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Flow Cytometric Analysis of Biomarkers for Detecting Human Sperm Functional Defects

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Compliance with semen analysis.

Jon Duplisea¹, Thomas Whelan

¹Department of Urology, Halifax, Nova Scotia, Canada. jduplisea@gmail.com

The Journal of Urology

|January 30, 2013

Summary

Patient compliance with post-vasectomy semen analysis is low. Younger men, those with more children, and those without complications were less likely to complete semen analysis for vasectomy success confirmation.

Area of Science:

Urology
Reproductive Health
Public Health

Background:

Vasectomy is a common form of male contraception.
Successful vasectomy requires confirmation through semen analysis to ensure azoospermia.
Patient compliance with follow-up semen analysis protocols can be challenging.

Purpose of the Study:

To calculate the compliance rate for semen analysis after vasectomy.
To identify demographic factors and complication rates associated with semen analysis compliance.

Main Methods:

Retrospective review of 946 patients undergoing vasectomy by a single urologist.
Standard follow-up included reminders and semen analysis at 2 and 4 months post-procedure.
Data analysis focused on demographic information and complication rates.

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Main Results:

Only 36.4% of patients submitted the required two negative semen samples for confirmation.
Men aged 34 years or younger, those with three or more children, and men without surgical complications showed lower compliance.
Common complications included infection (1.9%), hematoma (1%), and sperm granuloma (0.5%).

Conclusions:

A significant proportion of men exhibit poor compliance with post-vasectomy semen analysis, despite reminders.
Identifying patient subsets with lower compliance can help urologists tailor pre-procedure counseling.
Targeted counseling may improve adherence to semen analysis protocols for confirming vasectomy success.