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Patient noncompliance after vasectomy
T J Maatman1, L Aldrin, G G Carothers
1Michigan Urological Clinic, Grand Rapids, USA.
Objective:
To determine the postoperative instruction compliance rate in men undergoing bilateral vasectomy.
Design:
Retrospective chart review.
Setting:
Private practice urological office.
Patient(S):
The records of all patients undergoing vasectomy were reviewed to determine the rate of compliance with postvasectomy follow-up instructions. It is our policy to have the patient continue to use some form of birth control until he achieves two consecutive negative semen analyses 1 month apart. In addition, we recommend a yearly semen analysis after achieving sterility to screen for the rare patient who recanalizes. Postvasectomy follow-up instructions are given to the patient both verbally and in writing.
Intervention(S):
None.
Main Outcome Measure(S):
The records of 1,892 consecutive patients undergoing vasectomy were reviewed, and the results of semen analyses were noted to determine the rate of compliance with postvasectomy follow-up instructions.
Result(S):
Six hundred forty-four men (34%) never returned after vasectomy and, therefore, no semen analyses were available for examination. Six hundred nineteen men (33%) returned for a single semen analysis. Six hundred twenty-nine men (33%) returned for a second negative semen analysis. Only 60 men (3%) completed postvasectomy follow-up instructions and returned for a yearly semen analysis.
Conclusion(S):
The rate of compliance with postvasectomy follow-up instructions for determining sterility is poor.
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