TulaneUrologyWiki

Pre-Procedure Diagnosis: Encounter for sterility

Post-Procedure Diagnosis: Same

Description of Procedure:

Bilateral vasectomy

Indications for Procedure:

Patient desires sterility

Anesthetic/Sedation:

Local

Operator: Danish Singh, MD

Staff Name: Louis Spencer Krane, MD

Staff Level: I: Staff physically present/directly involved in procedure

Description of Findings (include specimens removed, if any):

Bilaterally palpable vas deferens

Estimated Blood Loss: Minimal

Condition:

Good

Was Procedural Time Out Verification completed prior to procedure?

Yes

(PROCEDURAL TIME OUT VERIFICATION TEMPLATE MUST BE COMPLETED!!)

Complications:

None

Procedure in detail:

Patient was prepped and draped in a sterile fashion. Local anesthesia was

delivered to the scrotum.

The left vas deferens was palpated and a small incision was made on the skin

in the midline scrotum.

The left vas was then grabbed and delivered through the incision. Once the

vas was

completely isolated, the artery to the vas deferens was spared and vascular

clips were applied to the proximal and distal ends of the vas and the segment

was excised. The cut ends were delivered back into the scrotum in

different layers of the dartos fascia.

The same procedure was repeated on the contralateral side, with the right vas

delivered through the same midline scrotal incision.

The skin was then closed with 4-0 chromic gut suture in a horizontal mattress

fashion.

The patient was then discharged from clinic with instructions to avoid

strenuous activity for 5 days. Patient was advised to refrain from sexual

intercourse until he has his sterility confirmed via post-vasectomy

semen analysis.

Vasectomy Template