PDF(Pubmed)
Abstract：
To estimate the risk of post-vasectomy infections in various settings and across various surgical techniques and sanitization practices.
Retrospective review of the records of 133,044 vasectomized patients from four large practices/network of practices using the no-scalpel vasectomy (NSV) technique in Canada (2011-2021), Colombia (2015-2020), New Zealand (2018-2021), and the United Kingdom (2006-2019). We defined infection as any mention in medical records of any antibiotics prescribed for a genital or urinary condition following vasectomy.
Post-vasectomy infection risks were 0.8% (219 infections/26,809 procedures), 2.1% (390/18,490), 1.0% (100/10,506), and 1.3% (1,007/77,239) in Canada, Colombia, New Zealand, and the UK, respectively. Audit period comparison suggests a limited effect on the risk of infection of excising a short vas segment, applying topical antibiotic on scrotal opening, wearing a surgical mask in Canada, type of skin disinfectant, and use of non-sterile gloves in New Zealand. Risk of infection was lower in Colombia when mucosal cautery and fascial interposition [FI] were used for vas occlusion compared to ligation, excision, and FI (0.9% vs. 2.1%, p<0.00001). Low level of infection certainty in 56% to 60% of patients who received antibiotics indicates that the true risk might be overestimated. Lack of information in medical records and patients not consulting their vasectomy providers might have led to underestimation of the risk.
Risk of infection after vasectomy is low, about 1%, among international high-volume vasectomy practices performing NSV and various occlusion techniques. Apart from vasectomy occlusion technique, no other factor modified the risk of post-vasectomy infection.
Retrospective review of the records of 133,044 vasectomized patients from four large practices/network of practices using the no-scalpel vasectomy (NSV) technique in Canada (2011-2021), Colombia (2015-2020), New Zealand (2018-2021), and the United Kingdom (2006-2019). We defined infection as any mention in medical records of any antibiotics prescribed for a genital or urinary condition following vasectomy.
Post-vasectomy infection risks were 0.8% (219 infections/26,809 procedures), 2.1% (390/18,490), 1.0% (100/10,506), and 1.3% (1,007/77,239) in Canada, Colombia, New Zealand, and the UK, respectively. Audit period comparison suggests a limited effect on the risk of infection of excising a short vas segment, applying topical antibiotic on scrotal opening, wearing a surgical mask in Canada, type of skin disinfectant, and use of non-sterile gloves in New Zealand. Risk of infection was lower in Colombia when mucosal cautery and fascial interposition [FI] were used for vas occlusion compared to ligation, excision, and FI (0.9% vs. 2.1%, p<0.00001). Low level of infection certainty in 56% to 60% of patients who received antibiotics indicates that the true risk might be overestimated. Lack of information in medical records and patients not consulting their vasectomy providers might have led to underestimation of the risk.
Risk of infection after vasectomy is low, about 1%, among international high-volume vasectomy practices performing NSV and various occlusion techniques. Apart from vasectomy occlusion technique, no other factor modified the risk of post-vasectomy infection.
摘要：
目的：评估各种环境下以及各种手术技术和消毒方法中输精管切除术后感染的风险。
方法：回顾性回顾加拿大使用无手术刀输精管结扎术（NSV）技术的来自四个大型实践/实践网络的133,044例输精管切除术患者的记录（2011-2021），哥伦比亚（2015-2020），新西兰(2018-2021),和英国（2006-2019年）。我们将感染定义为在输精管结扎术后为生殖器或泌尿系统疾病开的任何抗生素的医疗记录中提及。
结果：输精管结扎后感染风险为0.8%（219例感染/26,809例），2.1%（390/18,490），1.0%（100/10,506），和1.3%（1,007/77,239）在加拿大，哥伦比亚,新西兰,和英国，分别。审核期比较表明，切除短血管段对感染风险的影响有限，在阴囊开口应用局部抗生素，在加拿大戴着口罩,皮肤消毒剂的类型，在新西兰使用非无菌手套。与结扎相比，当使用粘膜烧灼和筋膜插入[FI]进行输精管闭塞时，哥伦比亚的感染风险较低。切除,和FI（0.9%与2.1%,p<0.00001)。接受抗生素治疗的患者中56％至60％的感染确定性水平较低，这表明真正的风险可能被高估了。医疗记录中缺乏信息以及未咨询输精管切除术提供者的患者可能会导致对风险的低估。
结论：输精管结扎后感染的风险较低，1%左右,在进行NSV和各种闭塞技术的国际高容量输精管结扎术中。除了输精管结扎封堵技术,没有其他因素改变输精管结扎后感染的风险.
方法：回顾性回顾加拿大使用无手术刀输精管结扎术（NSV）技术的来自四个大型实践/实践网络的133,044例输精管切除术患者的记录（2011-2021），哥伦比亚（2015-2020），新西兰(2018-2021),和英国（2006-2019年）。我们将感染定义为在输精管结扎术后为生殖器或泌尿系统疾病开的任何抗生素的医疗记录中提及。
结果：输精管结扎后感染风险为0.8%（219例感染/26,809例），2.1%（390/18,490），1.0%（100/10,506），和1.3%（1,007/77,239）在加拿大，哥伦比亚,新西兰,和英国，分别。审核期比较表明，切除短血管段对感染风险的影响有限，在阴囊开口应用局部抗生素，在加拿大戴着口罩,皮肤消毒剂的类型，在新西兰使用非无菌手套。与结扎相比，当使用粘膜烧灼和筋膜插入[FI]进行输精管闭塞时，哥伦比亚的感染风险较低。切除,和FI（0.9%与2.1%,p<0.00001)。接受抗生素治疗的患者中56％至60％的感染确定性水平较低，这表明真正的风险可能被高估了。医疗记录中缺乏信息以及未咨询输精管切除术提供者的患者可能会导致对风险的低估。
结论：输精管结扎后感染的风险较低，1%左右,在进行NSV和各种闭塞技术的国际高容量输精管结扎术中。除了输精管结扎封堵技术,没有其他因素改变输精管结扎后感染的风险.
