance policies do. Reading through this booklet should help to answer your questions about what a vasectomy is, what steps or procedures are involved, and what the benefits, discomforts and risks are.
X-Plain Urology XPlain urology or urology. By The Patient Education Institute. Home. Heart Attack(English). Diabetes - Eye complications (English). vasectomy (English). http://patient-education.com/PUBLIC/Urology.htm
Conditions & Treatments, SC-Urology expensive and less likely to cause complications than a is how much time has passedsince the original vasectomy. in 1991 in the Journal of urology men who http://www.sc-urology.com/conditions.htm
Extractions: International Continence Society American Foundation for Urologic Disease Prostate Cancer Research Network Urologic and Male Genital Diseases ... UrologyUSA This site is designed for educational purposes only. Information found on this site should not be used for diagnosis or treatment of medical conditions, or as a substitute for professional medical care. This site is designed for educational purposes only. Information found on this site should not be used for diagnosis or treatment of medical conditions, or as a substitute for professional medical care.
Urology Care / Prostate Cancer Treatment - Stanford Hospital And Clinics reduces the likelihood of treatment failure and complications. Clinical Faculty ofFemale urology and the Center patients who are postvasectomy and patients http://www.stanfordhospital.com/clinicsmedServices/clinics/urology/urologyClinic
Extractions: The Stanford University Urology Clinic provides general urologic care for the local population and serves as a secondary and tertiary referral center for adult patients with a wide range of complex urologic problems. Our staff is committed to preserving patient dignity and providing the highest quality care and comfort. The Genitourinary Cancer Program focuses on the investigation and management of cancers of the prostate, bladder, kidney, testis and genitalia. Emphasis is placed on finding cancer treatment that offers the greatest efficacy with the fewest complications and is based on a multidisciplinary approach which combines clinical expertise from Urology, Radiation Oncology and Medical Oncology in the office, operating room and laboratory. Treatment plans are customized to meet individual patient needs, and when appropriate, patients are invited to participate in studies to investigate the newest treatments as well as large-scale clinical trials for more established treatments.
Untitled Document Dr. Robert Finnerty of Northwest urology Center is less pain and fewer complicationsthan conventional vasectomy. complications, if any, are usually minor. http://www.nwurology.com/002Sec1dCore.htm
Extractions: We've been hearing about vasectomies for years, and may think we know all about this procedure for male sterilization. But, did you know that now there is a method that doesn't involve using a scalpel to make incisions, but rather an instrument that makes just one small puncture? Since there is no incision, no stitches are required. The procedure is faster, and permits a quicker recovery. And were you aware that vasectomy reversal is becoming more common? Specialists in microsurgery have developed techniques that are increasingly successful in reversing a vasectomy, even if it was performed many years earlier. This is a truly exciting development for men whose life situation has changed and who now want to be able to father children. In this Center, we'll describe what a vasectomy is, and the factors you should consider before having this procedure done. You'll also learn about the common techniques used in a vasectomy, and about post-vasectomy recovery and resuming sexual activity. In addition, information about
Vasectomy the noscalpel group had fewer complications, less pain according to a report in theJournal of urology. this country are proficient in this type of vasectomy. http://www.menstuff.org/issues/byissue/vasectomy.html
Extractions: Undergoing a vasectomy does not increase a man's risk of contracting prostate cancer, a study from New Zealand finds. Though some previous studies have produced mixed findings, about a link between vasectomy and prostate cancer, researchers at the University of Otago-Dunedin say their two-year study of 923 prostate cancer victims and 1,224 "control" subjects showed no connection. "Our results are consistent with several recent studies that have not found a significant association between the two." Some studies have raised questions about a possible relationship between vasectomy (an operation to cut or tie off the two tubes that carry sperm out of the testicles) and the risk of developing cancer, particularly prostate and testicular cancer. Such a relationship, if proven, would be of importance because about 1 in 6 men over age 35 in the United States has had a vasectomy. Prostate Cancer Since the conference in 1993, more studies investigating the relationship between vasectomy and prostate cancer have been conducted. Although the majority of these studies have upheld the conclusions made at the conference, a few studies have reported a link between vasectomy and prostate cancer. It is possible that other factors, including chance, may be responsible for the increased prostate cancer risk seen in these studies. Scientists expect that additional research will clarify this issue.
John J. Bauer, MD, FACS, - Urologist, Flint, MI - Site Map cystoscopy, biopsy) and surgeries (eg vasectomy, adult circumcision operative instructions,risks and complications, detailed surgery Learn More About urology. http://www.flinturology.com/sitemap.shtml
Vasectomies Not Necessarily As Permanent As You Might Think Although complications such as swelling, bruising, inflammation, and infection youmay have about vasectomy or vasectomy reversal procedures Journal of urology. http://www.meridianhealth.com/jsmc.cfm/MediaRelations/News/MensHealth/vasectomy.
Extractions: Recognition Vasectomies - Not Necessarily As Permanent As You Might Think An Oregon urologist contends in a new study that men can successfully reverse vasectomies more than 15 years after the original operation. Some physicians have thought the success rate of reversals declined significantly over time, and some patients wanting to have children were forced to turn to in-vitro fertilization. However, Dr. Eugene Fuchs, a urologist at Oregon Health Sciences University, found half of his patients with old vasectomies were able to impregnate their wives the old-fashioned way. "They do have a realistic chance of fathering a biological child," says Dr. Larry Lipshultz, professor of urology at Baylor College of Medicine. In a vasectomy, a physician snips the vas deferens, the tube that carries sperm to the urethra, and then seals off the two ends. Various methods are used for the sealing process; physicians use stainless steel clips or sutures. No one knows how many vasectomies are performed in the United States each year, Lipshultz says. Some estimate the number near 500,000.
ISB Specialties 3a Trauma, female urology and prior to vasectomy, techniques, early and late complications;vasectomy reversal including counselling patients preoperatively http://www.intercollegiate.org.uk/urology/syllabus.html
Extractions: calendar specialties application contacts ... Candidates Guidance Syllabus This document is active only until 2005 or unless another is produced beforehand. INTRODUCTION The syllabus for urology is - urology. The Intercollegiate Speciality examination is part of the preparation for consultant practice, and there is no syllabus for urology outpatients. The syllabus, as written, should be interpreted in this light. Its aim is to state explicitly what a candidate would be expected to know and what an examiner might ask in the Intercollegiate Speciality examination, emphasising particularly those subjects of which a fairly comprehensive knowledge is expected. ?A urologist should have at least a passing familiarity with the history of urology, particularly with reference to the treatment of bladder outflow obstruction in which the contributions of Freyer, Millin and others should be understood, and to the history of treatment of stone disease. While a candidate would not be failed for lacking this knowledge, such a familiarity would undoubtedly gain extra points. Also, as surgeons in the wider sense, trainee urologists should have a general knowledge of the principles of medicine and surgery as applied to urology, and be aware of important medical advances. The Examination The Joint Inter-collegiate examination in urology has five parts, an MCQ, a spot test and three paired oral examinations which currently cover the topics shown in Table 1. The purpose of the examination is to define the border of safe and effective practice. In other words, the examination is a "criterion referenced" examination to determine "pass" and "fail".
Extractions: A vasectomy reversal, or vasovasostomy, is a surgical procedure to reconnect the tubes that are cut during a vasectomy (Figure 1). These tubes (called the vas deferens) are each about the size of a strand of spaghetti, and the channels in the tubes that conduct sperm are barely visible to the naked eye. Sperm production continues after a vasectomy, and the sperm are reabsorbed. During the reversal, the vas deferens is cut above and below the site of the previous vasectomy, and the two ends are precisely aligned. Dr. Gould always uses an operative microscope and performs a "two-layer" connection (Figure 2). Less precise procedures are performed by some doctors because they take less time and do not require as much surgical skill. In the United States, physicians are currently performing about 500,000 vasectomies per year. About 1 percent of men (1 out of 100) who have had a vasectomy will decide to undergo a reversal. The technique used for the vasectomy is largely irrelevant to the success of the reversal. The vas deferens is a long tube and it is very rare to be unable to accomplish a reconnection.
Engender Health Update has several advantages over traditional vasectomy it is painful, heals more quickly,and has fewer complications. October 1998 issue of urology provides the http://www.engenderhealth.org/pubs/avscnews/wn98/935-nsv.html
Extractions: Jeanne M. Haws In 1985, AVSC International staff traveled to China to learn about a new vasectomy technique, developed by Dr. Li Shunqiang. This "no-scalpel vasectomy" (NSV) technique has several advantages over traditional vasectomy: it is less invasive, less painful, heals more quickly, and has fewer complications. In 1988, AVSC pioneered the introduction of NSV in the United States. Now an article in the October 1998 issue of Urology provides the first-ever estimate of the extent to which physicians adopted this surgical technique: within 10 years of its introduction in the U.S., NSV accounted for approximately 29% of the vasectomies performed annually nationwide. The article reports on a 1995 study of 1,800 family physicians, general surgeons, and urologists about their practice of vasectomy. The study was conducted jointly by AVSC, the Tulane University School of Public Health and Tropical Medicine, and the U.S. Centers for Disease Control and Prevention. According to the study, approximately 494,000 vasectomies were performed by 15,800 physicians in the U.S. in 1995. About 76% of all vasectomies were performed by urologists, 15% by family physicians, and 9% by general surgeons.
Re: Failed Vasectomy? The urology Forum ask the doctor medical forum for patients hosted by Med Help Intl. http://www.medhelp.org/perl6/urology/archive/639.html
Extractions: Dear Diane, Vasectomy failure is seen in 1 in 200 to 400 patients. It is due mostly to technical errors such as removal of <1 cm of vas. This may result in increased rates of spontaneous recanalization (seen in <1% of patients, usually within the first 3 months). Persistence of sperm may indicate too few ejaculations. It takes 74 days for sperm to grow, mature and be stored in the epididymis. It takes eight to ten ejaculations to clear sperm from the distal vas deferens. Postoperative semen analysis requires 2 samples without motile sperm for the surgery to be considered a success. If at 3 months, motile sperm are found, the operation is considered a failure and should be repeated.
Vasectomy - Urologychannel usually causes few complications and no change in sexual function. About 500,000vasectomies are performed annually in the United States. A vasectomy is less http://www.urologychannel.com/vasectomy/index.shtml
Extractions: Overview Vasectomy is a minor surgical procedure to cut and close off the tubes ( vas deferens ) that deliver sperm from the testes; it is usually performed as a means of contraception. The procedure typically takes about 30 minutes and usually causes few complications and no change in sexual function. About 500,000 vasectomies are performed annually in the United States. A vasectomy is less invasive than a tubal ligation (the procedure used to prevent a womans eggs from reaching the uterus) and more easily reversed. An increasing number of couples choose it as a means of permanent birth control. Male Reproductive System
Vasectomy - Sterility - Urologychannel complications Serious complications are rare. Up to recanalization.The solution to this problem is repeat vasectomy. Occasionally http://www.urologychannel.com/vasectomy/sterility.shtml
Extractions: Postoperative Care Rest and limited mobility are required for 1 to 3 days following the procedure to reduce swelling and to allow the vas deferens to heal. Most men lie on their back with their feet elevated. Although it is not necessary to remain immobile, excessive motion, lifting, and excessive walking increases the chance for inflammation and bleeding in the scrotum. Moderate discomfort is normal for a week or more. Anti-inflammatory drugs and prescription painkillers may be used. Ice packs applied 15 minutes on and 15 minutes off can minimize swelling. Strenuous exercise and lifting should be avoided for a few days or longer if it causes pain or discomfort. The degree of discomfort should dictate activity, as overexertion can postpone healing and a return to normal routine. It may take a week before erection and ejaculation is comfortable. It may be necessary to keep the incisions dressed for a few days to control bleeding from the healing incisions. Showering is usually allowed, but soaking and swimming should be avoided until the sutures have dissolved.
Vasectomy: References 24. Choe, JM, Kirkemo AK, Questionnairebased outcomes study of nononcological post-vasectomycomplications., Journal of urology, 155, 1284-86, April, 1996. http://dontfixit.org/references.htm
Extractions: Click on image to enlarge Medical and Other References-dontfixit.org 1. Ahmed I, Rasheed S, White C, Shaikh NA, The incidence of post-vasectomy chronic testicular pain and the role of nerve stripping (denervation) of the spermatic cord in its management., British Journal of Urology, 79: 2, 269-70, February, 1997. 2. Aitken H, Kumarakuru S, Orr R, Reid O, Bennett NK, McDonald SW, Effects of long-term vasectomy on seminiferous tubules in the guinea pig., Clinical Anatomy, 12, 250-263, 1999. 3. Alderman PM, Complications in a series of 1224 vasectomies, Journal of Family Practice, 33: 6, 579-84, December, 1991. 4. Alexander NJ, Possible mechanisms of vasectomy-exacerbated atherosclerosis., Australian Journal of Biological Sciences, 35: 5, 469-79, 1982. 5. Alexander NJ, Schmidt SS, Free MJ, Danilchik MV, Hill WT, Sperm antibodies after vasectomy with fulguration., Journal of Urology, 115: 1, 77-8, January, 1976. 6. Anderson RA, Sharpe RM, Regulation of inhibin production in the human male and its clinical applications., International Journal of Andrology, 23: 3, 136-44, June, 2000.
Western New York Urology Associates, LLC Other complications, though rare, may occur in the first few Once you've decided thatvasectomy is right for Copyright Western New York urology Associates, LLC http://www.wnyurology.com/patient/clinicalvasectomy.html
Extractions: Vasectomy - Sterilization for Men IS VASECTOMY FOR YOU? Vasectomy is a simple, safe, and effective surgical procedure that makes a man sterile (unable to father a child). Because a vasectomy should be considered irreversible, it's a serious step to take. You and your partner should understand all the facts and share in the decision. A PERMANENT DECISION Few decisions in life are permanent, but having a vasectomy is one of them. So, before you make this decision, you and your partner must be sure that you don't want any more children. Is there any circumstance that might make you change your mind? For instance, if you divorced or became a widower and remarried, would you want more children? If you choose to have a vasectomy, you should have no doubts about these issues. FACT: A vasectomy does not affect your ability to have sex. Sterilization won't affect your ability to have erections or orgasms, and doesn't visibly change your semen. FACT: There is no conclusive evidence that vasectomy causes health problems. You may have heard that sterilization causes prostate cancer, heart disease, or other health problems, but there is no conclusive evidence that this is true. If you are concerned, your doctor can give you more information. Note, however, that having a vasectomy does not protect you from sexually transmitted diseases. FACT: A vasectomy will not solve marital problems. The only aspect of your life that a vasectomy changes is your ability to father a child. Sterilization is not a solution for sexual or marital problems.
Vasectomy Reversals vasovasostomy(VVS) is the standard method for vasectomy reversal al (European Urology2000; 37609614) compared 112 cases complications occurred in 4.7% of men http://www.azurology.com/vas reversal.htm
Extractions: Home Doctors Offices Services ... Patient Information Adults Cancer Erectile Dysfunction Incontinence Infertility ... Vasectomy Reversal Pediatrics Bedwetting Urology Web Sites Contact Us Vasectomy Reversals We perform vasectomy reversals. VVS is the best option for vasectomy reversal based upon higher pregnancy rates, less complications, and significantly less cost Links Male Infertility
Vasectomy.md - About Dr. Benderev PRIVATE PRACTICE Vasectomies and vasectomy Reversals. Associate Clinical Professorof Surgery/ urology University of California at Irvine. SOCIETY MEMBERSHIP http://www.vasectomy.md/Credential.html
Extractions: THEODORE V. BENDEREV, MD A respected urologist, clinical innovator and researcher, Dr. Ted Benderev performs the No-Scalpel Vasectomy and Vasectomy Reversal Microsurgery through his clinical practice in Mission Viejo, California. Dr. Benderev is the author of many scientific articles, having lectured extensively on urology and related topics. Dr. Benderev has been in private practice since 1985, and is recognized for his contribution of innovative new technology in various areas of urology. He holds several United States and international patents. In addition to his clinical and professional skill and experience, Dr.Benderev has a reputation for his expert technique and calm and friendly interaction with patients and colleagues. What Patients Said
