Male sterilisation is otherwise called as

Appeared in: RRB Staff Nurse Jaipur-6th June 2018

Explanation

Vasectomy is the correct medical term for surgical male sterilization.
The procedure involves disrupting the vas deferens to block the passage of sperm from the testes, as described in multiple gynecological and surgical texts.
It is considered a permanent and highly effective method of contraception for males.

Option A: Tubectomy is a sterilization procedure for females, not males. It involves blocking the fallopian tubes.
Option C: Salpingectomy is the surgical removal of a fallopian tube, a procedure performed on females.
Option D: Orchidectomy is the surgical removal of one or both testicles. While this results in sterility, it is not the standard procedure for voluntary male sterilization and is typically done for medical reasons like cancer.

Visual 1: Diagram: Illustration of the male reproductive system highlighting the vas deferens, showing where the cut is made during a vasectomy.

Clinical Relevance

Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Surgical methods of contraception as background academic context rather than a clinical decision trigger.
A key nursing responsibility is patient education. Nurses must inform patients that vasectomy does not provide immediate sterility. An alternative contraceptive method must be used until a post-procedure semen analysis confirms the absence of sperm (azoospermia), which typically takes about 3 months or 20-30 ejaculations.
Counseling should address and dispel common myths. Vasectomy does not affect a man's libido, ability to have an erection, or testosterone production.
What if? If a patient inquires about reversing the procedure, the nurse should explain that while reversal (vasovasostomy) is surgically possible, it is a complex and expensive microsurgical procedure. The success rates for achieving pregnancy after reversal are not guaranteed and decrease over time.

How to Approach the Question

This is a factual recall question that tests your knowledge of medical terminology.
First, identify the core concept in the question stem: 'Male sterilisation'.
Next, examine the options provided, which are all names of surgical procedures.
Break down the terms. The prefix 'vas-' refers to the vas deferens. The suffix '-ectomy' means surgical removal or excision. Therefore, 'vasectomy' is logically related to male sterilization.
Eliminate the other options based on your knowledge of prefixes. 'Tub-' and 'Salping-' relate to the fallopian tubes (female anatomy). 'Orchid-' refers to the testes; while their removal causes sterility, it's not the standard procedure for contraception.

Concept Tested & Keywords

Concept Tested: Surgical methods of contraception
Stem keywords: Male sterilisation
Lead-in keywords: otherwise called as
Clinical cues: Age/sex group narrows the expected diagnosis, intervention, or normal reference range.
Negative lead-in flag: false

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