The vas deferens is a site which can be exploited for male contraception without undue side effects. The only effective technique available for male contraception is vasectomy, being practiced world wide, despite that it is a permanent surgical procedure and its successful reversal is not assured. Although no-scalpel vasectomy minimizes surgical procedures, the fate of its reversal is akin to that of vasectomy. Several occlusive and non-occlusive vasal procedures which claim to be reversible without surgical intervention, possess more disadvantages than advantages. Vas occlusion with plug, 'Shug' or medical grade silicone rubber, although claimed to produce reversible azoospermia without affecting spermatogenesis, requires skilled microsurgery for their implantation and later removal. RISUG, a non-sclerotic polymer styrene maleic anhydride (SMA), could be more advantageous than vasectomy and other vas occlusive procedures in that it could be a totally non-invasive procedure by "no-scalpel injection" and "non-invasive reversal". It is claimed to offer long-term contraception without adverse side effects and also to be possible as a male spacing method by repeated vas occlusion and non-invasive reversal. The drug is currently under multicentre Phase III clinical trial.

译文

输精管是一个可以用于男性避孕的部位,没有过度的副作用。唯一可用于男性避孕的有效技术是输精管切除术,尽管它是一种永久性的外科手术,并且不能保证其成功逆转。尽管无手术刀输精管切除术可最大程度地减少外科手术,但其逆转的命运类似于输精管切除术。几种闭塞性和非闭塞性血管手术声称无需手术干预即可逆转,其缺点多于优点。尽管据称会产生可逆的无精子症而不影响精子发生,但需要熟练的显微外科手术才能将其植入并随后取出。RISUG是一种非硬化聚合物苯乙烯马来酸酐 (SMA),可能比输精管切除术和其他输精管闭塞手术更有利,因为它可以通过 “无手术刀注射” 和 “非侵入性逆转” 完全是非侵入性的手术。据称可以提供长期避孕而没有不良副作用,并且可以通过反复的vas闭塞和非侵入性逆转作为男性间隔方法。该药物目前正在进行多中心III期临床试验。

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