China
Africa
Explore chapters and articles related to this topic
Male methods
Published in Suzanne Everett, Handbook of Contraception and Sexual Health, 2020
During a vasectomy the vas deferens will be cut and either cautery or a ligature will be applied. Part of the incised vas deferens may be sent to pathology to confirm that the correct tube has been cut. Each end of the vas deferens will be buried in separate tissue layers to prevent them from re-joining (see Figure 6.1). Research comparing traditional surgery for vasectomies with electrocautery non-scalpel vasectomy techniques found that men experienced less pain and bleeding from the wound with this method (Black, 2003); the non-scalpel method is now the recommended choice for a vasectomy surgery (RCOG, 2004; FSRH, 2014).
Contraception and abortion
Published in Helen Bickerstaff, Louise C Kenny, Gynaecology, 2017
This is the technique of interrupting the vas deferens to provide permanent occlusion. The so-called ‘no scalpel’ vasectomy involves a puncture wound in the skin of the scrotum under local anaesthesia to access and then divide and occlude the vas using cautery (Figure 6.10).
Factors associated with men’s participation in postpartum family planning: a study of Kiswa Health Centre III, Kampala, Uganda
Published in Journal of Obstetrics and Gynaecology, 2023
Kizito Omona, Rose Mary Mahoro
Various socio-cultural factors like cultural misconceptions, religion, spousal communication, etc. In a descriptive cross-sectional study to assess perceptions of family planning and reasons for low acceptance of No Scalpel Vasectomy (NSV) among married males of urban slums of Lucknow city, India indicates that majority (89.2%) of respondents had stated socio-cultural barrier as one of the major cause for low acceptance of No Scalpel Vasectomy (Shafi and Mohan 2020). Among these barriers majority 35.9% of the respondents stated that NSV leads to decrease in physical strength, followed by 35.0% respondents having personal beliefs that NSV is not needed because of the availability of other family planning methods. About 11.1% of the respondents also stated that NSV leads to decrease in physical strength. 6.4% of the respondents had also stated that prohibition in religion was also one of the factors associated with low acceptance of NSV. 5.5% of the respondents also stated that NSV is least popular and there is lack of publicity and awareness. There were few (1.2%) respondents who also believed that NSV affects the male sexual function. Similar findings were observed in a study done by Shafi and Mohan (2020) which showed that 22.0% of the participants believed on 'personal beliefs’ of the individual as an important factor for low utilisation of NSV. Similarly, in a study done in Uttar Pradesh by 'State Innovation in Family Planning Services Project Agency’ (SIFPSA 2014), showed that 6% of the respondents had stated prohibition in religion as one of the barrier for not accepting No Scalpel Vasectomy. About 14% also believed that NSV leads to decrease in physical strength and causes weakness.