RESUMO
The aims of this prospective, non-comparative study were to determine time to azoospermia and vasectomy success rate based on the results of semen analysis. A total of 334 men seeking vasectomy at a clinic in Urmia city, Islamic Republic of Iran were followed bi-weekly up to 24 weeks after vasectomy or until azoospermia was confirmed via semen analysis. The cumulative life table rate for azoospermia was 93/100 men [95% Cl: 88.1 to 97.9]. The median time to azoospermia was 10 weeks. By week 24 of follow-up, 3.3% of participants had failed to achieve azoospermia. One pregnancy was reported during the study period and attributed to user failure. The results suggest that men can begin to rely on vasectomy for contraception 12 weeks after no-scalpel vasectomy using fascial interposition performed by an experienced surgeon
Assuntos
Resultado do Tratamento , Estudos Prospectivos , Análise do Sêmen , Contagem de Espermatozoides , VasectomiaRESUMO
To determine the cost-effectiveness of seven contraceptive methods from the providers' perspective, the cost per adjusted couple-years of protection [ACYP] was calculated for each method based on region-specific conversion factors. More than 74,800 ACYPs were provided during March 1999 to February 2000. Intrauterine devices and implants offered the highest and lowest ACYP respectively. Condom was the single most expensive contraceptive method. Vasectomy was the most cost-effective method and implant provided the highest cost per ACYP
Assuntos
Preservativos , Anticoncepcionais Orais , Implantes de Medicamento , Serviços de Planejamento Familiar , Dispositivos Intrauterinos , Esterilização Tubária , Vasectomia , AnticoncepçãoRESUMO
Cet ouvrage donne des indications pratiques sur des points importants pour la création, la gestion et le fonctionnement de services de vasectomie de haute qualité. Les premiers chapitres, qui s'adressent à des gestionnaires et à des administrateurs de programmes, donnent des informations de base sur la manière de procéder, ses avantages et ses inconvénients, et les facteurs à prendre en considération dans la création et la gestion d'un service de vasectomie, comme le nombre d'interventions à prévoir et la quantité de personnel nécessaire. L'importance de l'information du public et de la communication, y compris l'appréciation de la motivation des clients et l'octroi de conseils, est également étudiée. Le deuxième groupe de chapitres donne des informations techniques sur l'opération elle-même, les soins pré- et post-opératoires, les complications éventuelles, l'efficacité, la réversibilité de l'intervention, les instruments et l'équipement nécessaires et la formation à dispenser au personnel clinique, y compris aux chirurgiens. D'autres informations pratiques sont données dans une série de sept annexes dans lesquelles les lecteurs trouveront une brochure du type questions-réponses à l'intention des candidats à la vasectomie, un modèle d'instructions post-opératoires, un inventaire du contenu des trousses type de vasectomie et un programme modèle de formation à la vasectomie. En s'appuyant sur l'expérience acquise dans des programmes de vasectomie menés avec succès en divers endroits du monde, l'ouvrage offre une information complète et fiable à quiconque souhaite lancer un programme de vasectomie ou élargir les services de vasectomie dans le cadre d'un programme de planification familiale et de santé
Assuntos
VasectomiaRESUMO
Presents practical guidelines covering subjects important to the development, management, and operation of high-quality vasectomy services. The opening chapters, which are addressed to programme managers and administrators, provide basic information about the procedure, its advantages and disadvantages, and the factors, such as caseload and staffing, that should be considered when organizing and managing a vasectomy service. The importance of public information and communication, including client assessment and counselling, is also discussed. The second group of chapters presents technical information about the procedure, requirements for pre- and post-operative care, complications, effectiveness, possibilities for reversal, the necessary instruments and equipment, and the training requirements of clinic staff, including surgeons. Additional practical information is presented in a series of 7 annexes, where readers will find assistance in the form of a sample question-and-answer brochure for vasectomy clients, sample post-operative instructions, an inventory of the contents of standard vasectomy kits, and a model curriculum for a vasectomy training programme