Published date: Mar 31 2022

Journal Title: Sudan Journal of Medical Sciences

Issue title: Sudan JMS: Volume 17 (2022), Issue No. 1

Pages: 79-88

DOI: 10.18502/sjms.v17i1.10687

Pankaj P RaoDept of Surgery, Armed Forces Medical College, Pune, India

Vipin Nairvipinvenugopalnair@gmail.comIndia

Pawan SharmaDept of Surgery, Armed Forces Medical College, Pune, India

Nilanjan RoyDept of Surgery, Armed Forces Medical College, Pune, India

Simarjit S RehsiDept of Surgery, Armed Forces Medical College, Pune, India

Background: Camp approach has been advocated as an effective means of motivating the target population to adopt vasectomy as a method of permanent sterilization. There is a high degree of acceptance of Non-scalpel Vasectomy (NSV) among physicians and laypersons. With this knowledge, we organized camps and found good results which we share in this article.

Methods: Four NSV camps were organized in four different villages across India on a vehicle-mounted mobile operation theater. The meticulous and detailed planning, dissemination of information, careful execution, and post-procedure follow-up is enumerated.

Results: A total of 76 individuals underwent the operation in these camps. The mean age of the participants was 35 ± 5.2 years (range, 27–44 years). The complication rate was negligible and there was no failure of vasectomy. There was a high level of satisfaction among those who underwent this procedure as seen by the increased number wanting to undergo the procedure from places where camps were located.

Conclusion: NSV as a procedure is perceived as being simple and pain-free. Re-enforcing this fact and removing doubts, and conducting operations at the camp in an environment the client is familiar with achieved rewarding results.

Keywords: non-scalpel vasectomy, camp, mobile operation theater, male sterilization, vas

[1] Amory, J. K. (2016). Male contraception. Fertility and Sterility, vol. 106, no. 6, pp. 1303–1309.

[2] Rogers, M. D. and Kolettis, P. N. (2013). Vasectomy. Urologic Clinics of North America, vol. 40, no. 4, pp. 559–568.

[3] Kaza, R. C. M. (2001). No-scalpel vasectomy-experience from the field. Health, vol. 27, no. 3, pp. 27–29.

[4] Dassow, P. and Bennett, J. M. (2006). Vasectomy: an update. American Family Physician, vol. 74, pp. 2069–2074.

[5] Sharlip, I. D., Belker, A. M., Honig, S., et al. (2012). Vasectomy: AUA guideline. Journal of Urology, vol. 188, no. 6, pp. 2482–2491.

[6] Seenu, V. and Hafiz, A. (2005). Routine antibiotic prophylaxis is not necessary for no scalpel vasectomy. Journal International Urology and Nephrology, vol. 37, no. 4, pp. 763–765.

[7] Dassow, P. and Bennett, J. M. (2006). Vasectomy: an update. American Family Physician, vol. 74, no. 12, pp. 2069–2074.

[8] Engender Health. (1997). No-scalpel vasectomy: an illustrated guide for surgeons. New York: Engender Health.

[9] Shattuck, D., Perry, B., Packer, C., et al. (2016). A review of 10 years of vasectomy programming and research in low-resource settings. Global Health: Science and Practice, vol. 4, no. 4, pp. 647–660.

[10] Awsare, N. S., Krishnan, J., Boustead, G. B., et al. (2005). Complications of vasectomy. Annals of the Royal College of Surgeons of England, vol. 87, no. 6, pp. 406–410.

[11] Amundsen, G. A. and Ramakrishnan, K. (2004). Vasectomy: a "seminal" analysis. Southern Medical Journal, vol. 97, no. 1, pp. 54–60.

[12] Murthy, S. R. and Rao, M. D. (2003). An analysis of factors influencing the acceptability of vasectomy in Andhra Pradesh. Health and Population-Perspectives and Issues, vol. 26, no. 4, pp. 162–182.

[13] Clenney, T. L. and Higgins, J. C. (1999). Vasectomy techniques. American Family Physician, vol. 60, no. 1, pp. 137–146.

[14] Cook, L. A., Pun, A., Gallo, M. F., et al. (2014). Scalpel versus no-scalpel incision for vasectomy. Cochrane Database of Systematic Reviews, vol. 2014, no. 3, CD004112.

[15] Das, H. C. and Bhattacharjee, J. (1993). No-scalpel vasectomy: hope for the future. Journal of Family Welfare, vol. 39, pp. 14–16.

[16] Duan, H., Deng, T., Chen, Y., et al. (2018). Association between vasectomy and risk of testicular cancer: a systematic review and meta-analysis. PLoS One, vol. 13, no. 3, p. e0194606.

[17] Husby, A., Wohlfahrt, J., and Melbye, M. (2020). Vasectomy and prostate cancer risk: a 38-year nationwide cohort study. Journal of the National Cancer Institute, vol. 112, no. 1, pp. 71–77.

[18] Bhindi, B., Wallis, C. J. D., Nayan, M., et al. (2017). The association between vasectomy and prostate cancer: a systematic review and meta-analysis. JAMA Internal Medicine, vol. 177, no. 9, pp. 1273–1286.

[19] Guo, Z. L., Xu, J. L., Lai, R. K., et al. (2017). Vasectomy and cardiovascular disease risk: a systematic review and meta-analysis. Medicine, vol. 96, no. 34, p. e7852.

[20] Auyeung, A. B., Almejally, A., Alsaggar, F., et al. (2020). Incidence of post-vasectomy pain: systematic review and meta-analysis. International Journal of Environmental Research and Public Health, vol. 17, no. 5, p. 1788.

[21] Kreutzig, L. T., Lellig, E., Hinz, P., et al. (2021). Aktuelle informationen [Vasectomy: current information]. Urologe A, vol. 60, no. 4, pp. 523–532.

[22] Dickey, R. M., Pastuszak, A. W., Hakky, T. S., et al. (2015). The evolution of vasectomy reversal. Current Urology Reports, vol. 16, no. 6, p. 40.