ACCOMPLISHMENT VASECTOMIES PROTOCOL

Procedures

1. Previous
1. Admission and connection
2. Anamnesis and clinical history: base pathology, coagulopaties antecedents, miccional difficulty, balanitis, etc.
3. Personal history: age, civil state, number of children (and if these were wished), habitual contraceptive method, etc.
4. Genitals Exploration: penis, escroto, cords, deferential and testes.
5. Interview: psychological valuation of the patient, on the procedure and what represents, collected the patient express consent.
6. Preoperating valuation: determination of the surgical-anesthetic risk according to the anamnesis, complete physical exploration and hemogram and coagulation tests, if it is necessary.
7. Writing Information of the procedure.
   
   
2. Surgical practice
1. Is used local anesthesia with subcutaneous weave infiltration, premedicaly in addition the patients, when it has been indicated, with parasimpaticolitics and ansiolitics.
2. Habitual technique of vasectomy: two small incisions are made in the testicles skin, the deferential conduits are located and they are sectioned. The used technique becomes based on guaranteeing the maximum effectiveness in the operation. Later, it closes of the skin with a unique point of reabsorbible material.
   
   
3. Postoperating control
1. •  Absence of secondary signs to a bled vagal reaction and in the surgical wound.
2. •  Valuation of the patient facing the discharge:
1. Correct level of conscience and direction.
2. Capacity for the deambulation.
3. Good level ofanalgesy.
4. Valuation by facultative anestesian or facultative
   
   
4. Customized information
1. Written Instructions to follow during the postoperating one: insisting on the necessity to maintain previous the contraceptive method until the demonstration of absence of spermatozoa in seminogram.
2. Prescription of the medication to follow.
3. Customized Inform of discharge.
4. Indication in writing of the date of the new control as well as of the telephone number on watch of consultation of 24 hours.