Special Surgical Procedures II LESSON 3: Procedures in Genitourinary Surgery Section v: operations on the scrotum, penis, and urethra
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3-32. VASECTOMY
a. General. This operation involves the excision of a section of the vas deferens. This is done electively as a permanent method of sterilization or birth control and also prior to prostatectomy to prevent spread of infection from the urethra to the epididymis.
b. Patient Preparation. The patient usually lies in the dorsal supine position, although the operation can be done in the lithotomy position prior to transurethral surgery. The procedure may be done with either local or general anesthesia.
c. Operative Procedure.
Figure 3-11. . Vasectomy (vas ligation)
A-Vas grasped between thumb in front and first and second fingers behind. Incision 2 cm long is made over vas.
B-Vas grasped with Allis clamp and incision deepened into it.
C-Vas clamped with two hemostats and incised between them.
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