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June 12, 1972

Methylprednisolone Acetate In Vasectomy

JAMA. 1972;220(11):1498. doi:10.1001/jama.1972.03200110076024

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To the Editor.—  Those of your readers who perform vasectomies may be interested in the following observations.Over the past four months I have added methylprednisolone acetate (Depo-Medrol) to the 1% lidocaine hydrochloride (Xylocaine) solution which I routinely inject locally in vasectomies. The results have been quite striking and, in the interest of better patient care, I am passing the word along for others in the field. I have completed a tabulation of 155 patients who underwent routine outpatient vasectomy. These patients were all asked to indicate whether or not they had discomfort or swelling following their vasectomy. They were also asked to grade this discomfort and swelling on the basis of whether it was slight, moderate, or severe. I then asked a group of patients who had Depo-Medrol in addition to the usual procedure. I have tabulated the responses of the first 100 of this latter group. The patients