Patient noncompliance after vasectomy

Maatman, Thomas J.; Aldrin, Lisa; Carothers, George G.

doi:10.1016/s0015-0282(97)00251-3

Cited by 54 publications

(36 citation statements)

References 2 publications

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“…They were also given instructions on collection methods, 2 sterile containers, and instructed to drop off specimens within 3 hours. 8 Compliance in this study was similar to that in other studies: 45% the men returned no samples, 29% returned with one specimen, and 26% followed up with 2 or more. 9 These men also received questionnaires requesting information about PVSA and how they felt.…”

Section: Discussionsupporting

confidence: 87%

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Postvasectomy Semen Analysis: Are Men Following Up?

Christensen¹,

Maples²

2005

The Journal of the American Board of Family Medicine

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Background: Many family physicians perform outpatient vasectomies in their office. Postvasectomy semen analysis (PVSA) is critical to establish the success of this sterilization procedure. We investigated the compliance rate of our patients with the PVSA over a 10-year period.Methods: To determine compliance rates of men who have undergone vasectomy for recommended PVSA, a retrospective chart review in a private family practice clinic was performed. The records of all patients who underwent vasectomy from 1991 to 2001 were reviewed. Patients are instructed to return at 6 weeks, 3 months, and 1 year for semen specimen evaluation to determine vasectomy success.Outcome Measures: Records of 551 patients were reviewed. The age of the patient at the time of the vasectomy and number of PVSAs were evaluated. PVSA compliance rates were also correlated with age.Results: In total, 233 (42%) men did not return for 6-week, 3-month, or 1-year PVSA. Of 551 men, 318 (58%) returned for 6-week PVSA, and 138 (25%) returned for 3-month PVSA. Only 44 (8%) of the 551 eligible for a 1-year analysis returned for PVSA.

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Section: Discussionsupporting

confidence: 87%

“…Results showed 619 (33%) returned for one PVSA, and 644 (34%) never returned with any follow up specimens. 8 Thus, the published studies and the current study all resulted in reports of low rates of return for PVSA.…”

Section: Discussionmentioning

confidence: 64%

Postvasectomy Semen Analysis: Are Men Following Up?

Christensen¹,

Maples²

2005

The Journal of the American Board of Family Medicine

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“…Main causes of male infertility include low sperm count (azoospermia and oligozoospermia), poor vitality (necrozoospermia), low motility (asthenozoospermia), low DNA integrity, and abnormal sperm morphology (teratospermia) (4,5 ). Semen analysis to quantify these factors is the cornerstone of male infertility diagnosis (6 ) and also plays a critical role in monitoring male contraception after vasectomy to ensure permanent sterility (7 ).…”

mentioning

confidence: 99%

“…All these current semen analysis techniques suffer from limitations that prevent their widespread application: testing procedures are long and complex and require expensive equipment, and the results are subjective, varying from clinician to clinician (13,14 ). Compliance of male patients in providing clinical samples is also low because of embarrassment and anxiety (7 ). A low-cost and rapid test for semen analysis, suitable for both clinical and self-diagnosis, would have substantial implications for patient care.…”

mentioning

confidence: 99%

Paper-Based Quantification of Male Fertility Potential

et al. 2016

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BACKGROUND:More than 70 million couples worldwide are affected by infertility, with male-factor infertility accounting for about half of the cases. Semen analysis is critical for determining male fertility potential, but conventional testing is costly and complex. Here, we demonstrate a paper-based microfluidic approach to quantify male fertility potential, simultaneously measuring 3 critical semen parameters in 10 min: live and motile sperm concentrations and sperm motility.

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“…10 Indeed the 33.4% non-compliance rate in our series is comparable to others. [10][11][12][13] Another significant consideration is the increased cost of repeated semen analysis.…”

Section: Discussionmentioning

confidence: 99%