%0 Journal Article
%T Pr¨¢ctica de la vasectom¨ªa en un municipio urbano: Consideraciones pr¨¢cticas para el seguimiento
%A Luj¨¢n
%A Marcos
%A Vigil
%A Almudena
%A Turo
%A Jorge
%A Pascual
%A Carlos
%A Nevado
%A Manuel
%A Mart¨ªn
%A Carlos
%A Chiva
%A Vicente
%J Archivos Espa£¿oles de Urolog¨ªa (Ed. impresa)
%D 2010
%I Scientific Electronic Library Online
%R 10.4321/S0004-06142010000900008
%X objectives: to establish an adequate follow-up protocol based on time to azoospermia achievement after vasectomy. also, to review the rate of complications in our setting. methods: retrospective analysis of 391 men who underwent vasectomy. follow-up was performed by means of semen analysis 6 months after surgery, and then every 3 months until azoospermia was achieved. data of visits to the emergency unit at our centre were obtained within the first 30 postoperative days. results: during follow-up 567 semen analysis were performed. from 391 vasectomy interventions, 275 had at least one semen sample available and valid for processing. after the first 6 months from surgery, 41.1% men still presented nonmotile rare sperm in semen analysis, 9.7% after 9 months, and 4.7% after 12 months. if semen analysis was postponed from 6 to 9 months after surgery, a total yearly saving of 6,153.23 euro would be observed in our setting, but with the drawback of delaying the diagnosis of azoospermia in nearly 60% of men. overall complication rate was 3.1% (only one man required hospital admittance and re-intervention). no statistical difference was observed in operative time with regard to the presence or absence of urological complications. conclusions: the percentage of men not achieving azoospermia 6 months after surgery is notorious. vasectomy practice in our setting seems to be reliable and safe, with a limited rate of complications.
%K vasectomy
%K semen analysis
%K complications.
%U http://scielo.isciii.es/scielo.php?script=sci_abstract&pid=S0004-06142010000900008&lng=en&nrm=iso&tlng=en