Journal of AdvancedMedical and Dental Sciences Research

Background: Vasectomy is a surgical procedure for male sterilization. Standard and modified no scalpel vasectomy is widely used methods. The present study was conducted to compare standard NSV and modified NSV. Materials & Methods: The present study was conducted on 50 males requiring vasectomy. All were divided into 2 groups. Group I (control group) had 25 males in which standard NSV procedure was carried out. In group II (study group), modified NSV was carried out on 25 males. In all groups, operative time, need of analgesia, complications education status etc was compared. Results: The mean age of subject in group I was 31.9 years and their spouse was 29.6 years. In group II, mean age of subject was 32.3 years and their spouse had 29.6 years. The difference was non- significant (P-0.8). In group I, 40% subjects and 38% spouse had primary education. Only 40% were graduates. In group II, 38% subjects and 42% spouse had primary education. Only 10% were graduates. The difference was non- significant (P>0.05). Self motivation was 6% in group I and 76% in group II. Operative time was 9.12 minutes in group I and 6.36 minutes in group II. Number of swabs used was 28 in group I and 35 in group II. Need of analgesia was seen in 84% in group I and 100% in group II. 1 case of infection was seen in both groups. Bruising was seen in 4 cases in group I. Sperm granuloma was seen in 2 cases in group I and 1 case in group II. The difference was non- significant (P>0.05). 36% of subjects had <5 years of marriage at the time of vasectomy while 54% had 5-10 years of marriage at the time of vasectomy. 2 children were seen in 44% couples in group I and 60% in group II while 3 children were seen in 45% in group I and 46% in group II. The difference was non- significant (P>0.05). 56% subjects and 44% subjects were from urban and rural area respectively in group I. 64% and 36% subjects were from urban and rural area respectively in group II. The difference was non- significant (P>0.05). Conclusion: The modified NSV technique appears superior in terms of number of attempts required for catching the vas, time taken for vasectomy and incidence of bruising. Key words: Sperm, Vas, Vasectomy.