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https://www.auanet.org/documents/education/clinical-guidance/Vasectomy.pdf as the table comparing some occlusion techniques with and without fascial interposition (FI): Compare the row #2 (without FI) against the rows #1 (with FI) and #3 (with FI): the use of FI seems to have decreased the upper bound of the failure rate. Note that the study was published ...


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I have found two studies so far: https://doi.org/10.1016/S0015-0282(16)44357-8: The presence of a sperm granuloma [resulting from an open-ended vasectomy] at the vasectomy site prevents epididymal pressure build-up, perforation, and the formation of an epididymal sperm granuloma. It thus enhances reversibility of the vasectomy and lessens the likelihood of ...


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One reference https://www.aafp.org/afp/2000/0115/p305.html recommends the use of sutures, and specifically the use of Vicryl or Dexon sutures as they cause less tissue reaction than the chromic suture: I did use clips for fascial interposition during no-scalpel vasectomy for a period of time. I found that they frequently hung up in the narrow tissue tract ...


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