Abdul Wahab, Muhammad Anwar, Faisal Ali, Syed Hasnain Abbas.
Vasectomy: an experience of 5000 cases.
J Surg Pak Jan ;15(3):155-6.

A descriptive study was conducted to determine the success and complications of vasectomy done from April 2005 to April 2010 at a reproductive centre in Bahawalpur. The age ranged from 25-50 years. A total of 5000 cases were operated. Most of the patients (n 3600, 72%) were between the age of 35-45 years, 800 (16%) between 45-50 and 600 (12%) below 35 years of age. The mean operative time was 9.7 minutes (range 7-25 minutes). Main reason (98%) for the patients to opt for this method of contraception was high birth rate and low income. The mean number of children of patients undergoing vasectomy was 6 (range 4-10). The most common complications were hematoma formation in 175 cases (3.5%), postoperative pain in 165 cases (3.3%), wound infection in 65 cases (1.3%) and erectile dysfunction in 55 cases (1.1%). The vasectomy failure rate (sperm persisting in semen analysis after three months) was 3.8% (n 190) while pregnancy rate was 0.2% (n 10). It is concluded that vasectomy is a safe and effective method of contraception. (Short communication).

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