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G C Denniston

Publications and source records attributed to G C Denniston.

5 recordsLinked to original sources

Vasectomy by electrocautery: outcomes in a series of 2,500 patients.

The effectiveness of the electrocautery technique of vasectomy is compared with the more commonly used ligation technique. Twenty-five hundred cases of vasectomy by electrocautery are presented. The men were Americans who selected vasectomy over a period of 11 years. All cases were performed by one unvarying technique. The vas was cut, and the lumen was cauterized. One end was covered, and all bleeding sites were cauterized. The failure rate in this series was 0.24 percent. A review of the world literature shows that failure rates of the common ligation techniques ranged from 1 to 6 percent. It appears that the electrocautery technique has about one tenth the failures of the standard ligation technique.

Adolescent

A national survey of vasectomy training in family practice residency programs.

To investigate the prevalence of vasectomy training in family practice residencies, a national survey of program directors was undertaken, with a response rate of 93%. Of the respondents, 44% had specific residency programs to provide vasectomy training. Of the residencies with specific training programs, training was a requirement in 18%. A majority of programs with training (54%) had both lecture and surgery components, with the remainder having only surgery. In 45% of the programs with training, residents performed five or fewer vasectomies, and in only 22% of the programs did residents perform more than 10 vasectomies. Among the programs where training was elective, 63% of the residents took the training. Only one program reported a medicolegal problem, which resulted in an out-of-court settlement.

Family Practice