No-Scalpel Vasectomy
Fig. 8.1 Three-finger vas fixation technique. Courtesy of Marc Goldstein/Weill Cornell Medicine Fig. 8.2 Cord block using jet injector . Courtesy of Marc Goldstein/Weill Cornell Medicine Once adequate local anesthesia…
Fig. 8.1 Three-finger vas fixation technique. Courtesy of Marc Goldstein/Weill Cornell Medicine Fig. 8.2 Cord block using jet injector . Courtesy of Marc Goldstein/Weill Cornell Medicine Once adequate local anesthesia…
Fig. 18.1 Picture of recommended equipment arranged on tray 1. Prep tray and basin 2. Three way port 3. 19 g × ¾” Butterfly needle 4. Cohesive…
Nomogram for penile biothesiometry Age Fingertip Shaft Glans 18–29 3 3 3 30–39 4 4 4 40–49 4 5 5 50–59 5 6 7 60–69 5 7 7 Indications 1….
Fig. 17.1 Equipment 1. Syringe of ordered medication 2. Alcohol prep pads 3. Sharps container The first visit consists of the clinician injecting the man’s penis with…
Fig. 16.1 Illustration of the device While gently stretching the penis , the applicator can be placed within the urethra (Fig. 16.2); at this point, it is safe to press…
History of medical comorbidities (especially vascular risk factors) Congenital or childhood diseases Psychological disorders (anxiety, depression) Prior surgeries (especially pelvic or genital) Medications Social (smoking, alcohol, recreational drugs, occupational exposures)…
Fig. 14.1 Picture of device and parts Procedure Once the device is assembled (Fig. 14.2), the constriction ring should be placed on the base of the pump, using lubrication to…
Fig. 13.1 Picture of necessary equipment arranged on tray 1. Two alcohol swabs 2. One multidose vial of testosterone cypionate (200 mg/1 mL) 3. 1 ml Tuberculin syringe…
Fig. 15.1 Picture of device and parts Fig. 15.2 Picture of device placement on penis Post-procedural Management andInstructions Patients should add 0.5–1 cm extenders to the device every 2–4 weeks,…
Fig. 9.1 Epididymal sperm aspiration After anesthesia has been delivered, the testicle and epididymis should be secured between the thumb and index fingers. A 21 gauge butterfly needle attached to…