Urology
Volume 74, Issue 1 , Pages 77-81 , July 2009

Comparative Analysis of Pain During Anesthesia and No-scalpel Vasectomy Procedure Among Three Different Local Anesthetic Techniques

  • Himanshu Aggarwal

      Affiliations

    • Division of Urology, Creighton University Medical Center, Omaha, Nebraska
    • Division of Urology, University of Nebraska Medical Center, Omaha, Nebraska
    • Division of Urology, Department of Veterans Affairs, Omaha, Nebraska
    • Western Iowa Healthcare System, Midwest Urology Associates and Urology Specialists, Immanuel Plaza West, Omaha, Nebraska
    • Corresponding Author InformationReprint requests: Himanshu Aggarwal, M.D., Department of Surgery, Duke University Medical Center, 405 Dovershire Parkway, Durham, NC 27704
    • ,
  • Rei K. Chiou

      Affiliations

    • Division of Urology, Creighton University Medical Center, Omaha, Nebraska
    • Division of Urology, University of Nebraska Medical Center, Omaha, Nebraska
    • Division of Urology, Department of Veterans Affairs, Omaha, Nebraska
    • Western Iowa Healthcare System, Midwest Urology Associates and Urology Specialists, Immanuel Plaza West, Omaha, Nebraska
    • ,
  • Larry E. Siref

      Affiliations

    • Division of Urology, Creighton University Medical Center, Omaha, Nebraska
    • Division of Urology, University of Nebraska Medical Center, Omaha, Nebraska
    • Division of Urology, Department of Veterans Affairs, Omaha, Nebraska
    • Western Iowa Healthcare System, Midwest Urology Associates and Urology Specialists, Immanuel Plaza West, Omaha, Nebraska
    • ,
  • Stewart E. Sloan

      Affiliations

    • Division of Urology, Creighton University Medical Center, Omaha, Nebraska
    • Division of Urology, University of Nebraska Medical Center, Omaha, Nebraska
    • Division of Urology, Department of Veterans Affairs, Omaha, Nebraska
    • Western Iowa Healthcare System, Midwest Urology Associates and Urology Specialists, Immanuel Plaza West, Omaha, Nebraska

Received 5 October 2008 ,Accepted 15 November 2008.

References 

  1. Hendrix NW, Chauhan SP, Morrison JC. Sterilization and its consequences. Obstet Gynecol Surv. 1999;54:766–777
  2. Barone MA, Hutchinson PL, Johnson CH, et al. Vasectomy in the United States, 2002. J Urol. 2006;176:232–236
  3. Li S, Goldstein M, Zhu J, et al. The no-scalpel vasectomy. J Urol. 1991;145:341–344
  4. Huber D. No-scalpel vasectomy: the transfer of a refined surgical technique from China to other countries. Adv Contracept. 1989;5:217–218
  5. Nirapathpongporn A, Huber DH, Krieger JN. No-scalpel vasectomy at the King's birthday vasectomy festival. Lancet. 1990;335:894–895
  6. Viladoms Fuster JM, Shihua LP. No-scalpel vasectomy. Arch Esp Urol. 1994;47:695–701
  7. Kumar V, Kaza RM, Singh I, et al. An evaluation of the noscalpel vasectomy technique. BJU Int. 1999;83:283–284
  8. Li PS, Li SQ, Schlegel PN, et al. External spermatic sheath injection for vasal nerve block. Urology. 1992;39:173–176
  9. Paxton LD, Huss BK, Loughlin V, et al. Intra-vas deferens bupivacaine for prevention of acute pain and chronic discomfort after vasectomy. Br J Anaesth. 1995;74:612–613
  10. Rasmussen LA, Sørensen EW, Sørensen C, et al. [Inguinal funicular block in vasectomy]. Ugeskr Laeger. 1994;156:3501–3502
  11. Thomas AA, Nguyen CT, Dhar NB, et al. Topical anesthesia with EMLA does not decrease pain during vasectomy. J Urol. 2008;180:271–273
  12. Wilson CL. No-needle anesthetic for no-scalpel vasectomy. Am Fam Physician. 2001;63:1295-1295
  13. Monoski MA, Li PS, Baum N, et al. No-scalpel, no-needle vasectomy. Urology. 2006;68:9–14
  14. Weiss RS, Li PS. No-needle jet anesthetic technique for no-scalpel vasectomy. J Urol. 2005;173:1677–1680
  15. Michael A, White MA, Maatman TJ. Comparative analysis of effectiveness of two local anesthetic techniques in men undergoing no-scalpel vasectomy. Urology. 2007;70:1187–1189
  16. Dassow P, Bennett JM. Vasectomy: an update. Am Fam Physician. 2006;74:2069–2074
  17. Liu X, Li S. Vasal sterilization in China. Contraception. 1993;48:255–265
  18. Munshi AK, Hedge A, Bashir N. Clinical evaluation of the efficacy of anesthesia and patient preference using the needle-less jet syringe in pediatric dental practice. J Clin Pediatr Dent. 2001;25:131–134
  19. Dialynas M, Hollingsworth SJ, Cooper D, et al. Use of a needleless injection system for digital ring block anesthesia. J Am Podiatr Med Assoc. 2003;93:23–26
  20. Issa MM, Hsiao K, Bassel YS, et al. Spermatic cord anesthesia block for scrotal procedures in outpatient clinic setting. J Urol. 2004;172:2358–2361
  21. O'Burden RJ, Kelly SW, Sutton D, et al. Spermatic-cord block improves analgesia for day-case testicular surgery. BJU Int. 1997;80:472–475

PII: S0090-4295(08)01885-2

doi: 10.1016/j.urology.2008.11.023

Urology
Volume 74, Issue 1 , Pages 77-81 , July 2009

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