TY - JOUR T1 - The evolution of the Marie Stopes electrocautery no-scalpel vasectomy procedure JF - Journal of Family Planning and Reproductive Health Care JO - J Fam Plann Reprod Health Care SP - 137 LP - 138 DO - 10.1783/147118902101196270 VL - 28 IS - 3 AU - Timothy Black AU - Colin Francome Y1 - 2002/07/01 UR - http://jfprhc.bmj.com/content/28/3/137.abstract N2 - Objective To review the evolution of the procedure, the reoperation rate and efficacy data for vasectomies performed in Marie Stopes centres during the periods 1990-1994 and 1995-1999. Design Retrospective review of re-operation rates and primary and secondary failures during the periods 1990-1994 and 1995-1999. Setting Marie Stopes vasectomy centres in the UK. Participants A total of 41 123 men undergoing vasectomy. Results The re-operation rate for the period 1990-1994 was 0.7% and fell to 0.46% for 1995-1999. The reported pregnancy rate fell from 1 in 1429 procedures for the period 1990-1994 to 1 in 2804 for 1995-1999. Conclusion The results show that vasectomy has had a low failure rate well below that of other methods of birth control. The outcome data continue to improve over time with the evolution of improved techniques and surgical expertise. ER -