Biomaterial Database

Vas occlusion by tantalum clips and its comparison with conventional vasectomy in man: reliability, reversibility, and complications. 1977

A S Gupta, and L K Kothari, and T P Devpura

Occlusion of the vas deferens has been carried out by applying tantalum clips in 60 men. Another 50 men were vasectomized conventionally and served as controls. Vasography showed that two clips were required on each vas to bring about perfect and firm occlusion. The incidence of postoperative infection and other complications was much lower in the clip-occluded cases. Under a long-term follow-up, 10% of the conventionally vasectomized men were dissatisfied with the operation as compared with 2% of the clip-occluded group. Both groups became azoospermic within 3 months and the failure rate was zero. Removal of the clips not only was difficult but left the vas compressed and leaking. The method cannot, therefore, be considered reversible by itself. However, recanalization could easily be achieved by end-to-end anastomosis after excision of the small clipped segment or by side-to-side anastomosis without any excision. This, damage to the neuromuscular apparatus of the vas may be minimized. Male sterilization by clip occlusion has the advantages of minimal surgical intervention, shorter operative time, safety from postoperative infection, and easier recanalization if desired.

UI	MeSH Term	Description	Entries
D008297	Male		Males
D011183	Postoperative Complications	Pathologic processes that affect patients after a surgical procedure. They may or may not be related to the disease for which the surgery was done, and they may or may not be direct results of the surgery.	Complication, Postoperative,Complications, Postoperative,Postoperative Complication
D005069	Evaluation Studies as Topic	Works about studies that determine the effectiveness or value of processes, personnel, and equipment, or the material on conducting such studies.	Critique,Evaluation Indexes,Evaluation Methodology,Evaluation Report,Evaluation Research,Methodology, Evaluation,Pre-Post Tests,Qualitative Evaluation,Quantitative Evaluation,Theoretical Effectiveness,Use-Effectiveness,Critiques,Effectiveness, Theoretical,Evaluation Methodologies,Evaluation Reports,Evaluation, Qualitative,Evaluation, Quantitative,Evaluations, Qualitative,Evaluations, Quantitative,Indexes, Evaluation,Methodologies, Evaluation,Pre Post Tests,Pre-Post Test,Qualitative Evaluations,Quantitative Evaluations,Report, Evaluation,Reports, Evaluation,Research, Evaluation,Test, Pre-Post,Tests, Pre-Post,Use Effectiveness
D006801	Humans	Members of the species Homo sapiens.	Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D013243	Sterilization Reversal	Procedures to reverse the effect of REPRODUCTIVE STERILIZATION and to regain fertility. Reversal procedures include those used to restore the flow in the FALLOPIAN TUBE or the VAS DEFERENS.	Fallopian Tube Reanastomosis,Tubal Reanastomosis,Vas Deferens Reanastomosis,Vas Reanastomosis,Fallopian Tube Reanastomoses,Reanastomoses, Fallopian Tube,Reanastomoses, Tubal,Reanastomoses, Vas Deferens,Reanastomosis, Fallopian Tube,Reanastomosis, Tubal,Reanastomosis, Vas Deferens,Sterilization Reversals,Tubal Reanastomoses,Vas Deferens Reanastomoses
D013245	Sterilization, Reproductive	Procedures to block or remove all or part of the genital tract for the purpose of rendering individuals sterile, incapable of reproduction. Surgical sterilization procedures are the most commonly used. There are also sterilization procedures involving chemical or physical means.	Reproductive Sterilization,Voluntary Sterilization,Female Sterilization,Female Sterilization, Voluntary,Male Sterilization,Male Sterilization, Voluntary,Female Sterilizations,Female Sterilizations, Voluntary,Male Sterilizations,Male Sterilizations, Voluntary,Reproductive Sterilizations,Sterilization, Female,Sterilization, Male,Sterilization, Voluntary,Sterilizations, Female,Sterilizations, Male,Sterilizations, Reproductive,Sterilizations, Voluntary,Voluntary Female Sterilization,Voluntary Female Sterilizations,Voluntary Male Sterilization,Voluntary Male Sterilizations,Voluntary Sterilizations
D013635	Tantalum	A rare metallic element, atomic number 73, atomic weight 180.948, symbol Ta. It is a noncorrosive and malleable metal that has been used for plates or disks to replace cranial defects, for wire sutures, and for making prosthetic devices.	Tantalum-181,Tantalum 181
D014649	Vas Deferens	The excretory duct of the testes that carries SPERMATOZOA. It rises from the SCROTUM and joins the SEMINAL VESICLES to form the ejaculatory duct.	Ductus Deferens,Deferens, Ductus,Deferens, Vas
D014659	Vasectomy	Surgical removal of the ductus deferens, or a portion of it. It is done in association with prostatectomy, or to induce infertility. (Dorland, 28th ed)	Intravasal Thread,Vas Ligation,Vas Occlusion,Vas Occlusion, Nonchemical,Vasectomy Seekers,Vasectomy Seekers, Refused,Intravasal Threads,Ligation, Vas,Ligations, Vas,Nonchemical Vas Occlusion,Nonchemical Vas Occlusions,Occlusion, Nonchemical Vas,Occlusion, Vas,Occlusions, Nonchemical Vas,Occlusions, Vas,Refused Vasectomy Seeker,Refused Vasectomy Seekers,Seeker, Refused Vasectomy,Seeker, Vasectomy,Seekers, Refused Vasectomy,Seekers, Vasectomy,Thread, Intravasal,Threads, Intravasal,Vas Ligations,Vas Occlusions,Vas Occlusions, Nonchemical,Vasectomies,Vasectomy Seeker,Vasectomy Seeker, Refused