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Query: UMLS:C0016382 (flushing)
 6,387 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

Flushing the vasa deferentia (ductus deferentes) at the time of vasectomy reduced to zero the number of intact spermatozoa by postvasectomy day 6 in the dog and by postvasectomy day 7 in the cat and shortened the time from vasectomy to azoospermia in the dog, but not in the cat. The fluid used to flush the vasa deferentia was not eliminated through the penile urethra, but flowed into the urinary bladder, indicating that the least resistant pathway for the exit of vasal content in the anesthetized dog and cat is toward the urinary bladder. Both control and treated dogs and cats had spermatozoa in the urine obtained by cystocentesis immediately after ejaculation or ejaculation and flushing of the vasa deferentia. Flushing the vasa deferentia at the time of vasectomy is easy to do, safe, and can be used in clinical practice to decrease the time from vasectomy to the safe utilization of dogs and cats as teasers. The procedure has potential application to males of other species.
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PMID:Effect of flushing the vasa deferentia at the time of vasectomy on the rate of clearance of spermatozoa from the ejaculates of dogs and cats. 395 37

Techniques of vas occlusion vary. There is currently a trend towards the type of operation which would permit reanastomosis if needed. Fulguration or cauterization on the vas stumps will prevent oozing of sperm and reduce granuloma formation, and may be done as well as ligation or instead of, when using a bipolar electrode (Va Seal). This method would permit microsurgical reanastomosis because there is little loss of length of vas. Vasal flushing using nontoxic, non-irritant and inexpensive solution is necessary to achieve instant or rapid azoospermia. Vasectomy is ideally suited to be carried out under a local anesthetic. Certain conditions (eg, complications from previous scrotal or inguinal surgery or some anatomical variation) are best performed under general anesthesia. Postoperative side effects include a certain amount of bruising and swelling, and occasionally considerable swelling and minor hematoma and wound infections. Postoperative semen analysis gives a couple a sense of security when they stop using contraception.
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PMID:Vasectomy techniques. 1231 Mar 28

A survey among German urologists regarding indications for male vasectomy for sterilization purposes yielded the following findings. Most vasectomies are performed for social reasons, that is, family planning, followed by medical and finally genetic reasons. Generally, for vasectomy for medical reasons the wife's gynecologist is consulted. For genetic indications, the physicians of both spouses are usually consulted. Most physicians stated that the age of the patient is important in the decision to perform a vasectomy, however mostly in the case of a social indication, much less so for the other categories. Number of children is also considered significant in the vasectomy decisions. Nearly 75% of urologists stated a certain minimum number of children as the prerequisite for this procedure: at least 2, at least 1, and at least 3, respectively. Almost all physicians required a written agreement of both spouses. Most vasectomies were performed on an outpatient basis with local anesthesia. Almost all physicians order a histopathological study of the resected sperm duct ends. Only a very small percentage (roughly 5%) flush the spermatic ducts with different substances. This attitude is difficult to understand in view of the sometimes very late onset of azoospermia (intervals of more than 1 year). The authors report good results with flushing the ducts using an aqueous nitrofurantoin instillation solution not commercially available at present. 1/4 of urologists reported cases of spontaneous recanalization.
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PMID:[Indications and surgical technic of vasectomy for male sterilization]. 1231 26

We report a case of a recurrent empty follicle syndrome. The patient was admitted to our intracytoplasmic injection program because of her partner's azoospermia. Ovarian stimulation was accomplished using gonadotrophin therapy after treatment with oral contraceptive pills followed by gonadotrophin-releasing hormone agonist. Thirty-six hours after the administration of HCG (human chorionic gonadotrophins), transvaginal oocyte retrieval yielded no oocytes despite the aspiration and flushing of all available follicles. Two years later, a second treatment cycle was started using the same pituitary desensitisation and ovarian stimulation regimens. HCG from a different batch with respect to that used in the first treatment cycle was administered. Aspiration and repeated flushing of all follicles of one ovary failed to yield any identifiable oocyte. The beta-HCG and progesterone serum concentrations on the day of retrieval were 181 mIU/mL and 3.79 ng/mL, respectively. New oocyte retrieval was planned 6 h after the first attempt for aspiration of follicles. Again, no ova were obtained at this second trial despite the aspiration of the all follicles. As to our knowledge this is the first report of recurrent EFS (empty follicle syndrome) and managed without repeating the HCG injection on the day of unsuccessful oocyte retrieval.
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PMID:Recurrent empty follicle syndrome. 1453 52