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  • Title: [Vasectomy in France in 1990. A survey].
    Author: Dourlen-rollier AM, Palmer E, Verdoux C.
    Journal: Contracept Fertil Sex (Paris); 1990 Mar; 18(3):177-80. PubMed ID: 12342749.
    Abstract:
    The legal status of vasectomy and of voluntary sterilization in general remains ambiguous in France despite increasing demand for the operation and an increase in the number of physicians performing vasectomies. A questionnaire was mailed to 250 urologists and other physicians by the National Association for the Study of Voluntary Sterilization in February 1989 to elicit their views and practices regarding vasectomy. 77 responses were obtained. 84.4% of the respondents stated that they had performed vasectomies. 4 performed more than 50 annually, including 1 who performed about 500 each year with his hospital team. 16 performed 10-50 per year and 57 performed fewer than 10. Most reported using local anesthesia expect 10 who required general anesthesia and 6 who did not respond. 20 spontaneous repermeations were observed with good quality sperm. 12 pregnancies occurred. 50% of practitioners reported they had never had a failure. 50.7% reported they had never had complications. 18 reported hematomas and 9 reported infectious epididymitis. Over 40% said they had never observed secondary effects. Granulomas were observed in .9% of patients. 5 patients had psychosexual problems, including 3 with partial impotence. The physician stated that the operation probably was not indicated in 1 of these cases. Only .4% of men undergoing vasectomy reported regretting their operations. 46.6% of physicians stated they had established a protocol for vasectomies. The protocols were nearly identical, requiring that the subject be 35-40 years old, married, and the father of at least 2 children. 2/3 of practitioners followed the 1983 recommendations of the National Council of the Order of Physicians. 2/3 informed their clients of the possibility of reversal, but few had received reversal requests. 18 physicians reported receiving a total of 83 requests for reversal. 68.2% of the physicians performed vasectomies for strictly contraceptive purposes. Almost all favored clarifying the legal status of vasectomy.
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