Standards for Female and Male Sterilization Services - STATE ...

26Standards for female and male Sterilization servicesc)d)Infectioni)ii)iii)Stitch abscess: To be treated with removal of stitch, drainage, dressings andantibiotics.Wound sepsis: In case of severe sepsis, the wound should be opened andthe pus drained. Further treatment should include application of dressingsand administration of antibiotics and analgesics.Orchitis: Cases must be treated with antibiotics, analgesics, scrotal support,and bed rest. Severe orchitis may need hospitalization.Tetanus: A rare complication. If tetanus is detected, the patient must betransferred immediately to a proper centre for 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, and respond toanalgesics and anti-inflammatory drugs. Very occasionally a persistent and painfulgranuloma may necessitate surgical intervention.Psychological problem: Uncommon. However, discussion of the problem,clarification of the role of sterilization, and 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 and cardiovascular disorderwith vasectomy.All cases of failure and complications, major or minor, arising during surgery or postsurgerymust be documented. The major complications that required hospitalizationand all cases of failure must be reported to the district quality assurance committee. Thedistrict quality assurance committee will in turn be responsible for communicating suchinformation to the concerned insurance service providers for compensation.