Vasectomy patients say the darnedest things.

1306060431-frontSo, my husband had a vasectomy this morning. The procedure was a breeze, and he’s fine, aside from feeling a little embarrassed at some things he said. He had to take a Valium before the procedure, and his comments reminded me of the time he was drugged up and had his wisdom teeth out. I […]

via Funny Friday: Valium — That’s What Anxious Mom Said

Vasectomy follow up? Nearly one half of men never submit a post vasectomy semen specimen.

At the time of a vasectomy there is still sperm in the tube beyond the site. It takes about 30 ejaculations to clear the sperm. A post vasectomy check is very important.

Northeast Georgia Urological Associates

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Patient Non-Compliance With Vasectomy Follow-Up

Urology – September 30, 2013 – Vol. 30 – No. 10

Nearly 50% of patients do not perform post-vasectomy requested semen analysis.

Article Reviewed: Compliance With Semen Analysis. Duplisea J, Whelan T: J Urol; 2013;189 (June): 2248-2251.

Background: Nearly half a million men undergo vasectomy in the United States each year. While this is generally a straightforward procedure, it is not 100% successful. Post-vasectomy semen analysis helps the physician confidently determine if the procedure was successful, but no consensus exists to guide post-vasectomy semen analysis routine; the 2012 AUA guidelines suggest a single negative sample performed 8 to 16 weeks post-procedure, and <100,000 sperm/mL (non-motile) is considered a success. Patient compliance with post-vasectomy semen analysis is low and few studies review the reasons for poor compliance.

Objective: To determine which men are more or less likely to comply with requested post-vasectomy semen analysis based on…

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A Urological Vas Deferens “Hat trick?”

Georgia Vasectomy/Vasectomy Reversal-John McHugh M.D.

hat-trick

What is a “hat trick?” Click image above to find out!

What is a vas deferns “hat trick?” Well…

I am seeing patients one day and come to a room with a chart in the door which says “Post vasectomy.” I note that the patient had had a vasectomy by me about several years  prior to this visit.

I enter the room and there I see a husband and wife and the husband is holding a newborn baby. Only a urologist can really know how it feels to be told of a possibility of a patient having a child after you did the vasectomy. It is not a good feeling…like all the blood goes to your feet feeling.

I ask, “I did your vasectomy?”

The husband says, “Yes”

I say, “Is that y’all’s baby.”

The couple smiles and beaming in unison say, “Yes”

There is a pause. I don’t know…

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Vasectomy reversal, divorce, and American optimism

The number one reason for a vasectomy reversal is a male gets divorced and marries a younger woman who has not had children. It is interesting that the southern states show a higher rate of divorce.

Family Inequality

That would be a good title for a longer essay (feel free to use it).

“Studies suggest that up to 6% of such men will request vasectomy reversal,” wrote the authors of a chapter in Clinical Care Pathways in Andrology. “Divorce with remarriage is by far the most common reason for vasectomy reversal.”

So, when in the divorce process do people start Googling “vasectomy reversal”? Is it men with younger girlfriends, considering leaving their wives? Women considering marrying a divorced man? Divorced couples considering another round of kids?

I don’t know, but Google does, or they could if they looked into it. I’ve only gotten as far as the strong relationship between searches for “vasectomy reversal” and state divorce rates:

vasectomy-divorce

I like to think of it as the optimism rooted in the American spirit. We always look forward to the next renewal, the next reboot, rebranding, or escape. Not because I really think it’s…

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