European Association of Urology Guidelines on Vasectomy
European Association of Urology Guidelines on Vasectomy
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DOI：
10.1016/j.acuro.2012.01.005
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发表时间：
2012-05-01
影响因子：
1.1
通讯作者：
Jungwirth, A.
中科院分区：
文献类型：
--
作者：
Dohle, G. R.;Diemer, T.;Jungwirth, A.
背景：欧洲泌尿外科协会介绍了输精管结扎术的指南。输精管切除术是非常有效的，但可能出现的问题是与术前患者信息不足，手术过程，术后随访。目的：这些指南旨在提供信息和建议的医生谁执行输精管切除术，并促进提供充分的信息，以病人在手术前，以防止不切实际的期望和法律的程序。证据采集：使用Medline、Embase和科克伦系统综述数据库对1980年至2010年的文献进行了广泛的综述。重点是随机对照试验（RCT）和RCT的荟萃分析（1级证据）以及设计良好的无随机化研究（2级和3级证据）。共确定了113项独特记录供审议。非英语语言的出版物被排除，以及作为摘要发表的研究或报告从meetings.Evidence合成：该指南讨论的适应症和禁忌症输精管结扎术，术前患者信息和咨询，手术技术，术后护理和随后的精液分析，并发症和后期consequence.Conclusions：输精管结扎术是一种永久性的避孕形式。输精管切除术没有绝对的禁忌症。相对禁忌症可能是没有孩子，年龄
Context: The European Association of Urology presents its guidelines for vasectomy. Vasectomy is highly effective, but problems can arise that are related to insufficient preoperative patient information, the surgical procedure, and postoperative follow-up.Objective: These guidelines aim to provide information and recommendations for physicians who perform vasectomies and to promote the provision of adequate information to the patient before the operation to prevent unrealistic expectations and legal procedures.Evidence acquisition: An extensive review of the literature was carried out using Medline, Embase, and the Cochrane Database of Systematic Reviews from 1980 to 2010. The focus was on randomised controlled trials (RCTs) and meta-analyses of RCTs (level 1 evidence) and on well-designed studies without randomisation (level 2 and 3 evidence). A total of 113 unique records were identified for consideration. Non-English language publications were excluded as well as studies published as abstracts only or reports from meetings.Evidence synthesis: The guidelines discuss indications and contraindications for vasectomy, preoperative patient information and counselling, surgical techniques, postoperative care and subsequent semen analysis, and complications and late consequences.Conclusions: Vasectomy is intended to be a permanent form of contraception. There are no absolute contraindications for vasectomy. Relative contraindications may be the absence of children, age