PRATIQUE DE LAVASECTOMIE SANS BISTOURIAU TOGO : L’EXPERIENCE DE LA CLINIQUE PRINCIPALE DE L’ASSOCIATION TOGOLAISE POUR LE BIEN- ETRE FAMILIAL (ATBEF)

Abstract

Vasectomy is a surgical procedure that involves isolating and cut or coagulate the vas deferens. It represents 1.9% of modern contraceptive methods in the world. Fear of surgery, especially the fear of the pain of the incision and decreased libido, are some reasons to its low acceptance by men. The NSV, unlike conventional vasectomy, requires no incision or sutures and causes less pain. Objective: To describe the epidemiological characteristics and the prognostic of the no scalpel vasectomy in Togo. Methods: It was a prospective and descriptive study conducted at the Principal Clinic of ATBEF from May 1st, 2012 to April 30, 2013. It covered all cases of vasectomy. The variables analyzed using SPSS software were as follows: socio-demographic data, the motivations of patients, duration and complications of no-scalpel vasectomy. Results: The frequency of this vasectomy was 0,27%. The average age of patients was 41,7 years. The average number of children per couple was 4,7. The main motivation was sufficient number of children (72%) in the couple. The average operative time was 30 minutes. Vasectomy failed in 1 case (2%). Nine (9) cases of pain (scrotal and penile) and 2 cases of scrotal hematoma were the postoperative complications (22%). Conclusion: No scapel vasectomy is a simple practice accepted by the population. His prevalence is low but it can be improved by raising awareness.