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Related Concept Videos

Urinary Tract Calculi VI: Surgical Management01:25

Urinary Tract Calculi VI: Surgical Management

Procedures for Kidney StonesMedical intervention is necessary when kidney stones or renal calculi are too large to pass spontaneously (typically greater than 5 millimeters) when stones are accompanied by symptomatic infection (such as fever or pyelonephritis), when they impair kidney function, or when they cause persistent symptoms like severe pain, nausea, or urinary retention. Additionally, patients with only one kidney or those who cannot be treated with medical management also require...
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The diagnosis of renal calculi involves several imaging techniques, including non-contrast CT scans and ultrasound. These methods help visualize kidney stones, assess their size and location, and detect possible obstructions. Additionally, Measuring urine pH is useful for diagnosing specific stone types, such as struvite (alkaline pH) and uric acid stones (acidic pH). Cystine stones are primarily linked to cystinuria, a genetic condition. A urinalysis helps detect blood in the urine (hematuria)...
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Vasectomy is a surgical form of male sterilization that involves severing and sealing the vasa deferentia, preventing sperm from mixing with semen during ejaculation. Because a vasectomy does not impact the testes' ability to produce testosterone, hormone levels, libido, and sexual function generally remain unchanged. While vasectomy is highly effective in preventing pregnancy, with a success rate near 99.85%, rare cases of recanalization (spontaneous reconnection) can occur. Although vasectomy...
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Related Experiment Video

Updated: May 17, 2026

Optimizing the Modified No-Scalpel Vasectomy Technique
04:47

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Published on: October 18, 2024

Vasectomy: AUA guideline.

Ira D Sharlip1, Arnold M Belker, Stanton Honig

  • 1American Urological Association Education and Research, Inc., Linthicum, Maryland, USA.

The Journal of Urology
|October 27, 2012
PubMed
Summary
This summary is machine-generated.

Vasectomy offers effective permanent contraception. Minimally-invasive techniques and specific occlusion methods ensure high success rates, with azoospermia confirming effectiveness for stopping other birth control.

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Area of Science:

  • Urology
  • Reproductive Health
  • Surgical Guidelines

Background:

  • Vasectomy is a common surgical procedure for permanent male contraception.
  • Current practices and guidelines for vasectomy services require regular updates based on scientific evidence.
  • Ensuring optimal patient outcomes and minimizing complications are key considerations in vasectomy procedures.

Purpose of the Study:

  • To provide comprehensive guidance to clinicians performing vasectomy services.
  • To establish evidence-based and expert-opinion-based practices for vasectomy.
  • To define standards for pre-vasectomy counseling, surgical techniques, and post-operative follow-up.

Main Methods:

  • Systematic literature review from January 1949 to August 2011.
  • Inclusion of 275 peer-reviewed articles from nearly 2,000 identified titles.
  • Panel consensus used to define practices where evidence was insufficient or absent.
  • Peer review by 55 independent experts.

Main Results:

  • Recommends minimally-invasive techniques, such as no-scalpel vasectomy, for vas isolation.
  • Identifies four effective vas occlusion techniques with failure rates below 1%.
  • Specifies azoospermia or ≤ 100,000 non-motile sperm/mL in semen analysis as criteria to cease other contraception.

Conclusions:

  • Vasectomy should be more widely considered as a method of permanent contraception.
  • Adherence to recommended techniques can optimize vasectomy outcomes.
  • The guideline provides a framework for consistent and high-quality vasectomy care.