[Evaluation of male sexual satisfaction after vasectomy]

Evaluate male sexual satisfaction perception after vasectomy using the International Index of Erectile Function (IIEF-15).

Twenty nine males were scheduled for vasectomy in our hospital between November 2006 and July 2008. Mean age was 38 years (28-52) and mean offspring at surgery was 3. Before vasectomy, a Spanish version of the IIEF-15 was given at visit 1. A second visit was scheduled 12 weeks later, same questionnaire was given. Differences between general scores and specific domains were collected. Positive or negative response was defined as any change in comparison with the previous score. The Wilcoxon Test was used for statistical analysis.

According to the total score, 38% improved and 48% remained unchanged. The mean difference in the total score of the IIEF after visit 1 and 2 was 0.76 (95%CI -0.09; 1.60, p=0.07). None of the domains by their own had significant changes, except for the orgasm domain as shown in table 1. Mean difference between visits was 0.34 (95%CI 0.12; 0.57, p=0.01).

Vasectomy showed no significant influence in most sexual satisfaction domains. So, one could speculate that if some change is expected it might be positive, particularly in the orgasm domain, this contrasts of what reported in the literature using the IIEF scale.