WHAT IS THE BEST VASECTOMY TECHNIQUE?
Should both ends of the tube (vas deferens) be cut or just one?
Should the ends be only cauterized?
These are the 3 accepted techniques recommended by the American Urological Association (AUA) guidelines:
The ends of the vas should be occluded by one of three divisional methods:
- Mucosal cautery (MC) with fascial interposition (FI) and without ligatures or clips applied on the vas;
- MC without FI and without ligatures or clips applied on the vas
- Open ended vasectomy leaving the testicular end of the vas occluded, using MC on the abdominal end and FI; OR by the non-divisional method of extended electrocautery. Recommendation (Evidence Strength Grade C)
A vasectomy should be minimally invasive ( no-needle, no-scalpel technique) but also be sure and secure. I like to cauterize and clip both ends for extra security.