Dr. Katelaris talks at the Royal Australasian College of Surgeons

Recently, Dr. Katelaris was invited to present at the Royal Australasian College of Surgeons on one of his areas of expertise, vasectomy.

Dr Katelaris is a firm believer in the importance of continuing medical education, especially in modern surgical practice. This is why Dr Katelaris regularly attends major national and international congresses specialising in advances in urological practice and surgical technologies.

Further to that, Dr Katelaris regularly lends his expertise and years of experience by being involved in medical education of undergraduates and surgical registrars. He frequently lectures to general practitioners on all aspects of urological care.

If you are interested in vasectomy, watch the video for a demonstration of the surgery being undertaken by Dr. Katelaris, and see for yourself how quick and painless it is.

Transcript

You can find out everything you need to know about vasectomy here.

Vasectomy

I’m presenting on local anaesthetic vasectomy.

Vasectomy was first performed in dogs in 1823. In 1893 eugenic vasectomy was performed in on criminals to prevent them from procreating.

Sigmund Freud advocated uni lateral vasectomy to enhance virility and it was finally popularised in the 1950s for contraception, It is a very reliable technique – only 1 in 1400 file as compared to one in 11 for the pill and 1 in 6 for condoms.

Female and male issues are very important. Often women have to convince their husbands to have a vasectomy. On the other hand, men are very delicate and a little afraid of what vasectomy might do. Men worry about life after vasectomy, and there is usually a concern about emasculation. Some men do need to be reassured that there is no loss of manhood.

It is important to demand a cooling-off period for patients who are young men who have not had children; or, if couples are in disagreement.

With local anaesthetic vasectomy, you must be able to easily feel both vasa. Avoid local anaesthetic if the patient has had previous scrotal surgery, Also, avoid needle-phobic and anxious men.

The Li Technique

In the 1970’s Li performed over 144, 000 local anaesthetic cases. He also developed two key instruments – the ring forcep and the sharp forcep. The Li is performed with local anaesthetic – always without adrenaline, injecting peri vasal parralel to the vasa (only a few millimetres on each side).

One central skin split with the sharp forcep, then immobilise vas with the ring forcep. Dissect directly on to the vasa with sharp forcep. Isolate vas from peri vasa vessels.

Cut with scissors, dithermy not necessary. Stitch ligate with 3/0 nylon. You must cover the testicular end with fascia. Haemostasis if possible for bleeding and be sure to drop the package into the scrotum. Careful of haemostasis – that’s very important.

Open-ended vasectomy

Open-ended vasectomy in my opinion is a marketing phrase – done in the 90s, with very small numbers and poorly conducted, the biggest claim is less epididymal congestion.

I’ve performed many reversals on so-called ‘open-ended vasectomies’ and they never patent, but the tube scars very quickly.

Post operative – sperm count taken for 3 months before they stop contraception.

[Description of surgery]

Infection rates are very low. The man can resume normal activities the net day, and of course drives to the clinic, has it done and drives home because no sedation is used.

If you would like to book your vasectomy in Sydney, look no further than Dr Katelaris. He is a senior specialist urologist – so when you book with Katelaris Urology, you can be confident that you’ll be under the care of a professional specialist surgeon who has performed many thousands of vasectomies.