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.

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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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