| ID | 330 |
|---|---|
| Name | PERMANENT METHODS OF CONTRACEPTION (Sterilization) |
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| Introduction | Sterilization is the procedure which destroys the procreative function, and the effect is permanent. 1. Male sterilization- known as vasectomy. 2. Female sterilization- known as tubectomy. VASECTOMY This is a simple operation where a piece of vas (1 cm) is removed after clamping. The operation is commonly done through the scrotal route. It is simpler, faster, no hospitalization is required. It is less expensive. After care and advice: 1. Complete rest for at least 2 hours. 2. Drugs- antibiotic; analgesics. 3. If the client wants to practice coitus he must use condom upto 2/3 months. Complications: 1. Operative- hematoma, infection. 2. Sperm granuloma. 3. Spontaneous recanalization. 4. Psychological- decreased sexual vigour, impotence, headache, insomnia etc. TUBECTOMY In this operation 1-2 cm of the middle of each F. tube is removed by a ‘mini-laparotomy’ operation. Operation is done through abdominal route and a bit difficult. A shorter hospital stay after operation. Time of operation: 1. Immediately after delivery. 2. After M.R or termination of pregnancy. 3. During any abdominal or pelvic surgery. Post-operative care: 1. Send the patient to post-operative room. 2. Nothing by mouth upto 4 hours. 3. When the bowel sound is heard patient is released to go home. 4. Drugs used- antibiotics, analgesics. Advices 1. Complete rest for first day at home. 2. Light work allowed on the next day. 3. Come after 7 days for removal of stitches. 4. No coitus for 15 days. Complications: Immediate- 1. Wound infection 2. Pyrexia 3. Lower abdominal pain 4. Urinary infection 5. Backache. Late- 1 . Incisional hernia 2. Menstrual disorder e.g. menorrhagia, dysmenorrhoea & intermenstrual bleeding 3. Psychological upset 4. Dyspareunia. |
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