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Vasectomy is a surgical form of male sterilization that involves severing and sealing the vasa deferentia, preventing sperm from mixing with semen during ejaculation. Because a vasectomy does not impact the testes' ability to produce testosterone, hormone levels, libido, and sexual function generally remain unchanged. While vasectomy is highly effective in preventing pregnancy, with a success rate near 99.85%, rare cases of recanalization (spontaneous reconnection) can occur. Although...
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Related Experiment Video

Updated: Jul 15, 2025

Optimizing the Modified No-Scalpel Vasectomy Technique
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No Detectable Association Between Virtual Setting for Vasectomy Consultation and Vasectomy Completion Rate.

Hunter Hernandez1, Ari P Bernstein1, Ethan Zhu1

  • 1Department of Urology, NYU Grossman School of Medicine, New York, New York.

Urology Practice
|September 25, 2023
PubMed
Summary
This summary is machine-generated.

Virtual vasectomy consultations are effective, showing comparable completion rates to in-person visits. This telehealth approach improves access to male contraception services without compromising outcomes.

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Area of Science:

  • Urology
  • Telehealth
  • Male Contraception

Background:

  • The COVID-19 pandemic accelerated telehealth adoption in urology.
  • Telehealth enhances convenience and access for vasectomy consultations.
  • Virtual consultations lack physical examination, posing a risk for same-day cancellations due to anatomical issues.

Purpose of the Study:

  • To compare vasectomy completion rates between virtual and in-person consultations.
  • To assess the feasibility and effectiveness of telehealth for vasectomy pre-procedure evaluations.

Main Methods:

  • Retrospective study of 491 patients undergoing vasectomy consultation (Oct 2016 - June 2022).
  • Comparison of virtual (post-March 2020) vs. in-person (pre-March 2020) consultations.
  • Chi-square test used to compare vasectomy completion rates; R version 4.0.5 for analysis.

Main Results:

  • Overall vasectomy completion rate was 75.4% (370/491 patients).
  • Virtual consultation completion rate was 75.6%, comparable to in-person at 75.2% (P = .91).
  • Only 1% of virtual consultations resulted in day-of-procedure cancellations due to unforeseen anatomical findings.

Conclusions:

  • Virtual vasectomy consultations are feasible and effective.
  • Telehealth offers comparable vasectomy completion rates to traditional in-person consultations.
  • Virtual consultations do not significantly hinder the success rate of vasectomy procedures.