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Related Experiment Videos

Consultant surgeons and vasectomy.

M Waite

    British Medical Journal
    |June 16, 1973
    PubMed
    Summary
    This summary is machine-generated.

    In 1970, approximately 50,000 vasectomies were performed in England and Wales, primarily through private services. Many requests were denied, often due to patient age, highlighting access issues for this surgical procedure.

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    Area of Science:

    • Urology
    • Surgical Procedures
    • Public Health

    Background:

    • Vasectomy services in England and Wales during 1970 were predominantly private, not fully integrated with the National Health Service.
    • A significant number of vasectomies were performed outside traditional hospital settings, often in private nursing homes.
    • Surgeons' estimates indicated a substantial rate of denied vasectomy requests, with 'too young' being the most cited reason.

    Purpose of the Study:

    • To survey consultant general surgeons and urologists regarding vasectomy practices and perceptions in England and Wales.
    • To ascertain the volume, setting, and accessibility of vasectomy services in 1970.
    • To identify barriers and preferences related to vasectomy provision.

    Main Methods:

    • A national random sample of 410 consultant general surgeons and urologists (74% response rate) participated in a postal survey.

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  • Data collection focused on the number of vasectomies performed, service funding (NHS vs. private), procedure location, and reasons for refusal.
  • Surgeons' estimates and opinions on outpatient procedures and service adequacy were also gathered.

    • Main Results:

    • An estimated 50,000 vasectomies were performed in 1970, with 60% of hospital procedures not under the NHS and 26% performed in private nursing homes.
    • Approximately 6,000 vasectomy requests were denied, with patient age being the primary reason for refusal.
    • Despite 90% of consultants believing vasectomy is a safe outpatient procedure, only 64% routinely performed it as such in hospitals.

    Conclusions:

    • The vasectomy service in England and Wales in 1970 was largely private, with significant access limitations and a preference for outpatient procedures not consistently met.
    • A majority of surveyed consultants considered existing services adequate but favored the establishment of specialized vasectomy clinics.
    • The findings suggest a need for improved access and potentially dedicated facilities to meet the demand for vasectomy.