Standards for Female and Male Sterilization Services - STATE ...
Standards for Female and Male Sterilization Services - STATE ...
Standards for Female and Male Sterilization Services - STATE ...
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26<strong>St<strong>and</strong>ards</strong> <strong>for</strong> female <strong>and</strong> male <strong>Sterilization</strong> servicesc)d)Infectioni)ii)iii)Stitch abscess: To be treated with removal of stitch, drainage, dressings <strong>and</strong>antibiotics.Wound sepsis: In case of severe sepsis, the wound should be opened <strong>and</strong>the pus drained. Further treatment should include application of dressings<strong>and</strong> administration of antibiotics <strong>and</strong> analgesics.Orchitis: Cases must be treated with antibiotics, analgesics, scrotal support,<strong>and</strong> bed rest. Severe orchitis may need hospitalization.Tetanus: A rare complication. If tetanus is detected, the patient must betransferred immediately to a proper centre <strong>for</strong> treatment.2.6.3. Delayed complicationsa)b)c)Sperm granuloma: This can occur either at the site of the vas occlusion orover the epididymis. The majority of these are symptomless, <strong>and</strong> respond toanalgesics <strong>and</strong> anti-inflammatory drugs. Very occasionally a persistent <strong>and</strong> painfulgranuloma may necessitate surgical intervention.Psychological problem: Uncommon. However, discussion of the problem,clarification of the role of sterilization, <strong>and</strong> answering questions are importantsteps. Appropriate referral should be given to the patient.Failure of vasectomy: Incidences of failure are quite low, but may occur becauseof technical deficiencies in the surgical procedure or as a result of spontaneousre-canalization. The client’s wife should be offered MTP or should be medicallysupported throughout pregnancy. The client should be offered a repeat surgery,as indicated.There is no association of prostatic or testicular cancer <strong>and</strong> cardiovascular disorderwith vasectomy.All cases of failure <strong>and</strong> complications, major or minor, arising during surgery or postsurgerymust be documented. The major complications that required hospitalization<strong>and</strong> all cases of failure must be reported to the district quality assurance committee. Thedistrict quality assurance committee will in turn be responsible <strong>for</strong> communicating suchin<strong>for</strong>mation to the concerned insurance service providers <strong>for</strong> compensation.