Related Experiment Video
Updated: Aug 16, 2026
Clinical Application of 24 G Cannula Needle and 3-0 Polypropylene Suture in Vas Deferens Exploration
Published on: February 10, 2023
Vasectomy by section, luminal fulguration and fascial interposition: results from 6248 cases
1Department of Urology, University of California School of Medicine, San Francisco, USA.
Objective:
To determine the incidence of complications, including recanalization, in a series of 6248 consecutive vasectomies performed with a section-fulguration-fascial interposition technique.
Patients And Methods:
Over a 38-year period, 6248 vasectomies were performed by one surgeon (S.S.S.) as a clinic procedure under local anaesthesia with no resection of a vasal segment. The mucosa of the cut ends of the vas was destroyed by cauterization and the fascial sheath of the vas was interposed as a barrier. Semen specimens were examined until two specimens, one month apart, showed no sperm.
Results:
Complications were minimal, with few cases of haematoma or wound infection. Spermatic granulomas were uncommon. No post-vasectomy pregnancies were reported and no patient showed a persistence of sperm.
Conclusion:
The section-fulguration-fascial interposition technique of vasectomy was uniformly effective, with few post-operative problems.
