Vasectomy Technique:

• World Vasectomy Day

  • Managing Challenging Cases  – Webinar 2022

• Engender Health:

  • No Scalpel Vasectomy Participant Manual 2007
  • No Scalpel Vasectomy Trainer Manual 2007
  • No Scalpel Vasectomy Illustrated Guide for Surgeons 2003

• American Urological Association (AUA)

  • Vasectomy Guidelines – Vasectomy Guidelines 2012

• Marc Goldstein, MD and Phillip Li, MD (USA)

  • No-scalpel technique 2012 Video
  • External cord spermatic injection Technique Paper 1992

• Michel Labrecque, MD (Canada)

  • Chart of Vasectomy Surgical Techniques (pdf slide)
  • Mini needle anesthesia technique 2015 Video / 2019 Video
  • Mini needle anesthesia presentation (pdf)
  • Vasectomy complications (Spanish) presentation (pdf)
  • No Scalpel Vasectomy Technique Paper 2011
  • Effectiveness of vasectomy occlusion techniques – Labrecque / Sokal 2009
  • Vasectomy Workshop – Zambia 2023 (presentation ppt file)
  • La vasectomie 
sans scalpel (No-scalpel vasectomy, French version) presentation (pdf)

• Douglas Stein, MD (USA)

  • NSV 2017 Video / 2018 Video
  • Amount of tissue for FI and pain and discomfort
  • Vas isolation presentation (pdf)
  • Left vas isolation presentation (pdf)
  • Right vas isolation presentation (pdf)
  • Managing Challenging Cases Video Presentation
  • The Vasectomist (documentary) – Video link

• John Curington, MD (USA)

  • NSV 2020 Video / 2021 Video
  • An inexpensive yet realistic model for teaching vasectomy – IBJU 2015

• Charles (Chic) Wilson, MD (USA)

  • Use of Madajet® for NSV AFP Letter to Editor 2001
  • NSV 2017 Video
  • Training Manual AAFP (self-study program, pdf format)

• Ron Weiss, MD (Canada)

  • NSV 2016 Video
  • No Needle Anesthesia Urology 2005
  • No Needle Anesthesia Technique Paper 2011

• Neil Pollock, MD (Canada)

  • NSV 2018 Video

• Diana Torres, MD (Colombia)

  • NSV 2021 Video

• Doron Boone, MD (UK)

  • NSV 2022 Video

• Joao Batista, MD (Brazil)

  • NSV 2020 Video

General Resources:

Vasectomy:

• History of Vasectomy – Y. Sheynkin, MD (Urol Clin N Am 36 (2009) 285–294)
• Knot security of PGA suture – Europ. J. Obstet. Gynec. Reprod. Biol. 1985
• Technics and complications of elective vasectomy – Schmidt (1966)
• Frequency and patterns of early recanalization after vasectomy – Labrecque et al (BMC Urology 2006)
• Technical Guidelines for Vasectomy – WHO document (1988)

Anesthesia:

• Madajet XL – Medical Presentation
• Diphenhydramine as an Alternative Local Anesthetic Agent – J Clin Aesthetic Dermatol 2009
• Spermatic cord block for difficult cases – VIDEO Doug Stein, MD
• Spermatic cord block – VIDEO  Sijo Parekattil, MD
• Nerve blocks for scrotal surgeries – VIDEO Shiv Kumar Singh, MD

Vasectomy Complications:

• Physiology, Stress Reaction – National Library of Medicine (Stat Pearls 2025 pdf)
• Fear and the Defense Cascade: Clinical Implications and Management – Harv Rev Psychiatry. 2015 Jul 8;23(4):263–287
• Ammonia Inhalants: Use, Misuse, and Role in Sports Performance – Sports Health. 2024 Sep-Oct;16(5):706-710.
• Sperm Granuloma – (Nonneoplastic Lesion Atlas – pdf summary – website link)
• Spermatic Granuloma: An often painful lesion – Fertility and Sterility Vol. 31, No.2, February 1979 
• Sperm granulomas: Predictive factors and impacts on patency postvasectomy reversal – Samplaski et al (Andrologia. 2022;54:e14439)

Ethics and Social Issues:

• Forced Sterilization of Disable People in the US – National Women’s Law Center (Report 2021)
  • Forced Sterilization Laws in each State and Territory – National Women’s Law Center (Report 2021)
• Responsibilities of Legal Guardian (State of Iowa 2022)
• Image Archives on the American Eugenics Movement (website link)
• Eugenics: Compulsory Sterilization in 50 American States (University of Vermont – website link)
• Sexual and reproductive health and rights of girls and young women with disabilities (Report United Nations, 2017 / EasyRead Version)
• The Supreme Court Ruling That Led To 70,000 Forced Sterilizations (NPR audio, 2016)
• ICE, A Whistleblower and Forced Sterilization (NPR audio, 2020)
• The Times podcast: Eugenics in our own backyard (LA Times Podcast, 2021)
• America’s Forgotten History of Forced Sterilization (Berkeley Political Review, 2020)
• Unwanted Sterilization and Eugenics Programs in the United States (PBS article, 2016)
• Federally Funded Sterilization: Time to Rethink Policy? (Borrero, American Journal of Public Health, 2012)

Infection control:

• Infection Prevention and Control – Engender Health Document 2011
• Disinfection Guidelines – CDC Document 2008
• Sterilization Manual – Sterilization Manual – PAHO (Spanish)
• Risk of post-vasectomy infections – Int Braz J Urol. 2023
• Midmark M9/M11 Sterilizer Care – Midmark® Care Manual
• Cleaning and disinfecting cautery tips (Program for Appropriate Technology in Healthcare – PATH, 2005)

Semen Analysis:

• Semen Examination – WHO Document 2010
• PVSA Sperm Count Calculation – Spreadsheet by David Sokal, MD
• Cálculo del conteo de esperma (PVSA) – Hoja de cálculo por David Sokal, MD
• PVSA: Optimizing Laboratory Procedures – Ashok Agarwal, PhD et al (2022)
• A new approach to PVSA that eliminates the need for fresh samples – Andrology 2022
• Delayed vasectomy success in men with a first postvasectomy semen analysis showing motile sperm – Labrecque et al (2005)

Absence of Vas Deferens:

• Congenital Unilateral Absence of Vas Deferens (CUAVD) – Int Braz J Urol 2016
• Congenital Unilateral Absence of Vas Deferens (CUAVD) – Urology Annals 2019
• A case of congenital unilateral absence of the vas deferens – International Medical Case Reports Journal 2013
• Congenital Bilateral Absence of the Vas Deferens (CBAVD) – Frontiers in Genetics 2022
• Unilateral absence of vas deferens (UAVD): prevalence among 23,013 men seeking vasectomy – Int Braz J Urol 2016 (Miller)

 Chronic Pain:

• Chronic post-surgical pain – BJA Education 2022 (Rosenberger)
• Management of chronic orchialgia: review of current clinical practice – AME Med J 2023 (Parekattil)
• Management of Chronic Orchialgia: Challenges and Solutions – Research and Reports in Urology 2020 (Parekattil)
• Cryoablation for Persistent Chronic Scrotal Pain – Surgical Techniques in Urology 2019 (Parekattil)
• Targeted Robotic Assisted Microsurgical Denervation – Journal of Urology 2018 (Parekattil)
• Targeted Microsurgical Denervation for Chronic Orchialgia – Current Urology Reports 2020 (Parekattil)

Male Contraception:

• Ejaculate Responsibly (book) – Gabrielle Blair (References)
• Surgical management of male infertility – Chan et al (AJGP 2023)
• Male contraceptives – Yale Journal of Biology and Medicine 2020
• Acute inhibition of soluble adenylyl cyclase – Nature Communications 2023
• Utilization of male reproductive services in low-income countries – Southern African Journal of Infectious Diseases 2023
• Rising vasectomy volume following the reversal of Roe v. Wade – Bole et al (2023)

Mobile Clinics:

• Mobile Health Map (Mobile Clinic Registry – website)
• LaBoit Specialty Vehicles (Mobile clinic builder – website)
• Magnum Mobile Specialty Vehicles (Mobile clinic builder – website)
• Mission Mobile Medical (Mobile clinic builder – website)
• ADI Mobile Health (Mobile clinic builder – website)
• Mobile Clinic Regulations in the US (Mission Mobile Medical summary pdf)
• Mobile Clinic Regulations by State (ADI Mobile Health summary pdf)
• Mobile Health Services (Office of Inspector General US – document, 1990)
• Mobile Health Clinics in the United States (International Journal for Equity in Health, 2020)
• Barriers to the Use of Mobile Health in Improving Health Outcomes in Developing Countries (J Med Internet Res. 2019)
• The scope and impact of mobile health clinics in the United States (International Journal for Equity in Health, 2017)
• NEPAL Mobile Services Expand Access to Vasectomy – Summary pdf

Data:

• United Nations (Population Division) – World Contraceptive Use (website)
• Down But Not Out: Vasectomy Is Faring Poorly Almost Everywhere – Jacobstein et al (2023)
  • Supplemental data – Jacobstein et al (2023)
• World Family Planning 2022 (UN, 2022) – United Nations Document 2022
• World Contraceptive Use 2022 (UN, 2022) – Excel Spreadsheet 2022
• World Contraceptive Use 2020 (UN, 2020) – Excel Spreadsheet 2020
• Contraceptive use by method booklet (UN, 2019) – United Nations Document 2019
• Contraceptive use in the US by demographics – Guttmacher Institute 2021
• Measuring contraceptive methods in 204 countries and territories – Lancet 2022

Reviews :

• Infection Control:

  • Infection prevention: General principles
  • Infection prevention: Precautions for preventing transmission of infection
  • Infection control in the outpatient setting
  • Safety in the operating room

• Congenital abnormalities:

  • Overview of congenital anomalies of the kidney and urinary tract (CAKUT)
  • Evaluation of congenital anomalies of the kidney and urinary tract (CAKUT)

•  Contraception:

  • Contraception Counseling and selection
  • Overview of female permanent contraception
  • Overview of pregnancy termination
  • First-trimester pregnancy termination_ Medication abortion
  • Vasectomy

• Infertility:

  • Causes of male infertility
  • Approach to the male with infertility
  • Treatments for male infertility

• Male sexual dysfunction:

  • Epidemiology and etiologies of male sexual dysfunction
  • Evaluation of male sexual dysfunction
  • Treatment of male sexual dysfunction

•  BPH:

  • Clinical manifestations and diagnostic evaluation of benign prostatic hyperplasia
  • Medical treatment of benign prostatic hyperplasia
  • Surgical treatment of benign prostatic hyperplasia (BPH)

• Hematuria:

  • Etiology and evaluation of hematuria in adults
  • Isolated and persistent glomerular hematuria in adults
  • Exercise-induced hematuria
  • Urinalysis in the diagnosis of kidney disease

• Hematospermia:

  • Hematospermia

• Inflammatory / Infectious issues:

  • Nonacute scrotal conditions in adults
  • Approach to infectious causes of dysuria in the adult man
  • Acute scrotal pain in adults
  • Urethritis in adult males
  • Acute bacterial prostatitis
  • Chronic bacterial prostatitis
  • Chronic prostatitis and chronic pelvic pain syndrome

• GU Cancer:

  • Prostate:

    • Screening for prostate cancer
    • Risk factors for prostate cancer
    • Clinical presentation and diagnosis of prostate cancer
    • Interpretation of prostate biopsy
    • Localized prostate cancer: Risk stratification and choice of initial treatment

  • Testicle:

    • Epidemiology of and risk factors for testicular germ cell tumors
    • Screening for testicular cancer
    • Clinical manifestations, diagnosis, and staging of testicular germ cell tumors
    • Overview of the treatment of testicular germ cell tumors

  • Bladder:

    • Screening for bladder cancer

  • Kidney:

    • Epidemiology, pathology, and pathogenesis of renal cell carcinoma
    • Clinical manifestations, evaluation, and staging of renal cell carcinoma
    • Hereditary kidney cancer syndromes
    • Overview of the treatment of renal cell carcinoma

Ultrasound Resources:

• Ultrasonography of the scrotum in adults (2015 article pdf)

• Scrotum anatomy (for ultrasound) – SonoNerds
• Scrotum physiology (for ultrasound) – SonoNerds
• Scrotal ultrasound (protocol) – SonoNerds
• Essentials of Scrotal Ultrasound (Wi Chong, MD – 2016)
• Scrotal Ultrasound – Everything you should know (Part 1) – 123Radiology
• Scrotal Ultrasound – Everything you should know (Part 2) – 123Radiology