Lost to follow up: Semen analysis compliance following potential vasectomy failure.

IF 3.2 2区 医学 Q1 ANDROLOGY
Andrology Pub Date : 2025-03-19 DOI:10.1111/andr.70027
Max D Sandler, Laura Angulo-Llanos, Rohan Dureja, Faaris Khan, Adriana Sandino, Veronica Junco, Dan V Tran, Julio Yanes, Adam D Williams, Thomas A Masterson
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引用次数: 0

Abstract

Background: Many patients do not follow up for repeat semen analysis after potential vasectomy failure, indicating a need for strategies to enhance compliance and maximize outcomes.

Objective: To evaluate the rate of men who do not return for repeat semen analysis after suspected or confirmed vasectomy failure, defined as presence of motile or >100,000 non-motile sperm on post-vasectomy semen analysis, and investigate subsequent management.

Materials and methods: We conducted a retrospective chart review of males aged ≥18 years old who underwent vasectomy for the first time between January 2004 and January 2024. We examined adherence to and timing of follow-up semen analyses and subsequent vasectomy outcomes, rates of non-compliance with follow-up, management strategies.

Results: Of 2567 patients, 42.1% did not follow up at any time point post-vasectomy. Of those with spermatozoa on initial semen analysis < 3 months post-vasectomy, 43.3% failed to return for repeat testing. Nearly, 47% percent of those with spermatozoa present on first post-vasectomy semen analysis at or after 3 months also failed to follow up to re-evaluate sterility. Management of patients who did follow up often included repeat semen analyses at 6-week intervals until a negative result was produced or repeat vasectomy.

Conclusion: Alarmingly, many patients who could not be cleared to resume sexual activity after vasectomy did not follow up for repeat semen analyses. This highlights a significant deficit in compliance, which may benefit from interventions such as improved counseling and reminder systems. Future research should explore the impact of these interventions on compliance rates and explore rates of unintended pregnancy associated with loss to follow up.

丢失随访:输精管结扎失败后精液分析符合性。
背景:许多患者在输精管切除术失败后没有进行重复精液分析,这表明需要采取策略来提高依从性和最大化结果。目的:评估男性在怀疑或确认输精管切除术失败后不返回进行重复精液分析的比例,定义为输精管切除术后精液分析中存在活动精子或bbb10万非活动精子,并探讨后续处理。材料和方法:我们对2004年1月至2024年1月期间首次行输精管结扎术的年龄≥18岁的男性进行了回顾性图表回顾。我们检查了随访精液分析的依从性和时间,随后的输精管切除术结果,随访不依从率,管理策略。结果:在2567例患者中,42.1%的患者在输精管切除术后的任何时间点都没有随访。结论:令人震惊的是,许多输精管切除术后不能恢复性活动的患者没有随访进行重复精液分析。这突出了在遵守方面的重大缺陷,这可能受益于改进咨询和提醒系统等干预措施。未来的研究应探讨这些干预措施对依从率的影响,并探讨意外妊娠与随访失败的关系。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Andrology
Andrology ANDROLOGY-
CiteScore
9.10
自引率
6.70%
发文量
200
期刊介绍: Andrology is the study of the male reproductive system and other male gender related health issues. Andrology deals with basic and clinical aspects of the male reproductive system (gonads, endocrine and accessory organs) in all species, including the diagnosis and treatment of medical problems associated with sexual development, infertility, sexual dysfunction, sex hormone action and other urological problems. In medicine, Andrology as a specialty is a recent development, as it had previously been considered a subspecialty of urology or endocrinology
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