Effect of ductus deferens lavage on the time to achieve azoospermia in patients undergoing vasectomy

Clinics (Sao Paulo). 2018 Oct 8:73:e504. doi: 10.6061/clinics/2018/e504.

Abstract

Objective: To evaluate the effect of normal saline lavage of the distal vas deferens ampulla in patients undergoing vasectomy on the time to achieve azoospermia.

Methods: A prospective randomized study of 60 men divided into two groups, group lavage (GL, n=30) in which distal vas deferens ampulla lavage was performed with 10 ml of normal saline during the vasectomy, and group without lavage (GWL, n=30) in which control patients received only a vasectomy. The patients provided sperm for semen analysis at the 5th, 10th, 15th, 20th and 25th ejaculations.

Results: Fifteen participants in GL and 16 in GWL, for a total of 31 patients, were excluded due to not completing the control spermiogram. The tests carried out at the five ejaculations showed immobile spermatozoa in 40 and 85.71%, 66.67 and 78.57%, 93.33 and 85.71%, 86.67 and 71.43%, and 93.33 and 85.71% of participants in GL and GWL, respectively.

Conclusion: Vas deferens duct lavage with 10 ml of normal saline during vasectomy did not decrease the time required to achieve postoperative azoospermia.

Publication types

  • Randomized Controlled Trial

MeSH terms

  • Adult
  • Azoospermia*
  • Humans
  • Male
  • Prospective Studies
  • Semen Analysis
  • Sodium Chloride / administration & dosage*
  • Sperm Count*
  • Therapeutic Irrigation / methods
  • Vas Deferens / surgery*
  • Vasectomy / methods*

Substances

  • Sodium Chloride