[Vasectomy: criteria of choice or protocol?]

Area of Science:

• Urology
• Reproductive Health
• Surgical Techniques

Context:

• Traditional vasectomy candidate selection relies on age and fatherhood.
• A specialized medical team offers long-term patient counseling.
• This study examines an alternative patient selection and surgical approach.

Purpose:

• To evaluate a vasectomy method prioritizing patient counseling over strict criteria.
• To analyze the socio-demographic profile of ideal vasectomy candidates.
• To assess the failure rate and psychosexual outcomes of this vasectomy approach.

Summary:

• A 2.3% vasectomy failure rate was observed in 1426 cases, primarily due to small resections (<5mm) leading to repermeabilization.
• Histological analysis confirmed granulomas caused repermeabilization in half of failed cases over twelve years.
• The study identified an ideal candidate profile: middle/upper white collar, 37 years old, married, with prior children, and failed contraception methods.

Impact:

• Psychosexual outcomes were satisfactory, supporting a humanistic approach to vasectomy.
• This method reconciles patient autonomy with safety in candidate selection.
• Findings suggest optimizing resection length to minimize vasectomy failure rates.