Currently, no surveillance system collects data on the numbers and characteristics of vasectomies performed annually in the United States.
This study provides nationwide data on the numbers of vasectomies and the use of no-scalpel vasectomy, various occlusion methods, fascial interposition, and protocols for analyzing semen after vasectomy.
A retrospective mail survey (with telephone follow-up) was conducted of 1800 urology, family practice, and general surgery practices drawn from the American Medical Association's Physician Master File and stratified by specialty and census region.
Mail survey and telephone follow-up yielded an 88% response rate.
In 1995, approximately 494,000 vasectomies are estimated to have been performed by 15,800 physicians in the United States.
Urologists performed 76% of all vasectomies, and nearly all (93%) urology practices performed vasectomies in 1995.
Nearly one third (29%) of vasectomies in 1995 were no-scalpel vasectomies, and 37% of physicians performing no-scalpel vasectomies taught themselves the procedure.
The most common occlusion method in 1995 (used for 38% of all vasectomies) was concurrent use of ligation and cautery.
In 1995, slightly less than half (48%) of all physicians surveyed interposed the fascial sheath over one end of the vas when performing a vasectomy. (...)
Mots-clés Pascal : Vasectomie, Appareil génital mâle pathologie, Etats Unis, Amérique du Nord, Amérique, Traitement, Epidémiologie, Adulte, Homme, Mâle, Chirurgie
Mots-clés Pascal anglais : Vasectomy, Male genital diseases, United States, North America, America, Treatment, Epidemiology, Adult, Human, Male, Surgery
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0490625
Code Inist : 002B25K. Création : 19/02/1999.