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Patient Portal Engagement Affects Postvasectomy Semen Analysis Completion.

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  • 1College of Medicine; University of Nebraska Medical Center, Omaha, NE.

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Summary

Patient engagement with healthcare portals, not just opening instructions, significantly impacts postvasectomy semen analysis completion. Understanding these factors helps improve sterilization confirmation rates.

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Area of Science:

  • Urology
  • Men's Health
  • Public Health

Background:

  • Telehealth consultations for vasectomy are increasingly preferred by patients.
  • Postvasectomy semen analysis (PVSA) is crucial for confirming sterilization.
  • Ensuring patient compliance with PVSA is essential for successful vasectomy outcomes.

Purpose of the Study:

  • To identify factors influencing the completion rate of postvasectomy semen analysis (PVSA).
  • To assess the impact of telehealth prevasectomy counseling on PVSA completion.
  • To determine the role of patient engagement with electronic instructions and clinic communication in PVSA compliance.

Main Methods:

  • A study included 371 men aged 19+ who underwent telehealth prevasectomy consultations and in-office vasectomies.
  • Data on demographics, relationship status, and clinic distance were collected via electronic medical records.
  • Patient engagement with electronic preprocedure instructions and subsequent clinic messaging were assessed as predictors of PVSA completion.

Main Results:

  • Only 45.6% of men completed their PVSA.
  • Opening electronic instructions before vasectomy did not significantly affect PVSA completion rates (46.1% vs. 44.4%).
  • Men who contacted the clinic after their consultation were more likely to complete PVSA (62%) compared to those who did not (41%).

Conclusions:

  • Patient engagement with electronic portals, particularly through active communication with the clinic, is a key factor in PVSA completion.
  • Healthcare providers can leverage patient portal engagement data to develop targeted interventions for improving PVSA compliance.
  • Enhanced patient engagement strategies are vital for ensuring successful sterilization confirmation after vasectomy.