{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T20:27:19Z","timestamp":1787776039994,"version":"build-2784847793"},"reference-count":10,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"Suppl 3","license":[{"start":{"date-parts":[[2025,5,16]],"date-time":"2025-05-16T00:00:00Z","timestamp":1747353600000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-sa\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2025,9]]},"abstract":"<jats:title>\n                    A\n                    <jats:sc>BSTRACT<\/jats:sc>\n                  <\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Midline non-scalpel vasectomy (NSV) has become a noninvasive method that has offered reduced pain and bleeding and shorter return to regular activities.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>This study was done to compare the midline NSV approach directly with the traditional scalpel-based vasectomy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods:<\/jats:title>\n                    <jats:p>This prospective comparative study involved 300 adult males who presented for vasectomy services in the Department of Surgery in CIMS, Chhindwara, MP, India. The patients were distributed in equal numbers into two groups: Group A received midline NSV, while Group B underwent traditional scalpel vasectomy. Data regarding operative time, complications, postoperative pain, satisfaction rates, and success in achieving azoospermia were collected.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Midline NSV demonstrated a significantly shorter operative time and lower intraoperative blood loss than the traditional method (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.05). Complication rates, such as hematoma, infection, and persistent pain, were notably lower in Group A. Postoperative pain scores were reduced, and a faster return to daily activities was observed in the NSV group (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.05).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Midline NSV presents a valid and potentially superior alternative to conventional vasectomy techniques, with shorter operative time, fewer complications, and faster recovery while maintaining equivalent contraceptive efficacy. The results justify more widespread application of midline NSV in healthcare facilities offering vasectomy services.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/jpbs.jpbs_658_25","type":"journal-article","created":{"date-parts":[[2025,5,16]],"date-time":"2025-05-16T03:00:15Z","timestamp":1747364415000},"page":"S2126-S2128","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["A Competitive Study on Midline Non-scalpel Vasectomy and the Traditional Methods of Vasectomy"],"prefix":"10.4103","volume":"17","author":[{"given":"Nandram","family":"Dhakariya","sequence":"first","affiliation":[{"name":"Department of General Surgery, Chhindwara Institute of Medical Sciences, Chhindwara, Madhya Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bhupesh","family":"Kushram","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Chhindwara Institute of Medical Sciences, Chhindwara, Madhya Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nirmal","family":"Thakur","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Chhindwara Institute of Medical Sciences, Chhindwara, Madhya Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abhay","family":"Kumar","sequence":"additional","affiliation":[{"name":"Department of ENT, Chhindwara Institute of Medical Sciences, Chhindwara, Madhya Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2025,5,16]]},"reference":[{"key":"R1-20250930","doi-asserted-by":"crossref","first-page":"1541","DOI":"10.1111\/andr.13665","article-title":"Comparative review of vasectomy guidelines and novel vasal occlusion techniques","volume":"12","author":"Pelzman","year":"2024","journal-title":"Andrology"},{"key":"R2-20250930","first-page":"1","article-title":"Comparing vasectomy techniques, recovery and complications:Tips and tricks","volume":"31","author":"Borrell","year":"2025","journal-title":"Int J Impot Res"},{"key":"R3-20250930","doi-asserted-by":"crossref","first-page":"406","DOI":"10.5534\/wjmh.200073","article-title":"Review of vasectomy complications and safety concerns","volume":"39","author":"Yang","year":"2020","journal-title":"World J Mens Health"},{"key":"R4-20250930","doi-asserted-by":"crossref","first-page":"894","DOI":"10.1016\/0140-6736(90)90487-P","article-title":"No-scalpel vasectomy at the King's birthday vasectomy festival","volume":"335","author":"Nirapathpongporn","year":"1990","journal-title":"Lancet"},{"key":"R5-20250930","first-page":"CD004112","article-title":"Scalpel versus no-scalpel incision for vasectomy","author":"Cook","year":"2014","journal-title":"Cochrane Database Syst Rev 2014"},{"key":"R6-20250930","doi-asserted-by":"crossref","first-page":"79","DOI":"10.18502\/sjms.v17i1.10687","article-title":"Non-scalpel vasectomy camps:Our experience and recent trends 2021","volume":"17","author":"Rao","year":"2022","journal-title":"Sudan J Med Sci"},{"key":"R7-20250930","doi-asserted-by":"crossref","first-page":"1930","DOI":"10.12669\/pjms.37.7.4261","article-title":"Single Median raphe scrotal incision orchiopexy:A safe and feasible approach for fixation of palpable undescended testes","volume":"37","author":"Jan","year":"2021","journal-title":"Pak J Med Sci"},{"key":"R8-20250930","doi-asserted-by":"crossref","first-page":"284","DOI":"10.1007\/s12262-011-0401-8","article-title":"Role of no scalpel vasectomy in male sterilization","volume":"74","author":"Bhuyan","year":"2012","journal-title":"Indian J Surg"},{"key":"R9-20250930","doi-asserted-by":"crossref","first-page":"284","DOI":"10.1007\/s12262-011-0401-8","article-title":"Role of no scalpel vasectomy in male sterilization","volume":"74","author":"Bhuyan","year":"2012","journal-title":"Indian J Surg"},{"key":"R10-20250930","doi-asserted-by":"crossref","first-page":"2275","DOI":"10.3390\/diagnostics14202275","article-title":"Post-vasectomy semen analysis:What's all the fuss about?","volume":"14","author":"Khalafalla","year":"2024","journal-title":"Diagnostics (Basel)"}],"container-title":["Journal of Pharmacy and Bioallied Sciences"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/jpbs.jpbs_658_25","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T19:48:53Z","timestamp":1787773733000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/jpbs.jpbs_658_25"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,5,16]]},"references-count":10,"journal-issue":{"issue":"Suppl 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