Complications, Failure Rate, and Satisfaction of No-scalpel Vasectomy in Isfahan Health Centers

Nowadays, rapid increasing in the world population is the most essential impediment of socioeconomic development in the country that shows the importance of attention to reproductive controlling and family planning. Vasectomy is a simple and effective method of contraception. No-scalpel vasectomy has been done since 2001 in Isfahan province. Due to lack of information about vasectomy, this study was conducted to assess the complication, satisfaction and failure rate of vasectomy. This was a cross-sectional study. The samples were 188 men that had been done vasectomy in Ebnesina, mollahadi sabzevari, Navvab safavi and khaneh Isfahan health centers of Isfahan city in 2005. Vasectomy was done according to standard protocol by trainer doctor. In each center, samples (47 men) were selected by systematic random sampling. The questionnaires were completed by face to face or telephone interview and available data of completed forms at the time of vasectomy. Demographic characteristics and developed complication after vasectomy were asked. The questions of questionnaire were designed according to reported complication in the literature review. Data were analyzed by SPSS 15 software and descriptive statistics. The mean age of men was 37.82 ± 5.54 years. The most common reported complication was pain (6.9%). Other reported complications were: sexual dysfunction (2.1%), urinary problem (2.1%), allergic reaction to local anesthesia (1.6%), testis infection (0.5%) and renal stone (0.5%). Sleep disturbance and being repentant were reported in 2.1% and 0.5%, respectively. Vasectomy failure rate was zero and satisfaction rate was 94.7%. With attention to this point that reported complication was low and vasectomy failure rate was zero, it seems that technique of vasectomy has good quality. On the other hand, for decreasing the dissatisfaction rate due to occurring unwanted pregnancy and being repentant due to tendency to have child after vasectomy, good counseling before doing vasectomy is necessary.