Vasectomy in real-world clinical practice: an ideal checklist to improve patient experience and outcomes

Vasectomy is a highly effective method of permanent contraception for men, offering a minimally invasive and cost-efficient alternative to female sterilization. Over 500,000 vasectomies are performed annually in the U.S., making it the most common non-diagnostic procedure conducted by urologists. Despite this, many residents may not gain adequate training in performing vasectomies in residency, and there are several specific patient populations that warrant additional counseling and care in their approach to a vasectomy. This paper provides a comprehensive review and checklist for the physician detailing necessary steps in the evaluation, counseling, treatment, and management of patients seeking a vasectomy. This includes a focus on special patient scenarios like the young, childless male, the expecting couple, or the individual with intellectual disabilities. Additionally, we review surgical techniques, postoperative care, and reimbursement to ensure a structured, effective approach to vasectomy, while addressing potential challenges that may arise with the goal of optimizing the patient experience and outcomes.