1998
DOI: 10.1016/s0090-4295(98)00274-x
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Clinical aspects of vasectomies performed in the United States in 1995

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Cited by 60 publications
(43 citation statements)
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“…The interval between vasectomy and late fertilization has ranged from eight months to ten years in the cases reported. [1][2][3][4] Since fertilization occurred without positive semen analysis, it may be speculated that vas deferens permeability for spermatozoa was intermittent, as has already been suggested. 3 The resulting risk of conception must not be underestimated.…”
Section: Case Reportmentioning
confidence: 89%
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“…The interval between vasectomy and late fertilization has ranged from eight months to ten years in the cases reported. [1][2][3][4] Since fertilization occurred without positive semen analysis, it may be speculated that vas deferens permeability for spermatozoa was intermittent, as has already been suggested. 3 The resulting risk of conception must not be underestimated.…”
Section: Case Reportmentioning
confidence: 89%
“…3 In the United States, 56% of the doctors require one, 39% require two and 5% ask for three semen examinations after vasectomy in order to confi rm azoospermia. 2 The risk of delayed recanalization is small and has been estimated to be as low as one in 2000 to 7000 patients. 1 Late recanalization, shown by the presence of spermatozoa in the semen analysis after a previous negative result, has been found in 0.6 to 1%, although without resulting in pregnancy.…”
Section: Case Reportmentioning
confidence: 99%
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“…17 Most agree that a single azoospermic semen sample is sufficient to deem the vasectomy effective. 18,19 However, because spermatozoa are detected in 10% to 40% of the 3-month post-vasectomy samples (the percentage depends on the vasectomy technique and the accuracy of the semen analysis), it may be necessary for up to 40% of the men to submit a second semen sample.…”
Section: Post-vasectomy Semen Testingmentioning
confidence: 99%
“…Surgically, vasectomy is performed in two separate steps: exposing some portions of the vas deferens out of the scrotum a step known as isolation, and in the next step, occluding the vas. The other method of performing vasectomy is the No-scalpel vasectomy (NSV) technique, it is used in the isolation of the vas deferens in the United States, it is becoming an increasingly popular method among physicians also a choice for the developing countries (10)(11)(12)(13)(14). The notable advantages includes a lower risk of hematomas, less bleeding and pain, lower risk of infections and less operating time (11)(12)(13).…”
Section: Introductionmentioning
confidence: 99%