••• Chapter 61^ Family Planning and Sterilization^609
❍ What is the pregnancy rate after vasectomy reversal?
70% to 80%. However, the prospect of pregnancy decreases with time elapsed from vasectomy decreasing to 30%
after 10 years.
❍ What are the most common adverse effects of vasectomy?
Hematomas, pain, and infection.
❍ Does vasectomy increase the risk of prostate cancer?
Current data does not support an association between prostate cancer and vasectomy. Therefore, screening for
prostate cancer should be no different in men who had a vasectomy.
❍ Describe the 10-year cumulative failure rates for female tubal sterilization.
Unipolar coagulation 0.75
Postpartum partial salpingectomy 0.75
Silastic/Falope ring 1.77
Interval partial salpingectomy 2.01
Bipolar coagulation 2.48
Hulka-Clemens Clip 3.65
Hysteroscopic sterilization—microinsert 0.1
Hysteroscopic sterilization—polymer matrix 1.1❍ What is the tubal sterilization technique with lowest failure rate?
Postpartum partial salpingectomy has the lowest failure rate.
❍ What is the mortality rate of tubal sterilization?
Mortality rates in the United States have been calculated in one to four deaths per 100,000 procedures. Most
deaths are attributable to complications from general anesthesia, operative trauma, sepsis, and myocardial
infarction. Long-term mortality is due to ectopic pregnancies.