Vasectomy: New Methods, New Progress

"Vasclip, an Alternative to Vasectomy, Receives FDA Clearance." Surgistrategies, April 30, 2003.

http://www.surgistrategies.com/hotnews/34h307215.html

While researchers look for new methods of contraception for men in the realm of hormonal treatments and oral medications, one must look towards current methods that men turn to for birth control. One of the most effective methods that comes to mind would be vasectomy procedures, which ultimately provides relatively permanent sterility. About 4 million men undergo vasectomies each year worldwide, according to this article from SurgiStrategies, published in 2003. It typically costs from $500 to $1,000, which is significantly less expensive than female sterilization surgery--making it more attractive to couples. Currently, most medical insurance companies cover the cost of this surgery, however, there is no news about whether or not this will change under the health care reform movement (although one can assume that it most likely will remain covered).

The surgery involves the clamping, blocking, or cutting of the vas deferens--thus preventing sperm from entering the semen that is ejaculated during intercourse. Although this is a quick procedure, it is known to involve pain, swelling, and bruising at the site of the incision, that is, the scrotum. While new methods of operation, such as no-scalpel vasectomy (which uses a clamp rather than a scalpel to enter the scrotum, minimizing the size of the incision and the risk of bleeding), have developed, most still involve the cutting of the vas deferens--which can result in heightened pain and increased risk for complications.

However, this article prevents a relatively new technology that minimizes the pain and complications involved in cutting, cauterizing, or suturing the vas deferens tubes. Called the Vasclip, this tiny polymeric device--as small as a grain of rice--clips around the vas deferens, inhibiting the flow of sperm through the vessels. Approved by 99% of test subjects in clinical trials, Vasclip shows great promise in the realm of male birth control. Studies show that it decreases the risk of swelling by up to 14% and lowers the risk of infection by up to about 7%. Moreover, with around 5% of men who received vasectomies looking for reversal methods, the simple removal of this clip offers easier procedure reversal for patients.

Despite all these positive results in clinical trials, several recent studies have come to show that clipping off the vas deferens may not be as effective as traditional vasectomies in preventing release of sperm. Yet, the availability of a second option is beneficial for men looking to undergo the procedure.

Additional Sources: http://www.vasectomy.com/ArticleDetail.asp?siteid=V&ArticleId=10

http://www.webmd.com/sex/birth-control/vasectomy-14387

Photo:http://www.californiaurologist.com/no-scalpal-vasectomy-urology-san-jose-ca.htm