Review of Vasectomy Complications and Safety Concerns.
Review of Vasectomy Complications and Safety Concerns.
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输精管结扎术并发症和安全问题的回顾
DOI：
10.5534/wjmh.200073
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发表时间：
2021-07
期刊：
影响因子：
--
通讯作者：
Yu X
中科院分区：
文献类型：
--
作者：
Yang F;Li J;Dong L;Tan K;Huang X;Zhang P;Liu X;Chang D;Yu X
输精管结扎术是一种简单、安全、有效、经济的长期男性避孕方法。作为一种外科手术，有血肿形成、感染、绝育失败、精子肉芽肿等短期和长期并发症，术后短期疼痛（结节痛、阴囊痛、射精痛），慢性疼痛综合征等。它是否会增加自身免疫性疾病、心血管疾病、睾丸癌或前列腺癌的风险仍存在争议。还研究了输精管切除术后血浆促黄体生成素、促卵泡激素和睾酮浓度的变化，以及输精管切除术与性功能的关系。输精管切除术后精子质量下降非常缓慢，如果夫妇在任何时候改变主意，输精管造口术和卵浆内单精子注射都可以帮助他们怀孕。我们在本综述的最后纳入了随访策略和随访护理建议。
Vasectomy is a simple, safe, effective, and economical method used worldwide for long-term male contraception. As a surgical operation, it has short-term and long-term complications such as hematoma formation, infection, sterilization failure, sperm granulomas, short-term postoperative pain (nodal pain, scrotal pain, and ejaculation pain), and chronic pain syndrome. Whether it increases the risk of autoimmune disease, cardiovascular disease, testicular cancer, or prostate cancer is still controversial. Changes in plasma concentrations of luteinizing hormone, follicle-stimulating hormone, and testosterone after vasectomy have also been studied, as well as the relation between vasectomy and sexual function. Sperm quality decreases very slowly after vasectomy, and vasovasostomy and intracytoplasmic sperm injection could help a couple achieve a pregnancy if they change their minds at any point. We include a follow-up strategy and suggestions for follow-up care at the end of this review.
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