Literature DB >> 2374193

The high rate of noncompliance for post-vasectomy semen examination: medical and legal considerations.

A M Belker1, M S Sexter, S J Sweitzer, M J Raff.   

Abstract

The records of 1,029 consecutive patients undergoing bilateral vasectomy were reviewed. Of the 1,029 patients 375 (36%) never returned postoperatively and the partners of 2 of these 375 later became pregnant. A total of 560 patients (54%) was followed until the recommended demonstration of azoospermia occurred on 2 consecutive occasions. There were 84 patients (8%) who did not return after the first demonstration of azoospermia, while 7 (1%) still had sperm in the semen at the last examination. Three other patients had persistent nonmotile sperm postoperatively; 2 of them underwent repeat vasectomy followed by azoospermia and 1 was placed in a special clearance category of sterility as described. We discuss practical and legal considerations regarding the management of noncompliant patients.

Entities:  

Keywords:  Americas; Behavior; Clinical Research; Developed Countries; Examinations And Diagnoses; Family Planning; Kentucky; Laboratory Examinations And Diagnoses; Laboratory Procedures; Male Sterilization; Medical Liability; Methodological Studies; North America; Northern America; Obstacles; Organization And Administration; Research Methodology; Retrospective Studies; Sperm Count; Sterilization, Sexual; Studies; United States; User Compliance; Vasectomy

Mesh:

Year:  1990        PMID: 2374193     DOI: 10.1016/s0022-5347(17)39433-8

Source DB:  PubMed          Journal:  J Urol        ISSN: 0022-5347            Impact factor:   7.450


  7 in total

1.  A randomized clinical trial of the effect of intraoperative saline perfusion on postvasectomy azoospermia.

Authors:  Brian Eisner; Timothy Schuster; Phillip Rodgers; Muzammil Ahmed; Gary Faerber; Gary Smith; Dana Ohl
Journal:  Ann Fam Med       Date:  2004 May-Jun       Impact factor: 5.166

2.  Racial differences in vasectomy utilization in the United States: data from the national survey of family growth.

Authors:  Michael L Eisenberg; Jillian T Henderson; John K Amory; James F Smith; Thomas J Walsh
Journal:  Urology       Date:  2009-09-20       Impact factor: 2.649

3.  Impact of the 2012 American Urological Association vasectomy guidelines on post-vasectomy outcomes.

Authors:  Robert M Coward; Niraj G Badhiwala; Jason R Kovac; Ryan P Smith; Dolores J Lamb; Larry I Lipshultz
Journal:  J Urol       Date:  2013-08-02       Impact factor: 7.450

4.  Clinical and consumer trial performance of a sensitive immunodiagnostic home test that qualitatively detects low concentrations of sperm following vasectomy.

Authors:  Kenneth L Klotz; Michael A Coppola; Michel Labrecque; Victor M Brugh; Kim Ramsey; Kyung-ah Kim; Mark R Conaway; Stuart S Howards; Charles J Flickinger; John C Herr
Journal:  J Urol       Date:  2008-10-19       Impact factor: 7.450

5.  Post-Vasectomy Semen Analysis: Optimizing Laboratory Procedures and Test Interpretation through a Clinical Audit and Global Survey of Practices.

Authors:  Ashok Agarwal; Sajal Gupta; Rakesh K Sharma; Renata Finelli; Shinnosuke Kuroda; Sarah C Vij; Florence Boitrelle; Parviz Kavoussi; Amarnath Rambhatla; Ramadan Saleh; Eric Chung; Taymour Mostafa; Armand Zini; Edmund Ko; Neel Parekh; Marlon Martinez; Mohamed Arafa; Nicholas Tadros; Jean de la Rosette; Tan V Le; Osvaldo Rajmil; Hussein Kandil; Gideon Blecher; Giovanni Liguori; Ettore Caroppo; Christopher C K Ho; Andrew Altman; Petar Bajic; David Goldfarb; Bradley Gill; Daniel Suslik Zylbersztejn; Juan Manuel Corral Molina; Marcello M Gava; Joao Paulo Greco Cardoso; Raghavender Kosgi; Gökhan Çeker; Birute Zilaitiene; Edoardo Pescatori; Edson Borges; Gede Wirya Kusuma Duarsa; Germar-Michael Pinggera; Gian Maria Busetto; Giancarlo Balercia; Giorgio Franco; Gökhan Çalik; Hassan N Sallam; Hyun Jun Park; Jonathan Ramsay; Juan Alvarez; Kareim Khalafalla; Kasonde Bowa; Lukman Hakim; Mara Simopoulou; Marcelo Gabriel Rodriguez; Marjan Sabbaghian; Haitham Elbardisi; Massimiliano Timpano; Mesut Altan; Mohamed Elkhouly; Mohamed S Al-Marhoon; Mohammad Ali Sadighi Gilani; Mohammad Ayodhia Soebadi; Mohammad Hossein Nasr-Esfahani; Nicolas Garrido; Paraskevi Vogiatzi; Ponco Birowo; Premal Patel; Qaisar Javed; Rafael F Ambar; Ricky Adriansjah; Sami AlSaid; Sava Micic; Sheena E Lewis; Shingai Mutambirwa; Shinichiro Fukuhara; Sijo Parekattil; Sun Tae Ahn; Sunil Jindal; Teppei Takeshima; Ana Puigvert; Toshiyasu Amano; Trenton Barrett; Tuncay Toprak; Vineet Malhotra; Widi Atmoko; Yasushi Yumura; Yoshiharu Morimoto; Thiago Fernandes Negris Lima; Yannic Kunz; Yuki Kato; Yukihiro Umemoto; Giovanni M Colpi; Damayanthi Durairajanayagam; Rupin Shah
Journal:  World J Mens Health       Date:  2022-01-02       Impact factor: 6.494

6.  The clinical impact of British guidelines on post-vasectomy semen analysis.

Authors:  Daniel Beder; Sudhanshu Chitale
Journal:  Cent European J Urol       Date:  2020-09-26

7.  Vasectomy: A simple snip?

Authors:  Nivedita Bhatta Dhar; J Stephen Jones
Journal:  Indian J Urol       Date:  2007-01
  7 in total

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