Vasectomy outcome of voluntary male surgical contraception at a metropolitan maternity hospital

Vasectomy outcome of voluntary male surgical contraception at a

metropolitan maternity hospital

B. Dilbaz, A. P. Cil, I. B. Gultekin, E. Caliskan, Z. Kahyaoglu

Department of Obstetrics and Gynaecology, SSK Maternity and Women’s Health

Teaching Hospital, Ankara, Turkey

Objective: The main purpose of this prospective study is to determine

the outcome of vasectomy over a nine month period.

Design & Methods: The demographic data, sexual function before and

after surgery and awareness of the method of voluntary no-scalpel vasectomies,

between January and September 2003, performed at SSK Ankara Maternity and

Women’s Health Teaching Hospital Family Planning Center by two trained surgeons

were analyzed. All the patients were contacted by telephone and invited for

follow-up consisting of counseling, inquiry about sexual dysfunction and a semen

analysis. Of the 279 men analyzed and contacted by telephone, only 117 (40%)

came for a follow-up.

Results: The mean age at vasectomy was 40 years (range 29.52 years).

All the patients were married with a mean duration of 16.9 years (4.30 years).

Twenty-four percent had more than three children. There was no significant

difference between the number of girls or boys. Only 1.7% of men had

above-matriculation educational status, while 60.2% had primary school education.

The wives of 72% of men had at least one voluntary termination of pregnancy.

Fifty six percent of the men became aware of vasectomy through our family

planning education program given to couples after voluntary termination of

pregnancy. Thirty three percent of the patients became aware of vasectomy

through family planning clinics or health personnel, 9.3% of them heard about

vasectomy from a friend and only 1.7% received information through the media.

Prior to vasectomy, 59% of the couples had problems with previously used

contraceptive method. There was no intraoperative complication and the only

complication encountered was a post-vasectomy pregnancy. On direct questioning,

postoperatively sexual desire and performance remained unchanged in all of the

patients. Nine patients (7.7%) had >500,000 sperm/ml in their semen.

Five of the nine patients had a repeat vasectomy but four patients did not want

to have the procedure again.

Conclusions: Vasectomy did not effect the sexual function of men in

our study. Public awareness is important in creating a demand for vasectomy.

Patients should be encouraged to come for a follow-up visit and counseling on

vasectomy should always convey the possibility of failure and partner pregnancy.

Scroll to Top