Office based vasectomy can be performed by supervised urological residents with patient pain and morbidity comparable to those of a staff surgeon procedure

The Journal of Urology
Carvell T NguyenJ Stephen Jones

Abstract

Although it is routinely performed in the ambulatory setting, vasectomy is an intricate surgical procedure with the potential for significant pain and morbidity. We determined from our prospective, institutional review board approved database whether vasectomy pain was affected by whether a staff surgeon or resident was the primary surgeon on the case. One staff surgeon and 14 residents in training year 2, 3 or 5 performed bilateral percutaneous no-scalpel vasectomy. Men scheduled to undergo vasectomy were assigned to the staff urologist (134) or to a resident (133) as the primary surgeon. The staff surgeon demonstrated the first vasectomy each month when a new resident rotated on service and all residents were directly assisted by the staff surgeon. Pain associated with each side of the bilateral vasectomy was assessed with a 0 to 100 mm visual analog scale. The average visual analog scale score of the 2 sides was 19.5 in patients in the staff cohort and 21.8 in those in the resident cohort. Although mean scores were slightly lower when vasectomy was performed by the staff surgeon, the difference between the staff surgeon and residents was neither statistically nor clinically significant. Furthermore, there were no significant...Continue Reading

References

Jan 1, 1992·The Journal of Urology·M Honnens de LichtenbergJ Miskowiak
Mar 10, 2001·Fertility and Sterility·J I SandlowK R Scheel
Jul 9, 2002·Urology·Thomas P Cooper
Apr 20, 2007·The Cochrane Database of Systematic Reviews·L A CookL M Lopez
May 24, 2008·The Journal of Urology·Anil A ThomasJ Stephen Jones

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Citations

Mar 1, 2012·Academic Medicine : Journal of the Association of American Medical Colleges·Jeanne M FarnanVineet M Arora
Jun 30, 2012·BMC Medicine·Renée M van der LeeuwMaas Jan Heineman
Mar 20, 2016·Journal of Vascular Surgery. Venous and Lymphatic Disorders·Arkady GanelinYuriy Ostrozhynskyy
Feb 1, 2014·Journal of Plastic Surgery and Hand Surgery·John P FischerStephen J Kovach
Sep 1, 2013·Journal of Robotic Surgery·Anil A ThomasGary W Chien

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