Certificate by Laval University
On Saturday, June 18th at 10 a.m., as part of the WVD Webinar Series and Father’s Day Special, we’re offering a hour long presentation on the Nuts and Bolts of Fascial Interposition. As always, our objective is to support the vasectomy community’s commitment to quality care.
To learn more about the event, we spoke with Dr. Michel Labrecque, MD PhD (epidemiology). Dr. Labrecque is WVD’s lead trainer and one of the leading experts on vasectomy, as well as Professor Emeritus Professor at the Department of Family and Emergency Medicine at Laval University, Quebec City, Quebec, Canada.
WVD: What do you hope people take away from the lecture?
ML: We are going to be sharing our knowledge on the approaches to FI and while we don’t have the data to determine how they compare to each other, we do know that the use of FI greatly reduces failure rates. At this point, if you’re not using some form of FI, you’re missing the boat.
WVD: What is the difference in failure rates?
ML: What we know is that if you’re just using the LI Occlusion Technique – ligation and excision with FI – , the failure rate is about 5%. Combining FI with mucosal cautery, you can get it down to .2 or .3% and even lower. Of course, there are other techniques you can use to lower the failure rate, but from the evidence we have collected over the years, combining FI with mucosal cautery is the most effective.
WVD: What’s the structure of the event?
ML: As well as ‘theoretical explanations’ – including a breakdown of three different approaches to FI, including the use of clips, sutures, and free ties, we’ll be sharing videos of actual vasectomies. The people who attend can watch some of the tricks employed by these experienced doctors.
WVD: We’d love to better understand the relationship, if any, between different vasectomy techniques and long-term pain? Or between skill level and experience and incidence of pain?
ML: We would all benefit, but unfortunately, there’s been little in the way of support for new research over the recent years on the influence of vasectomy techniques and post-vasectomy pain. Hopefully, that’s something we can address in the coming years.
