A Randomized Controlled Trial of Three Vasectomy Techniques

NCT ID: NCT00612833

Last Updated: 2013-09-10

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

TERMINATED

Clinical Phase

NA

Study Classification

INTERVENTIONAL

Study Start Date

2009-01-31

Brief Summary

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This study will be a randomized, controlled multicenter trial, conducted jointly by the Indian Council of Medical Research, New Delhi and Family Health International, which will compare three vasectomy occlusion techniques, all using the no-scalpel vasectomy (NSV) approach to isolation of the vas:

1. ligation and excision of about 1 cm of the vas, with fascial interposition;
2. intraluminal thermal cautery with excision of about 1 cm of the vas;
3. intraluminal thermal cautery with excision of about 1 cm of the vas combined with fascial interposition.

A total of 1500 healthy, sexually active men at least 21 years old who have chosen vasectomy as a means of contraception will be recruited at four to six study sites in India. The success of the vasectomy procedure will be determined based on semen analysis results. All men should have semen analyses at 8 and 12 weeks post-vasectomy. All men will be asked to attend a final visit at 12 months.

Detailed Description

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This study will be a randomized, controlled multicenter trial, conducted jointly by the Indian Council of Medical Research, New Delhi and Family Health International, which will compare three vasectomy occlusion techniques, all using the no-scalpel vasectomy (NSV) approach to isolation of the vas:

1. ligation and excision of about 1 cm of the vas, with fascial interposition;
2. intraluminal thermal cautery with excision of about 1 cm of the vas; and,
3. intraluminal thermal cautery with excision of about 1 cm of the vas combined with fascial interposition.

A total of 1500 healthy, sexually active men at least 21 years old who have chosen vasectomy as a means of contraception will be recruited at four to six study sites in India. The success of the vasectomy procedure will be determined based on semen analysis results. All men should have semen analyses at 8 and 12 weeks post-vasectomy. All men will be asked to attend a final visit at 12 months.

Conditions

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Contraception

Keywords

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Vasectomy Male contraception Contraceptive effectiveness Semen analysis Surgical techniques Fascial interposition Cautery The relative contraceptive effectiveness of three methods of occluding the vas, in the context of a no-scalpel vasectomy procedure.

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

NONE

Study Groups

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cautery excision with fascial interposition

Contraception using cautery and excision with fascial interposition

Group Type ACTIVE_COMPARATOR

Vasectomy occlusion techniques

Intervention Type PROCEDURE

Cautery and excision with fascial interposition Cautery and excision without fascial interposition Ligation and excision with fascial interposition

B

Cautery and excision without fascial interposition

Group Type ACTIVE_COMPARATOR

Vasectomy occlusion techniques

Intervention Type PROCEDURE

Cautery and excision with fascial interposition Cautery and excision without fascial interposition Ligation and excision with fascial interposition

C

Ligation and excision with fascial interposition

Group Type ACTIVE_COMPARATOR

Vasectomy occlusion techniques

Intervention Type PROCEDURE

Cautery and excision with fascial interposition Cautery and excision without fascial interposition Ligation and excision with fascial interposition

Interventions

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Vasectomy occlusion techniques

Cautery and excision with fascial interposition Cautery and excision without fascial interposition Ligation and excision with fascial interposition

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

1. Freely consent to participate in the study and sign an informed consent form
2. Be at least 21 years old
3. The couple should have at least one living child greater than one year of age
4. With his partner be willing to use an alternate method of contraception until success is confirmed
5. Be willing to return for follow-up visits at 1, 8, 12 and 52 weeks post-vasectomy, and at 16, 20 and 24 weeks if needed
6. Be willing to submit semen samples collected by masturbation in the clinic according to the study follow-up schedule
7. Be able to understand the procedures and study requirements

Exclusion Criteria

1. Has a condition that in the opinion of the investigator permanently or temporarily contraindicates participation in the study, e.g., depression or poorly-controlled diabetes
2. History of surgery involving the vas or testes (including previous vasectomy)
3. Previous injury or significant abnormality of the scrotum
4. Clinical evidence of an acute sexually transmitted infection; however a man may be admitted to the study after resolution of the acute condition.
5. Local genital infections such as balanitis, scrotal skin infection, epididymitis, or orchitis, but a man may be admitted after resolution of an acute infection
6. History of coagulation or other bleeding disorders
7. Large varicocele, hydrocele, filariasis or elephantiasis of scrotum, or intrascrotal mass
8. Acute systemic infection (including gastroenteritis), but a man may be admitted after resolution of the condition
9. Currently taking or planning to take any type of systemic medication which could affect sperm count (e.g. anabolic steroids)
Minimum Eligible Age

21 Years

Eligible Sex

MALE

Accepts Healthy Volunteers

No

Sponsors

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Indian Council of Medical Research

OTHER_GOV

Sponsor Role collaborator

FHI 360

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Chander Shekhar, MD

Role: PRINCIPAL_INVESTIGATOR

ICMR

David C. Sokal, MD

Role: PRINCIPAL_INVESTIGATOR

FHI 360

Locations

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Post Graduate Institute of Medical Sciences

Rohtak, Haryana, India

Site Status

Maulana Azad Medical College

New Delhi, National Capital Territory of Delhi, India

Site Status

St. Stephens Hospital

New Delhi, National Capital Territory of Delhi, India

Site Status

Civil Hospital,

Amritsar, Punjab, India

Site Status

E. S.T.N.M. Hospital, Gangtok

Gangtok, Sikkim, India

Site Status

Countries

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India

Related Links

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Other Identifiers

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FHI-9980

Identifier Type: -

Identifier Source: org_study_id