Failure rate of no-scalpel vasectomy in prevention of pregnancy in Shiraz, Southern Iran

Background: bilateral vasectomy is the most effective method of male contraception but there are still some reportson its failure. this study was undertaken to determine the failure rate of the no-scalpel vasectomy in shiraz vasectomycenter, southern iran.methods: from 2001 to 2003, 3900 no-scalpel vasectomies were done in nader kazemi health center. the recordswere studied for any failure in the method. presence of any live sperm 6 months after surgery or any report of pregnancypost-vasectomy were considered as vasectomy failure.results: among 3900 cases, 2928 patients had a complete follow up file while failure in the method was visibleamong 109 (3.72%) cases.conclusion: the low failure rate of no-scalpel method indicated its high efficacy to control the fertility in males butthere is still need of performance by expert surgeons in well organized centers.