Vasectomy with vessel sealing device: Comparison of different diameters

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dc.authorid0000-0001-9988-2944
dc.authorid0000-0003-0128-6947
dc.authorid0000-0002-0159-2090
dc.authorid0000-0001-8014-2321
dc.authorid0000-0002-5009-8435
dc.authorid0000-0002-4245-7506
dc.contributor.authorGüzelburç, Vahit
dc.contributor.authorBaran, Caner
dc.contributor.authorYafi, Faysal A.
dc.contributor.authorÇakır, Aslı
dc.contributor.authorKiremit, Murat Can
dc.contributor.authorBoz, Mustafa Yücel
dc.contributor.authorHoruz, Rahim
dc.contributor.authorGüven, Selçuk
dc.contributor.authorHellstrom, Wayne J. G.
dc.contributor.authorAlbayrak, Selami
dc.date.accessioned10.07.201910:49:13
dc.date.accessioned2019-07-10T19:56:41Z
dc.date.available10.07.201910:49:13
dc.date.available2019-07-10T19:56:41Z
dc.date.issued2019
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Üroloji Ana Bilim Dalı
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Tıbbi Patoloji Ana Bilim Dalı
dc.descriptionWOS: 000455680900004
dc.descriptionPubMed ID: 30154455
dc.description.abstractObjectives Vasectomy is a popular and effective male surgical contraceptive method. Different techniques have been proposed to reduce failure rates and complications. In this study, we sought to compare vas deferens occlusion rates using both standard occlusion techniques and LigaSure (LSVS) for vasectomy. Material and methods A total of nine patients underwent open radical retropubic prostatectomy at our institution. During the procedure, a total of 125 fresh vas deferens samples were obtained and divided into four groups as follows: Group 1: ligation (n = 22), Group 2; ligation and electrocauterization (n = 18), Group 3; 5 mm LSVS (n = 44), Group 4; 10 mm LSVS (n = 41). All specimens were harvested during surgery and subsequent histopathological assessments were performed to assess the luminal status of the vas deferens. Results Histopathological evaluation revealed that the majority of vas lumens with LSVS (79.5% of Group 3 and 89.4% of Group 4) were totally occluded. With standard techniques, however, the majority of vas lumens (86.4 and 77.8% of Groups 1 and 2, respectively) maintained a tiny patency. Conclusions On histopathological review, the application of LSVS resulted in better occlusion rates, compared to standard ligation methods. These findings suggest a higher occlusive role for LSVS for vasectomy. Further clinical studies are needed to confirm the clinical efficacy and safety of this technique.
dc.identifier.citationGüzelburç, V., Baran, C., Yafi, F. A., Çakır, A., Kiremit, M. C., Boz, M. Y. ... Albayrak, S. (2019). Vasectomy with vessel sealing device: Comparison of different diameters. International Journal of Impotence Research, 31(1), 21-24. https://dx.doi.org/10.1038/s41443-018-0066-y
dc.identifier.doi10.1038/s41443-018-0066-y
dc.identifier.endpage24
dc.identifier.issn0955-9930
dc.identifier.issn1476-5489
dc.identifier.issue1
dc.identifier.scopusqualityQ3
dc.identifier.startpage20
dc.identifier.urihttps://dx.doi.org/10.1038/s41443-018-0066-y
dc.identifier.urihttps://hdl.handle.net/20.500.12511/2788
dc.identifier.volume31
dc.identifier.wosqualityQ2
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherNature Publishing Group
dc.relation.ispartofInternational Journal of Impotence Researchen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/embargoedAccess
dc.subjectVasectomy
dc.subjectDifferent
dc.subjectVessel Sealing Device
dc.titleVasectomy with vessel sealing device: Comparison of different diameters
dc.typeArticle

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