41. Denton Urology: Procedures ultrasound and prostate biopsy (TRUS and biopsy) are common procedures at Denton urology. complications (potential) from vasectomy include bleeding http://www.dentonurology.com/procedure.html

Office Procedures: Office procedures such as vasectomy, cystoscopy, and transrectal ultrasound and prostate biopsy (TRUS and biopsy) are common procedures at Denton Urology. This page will help assist you in preparing for them, and knowing what to expect. Vasectomy Cystoscopy - Male Cystoscopy - Female TRUS/Biopsy Click link above to go to information about each procedure. Vasectomy: Vasectomy is a common procedure for permanent A vasectomy is a procedure designed to interrupt sperm flow, and should not affect sexual function, sexual desire, erectile function, or anything else other than fertility (the ability to impregnate a partner) once the swelling has subsided, and recovery is over. Sex is usually delayed for about a week after vasectomy. The first 48 hours are "couch potato" days relegated to laying around with ice packs (an instruction sheet will be given at your visit) and taking it easy. No heavy lifting, strenuous activity, or sexual activity is recommended for about a week after the procedure. You may begin showering the evening of your procedure, but tub baths, or swimming/hot tubs should not be used for about 48-72 hours afterwards. You will be asked to bring specimens (semen) at 6 and 8 weeks after the procedure to make sure there is no sperm in the specimen. Prior to that, another form of contraception should be used. Remember, a vasectomy DOES NOT protect you from sexually transmitted diseases (STDs). Also remember, a vasectomy should be considered a

42. NSV 2.Raspa RF. complications of vasectomy. External Spermatic Sheath Injection for Vasal Nerve Block. urology 1992;39 173176; 4.Shapiro EI., Silber SJ. http://www.uhmc.sunysb.edu/urology/male_infertility/NSV.html

Male Infertility Program No-Scalpel Vasectomy The two currently available male methods of contraception are condom use and vasectomy. Vasectomy is the major male contraceptive method in the USA, New Zealand, Australia, Great Britain, Canada, The Netherlands, China, India and Korea. Over the past two decades, the number of American couples choosing vasectomy as their method of contraception has risen. Nearly 7% of all married couples choose vasectomy as their form of birth control making it the third most popular form of contraception after female sterilization and oral contraception. However, vasectomy is faster, safer and less expansive than tubal ligation. In 1995, an estimated 493,882 vasectomies were performed in USA. 29% of all procedures were " no-scalpel " vasectomies. NSV requires less operating time and is performed in the office No scalpel vasectomy (NSV) was developed in China in 1974 and introduced to United States by Dr. Marc Goldstein from Cornell Medical Center, New York, in 1985. The procedure performed under local anesthesia using two specialized instruments designed in China: an extracutaneous vas deferens fixation clamp and dissecting clamp. The primary difference between NSV and conventional incisional technique lies in the delivery of the vas deferens. In a traditional vasectomy, the surgeon makes one or two incisions to gain access to the vas deferens; in the no-scalpel method, a small puncture in size is all that required. The puncture hole is gently stretched to pull the vas deferens. Then the vas deferens is cut and both ends are cauterized and closed with titanium clips or tied. This method results in fewer complications and rarely requires sutures to close the surgical site. Recovery time is usually faster and less painful because the procedure itself is less traumatic.

43. Vasectomy Chapter, urology Index. Discuss potential complications (11%) Failed vasectomy (or unwanted pregnancy http://www.fpnotebook.com/URO117.htm

Home About Links Index ... Editor's Choice document.write(code); Advertisement Urology Surgery Prostate ... Radical Prostatectomy Assorted Pages Vasectomy Vasectomy Counseling Vasectomy Postoperative Counseling Vasectomy Book Home Page Cardiovascular Medicine Dentistry Dermatology Emergency Medicine Endocrinology Gastroenterology General Medicine Geriatric Medicine Gynecology Hematology and Oncology HIV Infectious Disease Jokes Laboratory Neonatology Nephrology Neurology Obstetrics Ophthalmology Orthopedics Otolaryngology Pediatrics Pharmacology Prevention Psychiatry Pulmonology Radiology Rheumatology Sports Medicine Surgery Urology Chapter Urology Index Bladder Endocrinology Examination Hematology and Oncology Infectious Disease Impotence Incontinence Laboratory General Obstetrics Pediatrics Penis Pharmacology Prevention Procedure Prostate Radiology Nephrology Surgery Symptom Evaluation Testes Urine Page Surgery Index Prostate BPH TUIP Prostate BPH TURP Prostate Cancer Radiation Prostate Cancer Radiation Brachytherapy Prostate Cancer Resection Vasectomy Vasectomy Counseling Preop Vasectomy Counseling Postop See Also Vasectomy Counseling Vasectomy Postoperative Counseling Epidemiology Vasectomy Incidence in U.S.: 500,000 per year

44. Vasectomy com Information on vasectomy risks and complications, male menopause and our Perth Men s Health clinic. Illinois - Oak Brook urology - No scalpel vasectomy http://www.thenewhealthfind.com/Health/ReproductiveHealth/BirthControl/SurgicalS

Directory Home Health Reproductive Health Birth Control ... Surgical Sterilization : Vasectomy (40) Reversal See Also: Health: Men's Health All About Vasectomy - Information about vasectomy: Reasons for choosing, other options and questions and answers. Vasectomy Decisions - Forum for men to discuss vasectomy issues and experiences. Pollock Clinics Online - Clinic located in Vancouver, Canada offering no-scalpel vasectomy procedures and information. Open-ended Vasectomy - In vasectomy, there is an option to either close both ends of the cut vas (traditional method) or to leave the testicular end open (the open-ended method). Site discusses the possible advantages of open-ended vasectomy. No Scalpel Vasectomy - Described in full detail with photos, personal experiences and procedure instructions. About Vasectomy.Com - The Source of Information - Information from specialist doctors about vasectomy and vasectomy reversal. - A guide to government and grant-funded vasectomy services in West Florida, as well as low-cost office-based vasectomy reversal with updated statistics available on-line. Vasectomy fact sheet from BUPA - A concise vasectomy factsheet.

45. Medscape Urology Recently Posted Content vasectomy, the cumulative probability of failure per 1,000 vasectomy procedures was 9.4 Dysfunction The investigators observed no longterm complications over a http://www.medscape.com/pages/editorial/public/toc/index-urology

Register Log In June 12, 2004 Feature Archives News Journal Scan Ask the Experts News - Vesicoureteral Reflux Common in Hypertensive Adults In a retrospective study, 19% of hypertensive adults without evidence of renal disease had vesicoureteral reflux (VUR), and more than half of these had severe VUR. (6/11/04) News - Adjuvant, Salvage Radiotherapy Comparable After Prostate Cancer Surgery Findings from a new study suggest that adjuvant and salvage radiotherapy after prostate cancer surgery are associated with similar biochemical recurrence-free survival (BRFS). For both, the key to optimal outcomes is to begin treatment before the PSA level reaches 1 ng/mL. (6/10/04) News - Long-term GnRH Agonist Use May Increase Risk of Fracture The results suggest the need for careful monitoring of bone mineral density in this population. (6/9/04) News - Docetaxel Activity Seen in Advanced Prostate Cancer Two studies are the first to demonstrate a survival benefit with chemotherapy. (6/9/04) News - Adjuvant Single-Shot Carboplatin Equal to Radiotherapy in Early Seminoma Results of a randomized study indicate that a single course of intravenous carboplatin given over one day is as effective as a several week course of radiation therapy (RT) in the adjuvant treatment of stage I seminoma of the testis after orchidectomy. (6/9/04) News CME - Antiemetics Similarly Effective and Act Independently CME Investigators in this randomized, factorial design trial for the prevention of postoperative nausea and vomiting concluded that the safest or least expensive drug should be used first. (6/9/04)

46. Blackwell Synergy - Cookie Absent Lapointe S. Physiological consequences and complications of vasectomy. reversal for the postvasectomy pain syndrome Jr, Wein AJ eds, Campbell s urology, 8th edn http://www.blackwell-synergy.com/links/doi/10.1111/j.1464-410X.2003.04663.x/enha

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47. Blackwell Synergy - Cookie Absent about the early and late complications, type of Trainees and consultants from the urology and surgical preferred technique, performed the vasectomies in both http://www.blackwell-synergy.com/links/doi/10.1111/j.1464-410X.2003.04663.x/full

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48. Vasectomy Information, The Urology Group The urology Group, vasectomy Information. POSSIBLE RISKS AND complications. Even with a minor operation like vasectomy, problems can occur. http://www.theurologygroup.cc/vas.htm

Vasectomy Information Submitted by Philip Buffington, M.D. IS VASECTOMY FOR YOU? Vasectomy is a simple, safe, and effective surgical procedure that makes a man sterile (unable to father a child). You and your partner should understand all the facts and share in the decision. A PERMANENT DECISION Few decisions in life are permanent, but having a vasectomy should be considered one of them. Is there any circumstance that might make you change your mind? For instance, if you divorced or became a widower and remarried, would you want more children? If you choose to have a vasectomy, you should have no doubts about these issues. Although a vasectomy should be considered permanent, the procedure can be reversed with up to a 70% success rate. FACTS A vasectomy does not affect your ability to have sex There is no conclusive evidence that vasectomy causes health problems. Note, however, that having a vasectomy does not protect you from sexually transmitted diseases. A vasectomy will not solve marital problems.

49. Vasectomy And Vasclip Information From Associated Urologists Of Orange County County. State of the Art and Minimally Invasive urology. Overview. vasectomy is a minor surgical procedure to minutes and usually causes few complications and no http://www.ocurology.com/vasectomy.html

Click here to print a copy of our vasectomy information sheet (Adobe Acrobat required - click here More information about vasectomy can be found at VasectomyMedical.com Overview Vasectomy is a minor surgical procedure to cut and close off the tubes (vas deferens) that deliver sperm from the testes; it is usually performed as a means of contraception. The procedure typically takes about 10 minutes and usually causes few complications and no change in sexual function. About 500,000 vasectomies are performed annually in the United States. A vasectomy is less invasive than a tubal ligation (the procedure used to prevent a woman's eggs from reaching the uterus) and more easily reversed. An increasing number of couples choose it as a means of permanent birth control. Male Reproductive System To understand a vasectomy, it is helpful to understand the male reproductive system and how it functions. The testicles, or testes, are the sperm- and testosterone-producing organs. They are located in a sac at the base of the penis called the scrotum. Each testicle is connected to a small, coiled tube called the epididymis, where sperm are stored for as long as 6 weeks while they mature. The epididymes are connected to the prostate gland by a pair of tubes called the vas deferens. The vas deferens are part of a larger bundle of tissue, blood vessels, nerves, and lymphatic channels called the spermatic cord. During ejaculation, seminal fluid produced by the prostate gland mixes with sperm from the testes to form semen, which is ejaculated from the penis.

50. Advanced Urology Of Tampa Bay - Vasectomy FAQs there are no longterm complications associated with association of coronary disease with prior vasectomy. All Rights Reserved by Advanced urology of Tampa Bay http://www.drmastandrea.com/vasectomy.html

Frank Mastandrea, Urologist Request your free robotics CD Vasectomy Questions and Answers What is a vasectomy? Will I be sterile as soon as the operation is over? Are the effects of the surgery permanent? Suppose I change my mind later on. Can the operation be reversed? ... One final word... What is a vasectomy? A vasectomy is a surgical procedure that renders a man sterile. Before the surgery takes place, it is helpful to understand the specifics of the procedure. To begin with, you should have some basic knowledge of the anatomy and physiology of the male reproductive system as shown in Figure 1 . During intercourse, sperm cells travel from the testicles through the vasa deferentia, become part of the seminal fluid (which is produced by the seminal vesicles and the prostate gland), and are ejaculated through the penis. When the surgeon performs a vasectomy, he cuts through the vas deferens (plural is vasa deferentia) extending from each testicle. He then removes a small segment of the vas deferens and ties off the two remaining ends, Figure 2 The object of the procedure is to make it impossible for the sperm to become part of the seminal fluid. Since conception cannot take place in the absence of sperm, a vasectomy results in permanent male sterilization.

51. Health.iafrica.com | Doc Online | Ask The Doctor | Renal & Urology Vasectomy RENAL urology vasectomy Posted Tue, 30 May 2000. Reversal of vasectomy, should you change your mind and want more There are few complications from the surgery http://health.iafrica.com/doconline/qa/renal/vasectomy.htm

Communities: [ h o m e ] Africa Afrikaans Aids Wise Business Cars Careers Cooltech Dating Easy Money Festive Fever Entertainment Fun Stuff Games Highlife Men Motoring My Money News Sport Talk Travel Weather Win Women Services: Book Airtickets Car Hire Chat Online Classifieds Directories Ecards Homeloans Mobile Magic myiafrica.com Shop Online Search Sat, 12 Jun 2004 DIET AND HEALTH DOC ONLINE allergies breast cancer ... SPRING SPECIAL You are in: Doc Online Ask The Doctor ASK THE DOCTOR allergies blood diseases cancer cardiac diseases ... skin disorders Vasectomy Posted Tue, 30 May 2000 Question What are the pros and cons of vasectomy? Do you still ejaculate after a vasectomy? Answer To answer you second question first - yes, but your ejaculate does not contain sperm. Vasectomy is a quick, simple operation, often carried out under local anaesthetic as an outpatient procedure. The tube which carries the sperm from the testicles to the organ which produces the fluid which carries them, is cut on both sides. After a vasectomy about 15 to 20 ejaculations are needed before the fluid can be considered sterile. Most centres will insist on two sperm-free ejaculates before considering that the man is sterile. The advantages of vasectomy are that it is has the lowest failure rate of any form of birth control. It has no effect on sexual function. The main disadvantage is that it should be considered permanent. Reversal of vasectomy, should you change your mind and want more children, is not often successful.

52. His And Her Health: Vasectomy Reversal Can Be Highly Successful Hospital, Assistant Clinical Professor of urology at The over 9 million noscalpel vasectomies have been bleeding, swelling or chance of other complications. http://www.hisandherhealth.com/articles/Vasectomy_Reversal_Can_Be_Highly_Success

— A D V E R T I S E M E N T — Fertility Sexual Dysfunction Help for Sexual Partners Incontinence, Urgency ... Prostate Cancer space words without commas OR AND help E-mail the Doctor Chat with the Doctor Medical Videos ... Consultants - advertisement - - advertisement - IN ASSOCIATION WITH - advertisement - - advertisement - by Philip Werthman, M.D. Dr. Werthman is a board certified urologist, fellowship-trained andrologist and Director of the Center for Male Reproductive Medicine in Century City, Los Angeles. He also serves as Chief of Urology at Century City Hospital, Assistant Clinical Professor of Urology at The University of Southern California School of Medicine. Vasectomy Reversal Can Be Highly Successful Approximately 500,000 men request vasectomies each year and it is recognized that five percent of them will change their minds, usually due to remarriage, death of a child or improved circumstances allowing for more children. Over the past 20 years, the surgical technique of vasovasostomy provided excellent results, permitting a man to re-establish his fertility. The surgery is performed as an outpatient, with well over 95 percent success for those men who have sperm at the time of surgery. For those couples experiencing infertility due to a man's vasectomy, there are the alternatives to TDI (therapeutic donor insemination) or IVF/ICSI (in-vitro fertilization with intracytoplasmic sperm injection). Restoration of a man's fertility by reconnecting the tubes at the site of the previous vasectomy appears to provide couples with the most optimal and least expensive option for a family.

53. Cornell No-Scalpel Vasectomy Center urology; 1992391736; Farley TM, Meririk O, Mehta S 5)644-9; Haw Jm, Feigin J vasectomy counseling B, Huber DH, Grubb GS, Rubin GL complications of vasectomy http://www.cornellurology.com/uro/cornell/infertility/no_scalpel.shtml

Advanced Search General Information Surgical Procedures Sperm Retrieval Techniques ... Patients Cornell No-Scalpel Vasectomy Center Introduction The history of No-Scalpel vasectomy (NSV) The first No-Scalpel Vasectomy in the United States The leading Center for male surgical contraceptive research and training ... References Introduction Vasectomy is a simple, safe and effective method of permanent surgical contraception for men. It is much safer and less expensive than tubal ligation for women. For this reason, over 500,000 men undergo vasectomy in the United Sates each year. Nearly 7 to 10% of all married couples choose vasectomy as their permanent form of birth control. The history of No-Scalpel Vasectomy (NSV): Dr. Shunqiang Li developed the No-Scalpel Vasectomy (NSV) in 1974 in China. It is a safe and minimally invasive procedure with a much lower complication rate than that of the conventional vasectomy. It was first introduced to physicians in the West when the New York-based " Association for Voluntary Surgical Contraception" (now AVSC International) sponsored an international team that visited China in 1985 and witnessed the Chinese vasectomy technique called " The ligation of vas deferens under the direct vision" , now known as the No-Scalpel Vasectomy.

54. Vasectomy Percutaneous Renal Biopsy complications • Peritoneal Dialysis. urology • Bladder Suspension (MMK, Pereya Procedure tying of spermatic veins) • vasectomy. http://www.lammico.com/risk/published.asp?published_category_id=27&published_id=

55. Vasectomy Information Sheet There have been periodic reports in the lay press about long term health complications following a vasectomy. Worries about increased http://meds.queensu.ca/medicine/urology/patients/brochures/vasectomyInformationS

Vasectomy Information Sheet Introduction: A vasectomy, or "cutting" of the male sperm tubes, is a simple and very reliable means of permanent birth control. A vasectomy should only be done after mature consideration, and only when both partners in the relationship desire and fully understand the nature of the procedure. This sheet provides many answers to commonly asked questions. Testing must be done prior to ensuring that the vasectomy was successful Surgical Aspects: A small operation will be performed using a local anaesthetic "freezing". If you have any allergies to local anaesthetics (Novocain, or similar agents) please inform your Urologist. Also, if you have a tendency to bleed excessively or are taking any blood thinners (warfarin, coumadin) please let your Urologist know. Complications Preparation Do not shave the scrotum or pubic area. This is not necessary for the operation. Have a light breakfast the morning of the procedure. Care After the Vasectomy

56. Female Incontinence - MetroWest Urology to drain the bladder and prevent complications, such as brought to the area by Metrowest urology include the 5minute no-scalpel vasectomy and office http://www.mwurology.com/f_incontinence.html

Female Incontinence Women are twice as likely as men to experience the frustrating, embarrassing problem of urinary incontinence. People tend to suffer in silence with incontinence because they are afraid or ashamed to tell their doctor or because they believe incontinence is a normal part of the aging process. Most symptoms of urinary incontinence can be improved or corrected with the help of a urologist. The Urinary Tract The kidneys constantly produce urine, which flows through two long tubes, called ureters, to the bladder. The bladder stores urine until it is full. At the lowest part of the bladder - the bladder neck - the urinary sphincter muscle surrounds and constricts it. The sphincter's job is to ensure that no urine escapes through the urethra, the channel that carries urine out of the body, before the bladder is full. When functioning properly, the urinary tract works as follows: 1. The bladder fills. 2. The nerves around the bladder send a message to the brain, and the urge to urinate is felt. 3. When the person decides to urinate, the sphincter muscle relaxes, allowing urine to flow through the urethra.

57. Thomas Rand Pritchett, M.D. — Curriculum Vitae Pritchett TR complications of vasectomy and their diversion after radical cystectomy, Western Section Meeting of the American urology Association, August http://www.vmmc.org/dbUrology/sec110991.htm

document.write(TopLinks); Thomas Rand Pritchett, M.D. — Curriculum Vitae Online bio card: Thomas Rand Pritchett, M.D. Background Education Honors and Awards Publications Postgraduate Training ... Presentations Education Doctor of Medicine, UCLA School of Medicine, Los Angeles, California. 1980 Bachelor of Science, Bioengineering, highest honors , University of California at Berkeley, Berkeley, California. 1976 San Ramon Valley High School. 1971 Postgraduate Training Internship, General Surgery, University of Washington, Affiliated Hospitals, Seattle, Washington. June 1980 - June 1981 Residency, General Surgery, University of Washington, Affiliated Hospitals, Seattle, Washington. June 1981 - June 1982. Residency, Urology, University of Southern California, School of Medicine. July 1982 - June 1986. Clinical and Research Fellowship, Urological Cancer, University of Southern California School of Medicine. July 1986 - June 1988. Licensure and Certification Washington 1981 California 1982 Alaska 1993 American Board of Urology, February 21, 1988

58. Well Man Advice - Urology Department, Edith Cavell Hospital, Peterborough The urology Department at the Edith Cavell Hospital hours to minimise the risk of postoperative complications. addressed when considering a vasectomy, and these http://freespace.virgin.net/cd.1/ech/wellman.htm

The Urology Department at the Edith Cavell Hospital, Peterborough, UK. Part of the Peterborough Hospitals NHS Trust Devoted to Urological Services Revised: 02 Oct 2002 13:21:59 +0100 Urology Internet Site ABC of Urology Clinical Guidelines Consultant / SpR On Call Rota ... Well man Advice Well Man Advice You may be interested in the following useful link to The Men's Health Trust UK which provides information on issues of men's health This section, is designed to cover issues related to men's health. If you have any particular questions or concerns that you would like rectified please Contact us ,or send your comments by E-Mail This Page deals with common questions that men have. Some of these topics may already be found on other parts of this site and, if so, will appear as a hyperlink to take you to the correct page Benign Prostatic Hypertrophy Epididymal cysts Hydroceles Hernias ... Vasectomy / Vasectomy reversal Benign Prostatic Hypertrophy As men get older the prostate enlarges, although why it does so remains unclear. From a practical point of view the enlargement of the prostate may result in the development of a number of symptoms when passing urine

59. What You Never Hear hard to find Web site UroWeb. Journal of urology J Urol 155(4)12841286; Questionnaire-based outcomes study of nononcological post-vasectomy complications. http://www.missouri.edu/~cak307/vasect.htm

What You Never Hear About Vasectomy By Michael Hall The vasectomy is not free. It can cause frightening and frustrating long term effects which are about as permanent as the sterility that it was intended to produce. The numbers of dissatisfied vasectomized men are increasing, primarily with the affliction of post vasectomy pain, (about 20%, but that number is adjusted upwardly every year). Once one finds out that there are others like him, he is more likely to drop stoic pretenses and admit that his balls hurt. A vasectomy is almost always referred to in terms of "harmless," no "secondary long term effects." It's a good sell, but it is not the whole truth. Little or nothing is said about life after except for the benefits of sterility. In more true to life terms, a vasectomy is having your vas defrens cut in two, the ends are cauterized or sutured, interrupting the flow of sperm from the testis, sterility is achieved. Unfortunately the testis aren't informed and continue to function normally, producing sperm cells. With the holes on the tubes bunged up and the testis of a normal healthy man still dedicated to the production of sperm, something has got to give... and it does. The sperm backs up and eventually forms a tooth paste like sludge. as the sperm backs up so does the pressure and blow outs begin to occur along the epididymis. Because the body is not ordinarily exposed to sperm (with leakage after the blow outs) antibodies to the sperm are produced and the problems begin. The sperm cells are actually quite irritating and resistant, they have to be to withstand the hostile environment of someone else's body in a reproductive role.. they were never meant to be out in the blood stream.

60. Vasectomy, The Male Menopause Or Andropause, And Its Treatment With Testosterone range of short and long term complications, would surely have and testicular histologic changes in humans after vasectomy. urology 1994;43 5214. Ref ID 8118 http://www.goldcrossmedical.com/androscreen/vasectomy.htm

The Andropause Information Center www.globalandropause.com You are here: Male Menopause - Vasectomy A real Problem Do I have it? Potency Problems find a doctor ... legal / privacy Recent evidence is that Vasectomy may eventually reduce production of the key hormone Testosterone , and contribute to onset of the Male Menopause In a series of over 1,000 cases of Andropausal men seen at the e-medicine Andrology Clinic over the past ten years, 25% had had vasectomy , about twice the level in the general population. The Unkindest Cut of All Vasectomy is a seemingly simple operation, a real snip, which couldn't possibly go wrong - or could it? It is often presented as the ideal and infallible solution to family planning. What could be simpler than tying the vas, the narrow tubes carrying the sperm from the testicles to the prostate, where the seminal vesicles add the other ingredients of the seminal fluid making up the ejaculated semen? No sperm - No problems. Unfortunately, it's not quite that easy. The testicles, as any man will testify, are very delicate and sensitive structures. They are very complex organs, with a rich nerve, blood and lymphatic supply. Also they are under intricate hormonal and temperature control to regulate sperm and testosterone production. So that the man doesn't produce antibodies to his own sperm, which to the rest of the body is foreign protein, there are important defences keeping the sperm isolated from the immune system. All these systems can be disrupted, even when the vasectomy seems to have gone smoothly, and there can be an alarming variety of short and long term complications, which can sometimes be serious

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