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首页> 外文期刊>BJU international >The effect of perioperative distal vasal lavage on subsequent semen analysis after vasectomy: a prospective randomized controlled trial.
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The effect of perioperative distal vasal lavage on subsequent semen analysis after vasectomy: a prospective randomized controlled trial.

机译：围手术期远端输精管灌洗对输精管切除术后精液分析的影响：一项前瞻性随机对照试验。

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Objective To determine the effect of perioperative distal vasal lavage with 50 mL of normal saline on subsequent time to azoospermia after vasectomy. Patients and methods Seventy-two patients were prospectively enrolled and randomized to undergo vasectomy with or without vasal lavage. Infertility rates at 8, 10 and 12 weeks were compared for both groups and for those undergoing the procedure under local or general anaesthesia. Patient compliance for returning postoperative semen for analysis was also assessed. Results There was no statistically significant difference in infertility rates at 8, 10 or 12 weeks after vasectomy with or without vasal lavage. Vasectomies performed under local and general anaesthesia had comparable rates of infertility at 12 weeks after surgery. Compliance in providing semen for analysis was poor. Conclusions The routine adoption of distal vasal lavage during vasectomy for contraception cannot be recommended. As compliance in providing semen for analysis was poor, the clinician has a responsibility to remind the patient of the consequences of such action.
机译：目的探讨围手术期远端输精管灌注50mL生理盐水对输精管切除术后无精子症的疗效。患者和方法前瞻性招募了72例患者，并随机进行了有或没有洗肾的输精管结扎术。比较两组和在局部或全身麻醉下进行手术的8、10和12周时的不孕率。还评估了患者返回术后精液进行分析的依从性。结果输精管结扎术后8、10或12周不孕率无统计学差异。局部麻醉和全身麻醉下进行的输卵管切除术后12周的不孕率相当。提供精液进行分析的依从性差。结论不建议在输精管结扎术期间常规采用远端输卵管灌洗进行避孕。由于提供精液进行分析的依从性差，因此临床医生有责任提醒患者这种操作的后果。

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