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December 16, 1988

The Lurking Sperm: Vasectomy Failures-Reply

JAMA. 1988;260(23):3434. doi:10.1001/jama.1988.03410230051016

In Reply. —  I appreciate the letters in response to my editorial on vasectomy. Scientific progress is made by discussion and the exchange of knowledge.Dr Alderman's results have provided us with a valuable yardstick with which to measure the most popular method of vasectomy, and he has done us a favor. The fact that I feel that there is a better way does not diminish the personal regard that I have for this fine man. I cannot say why others have not published their experiences with the fulguration, fascial interposition method, but I have many friends who have had excellent results with it. Any failures could only result from improperly carrying out the operation, such as incompletely covering the vas end with fascia.Dr Barnhouse, in leaving the testicular end of the vas untouched, brings up a point that I had avoided when I wrote that "at least one