Scheduling Appointments for Postvasectomy Semen Analysis Has No Impact on Compliance
| Autor: | Jens Sønksen, Dana A. Ohl, Frederik M. Jacobsen, Christian Fuglesang S Jensen, Mikkel Fode |
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| Rok vydání: | 2020 |
| Předmět: |
Postvasectomy semen analysis
medicine.medical_specialty Urology media_common.quotation_subject education Fertility Semen analysis lcsh:RC870-923 lcsh:RC254-282 Interval data Vasectomy medicine Statistical analysis Andrology Patient compliance Patient summary media_common Azoospermia medicine.diagnostic_test business.industry Obstetrics lcsh:Diseases of the genitourinary system. Urology lcsh:Neoplasms. Tumors. Oncology. Including cancer and carcinogens medicine.disease business |
| Zdroj: | European Urology Open Science Jacobsen, F M, Jensen, C F S, Fode, M, Sønksen, J & Ohl, D A 2020, ' Scheduling Appointments for Postvasectomy Semen Analysis Has No Impact on Compliance ', European Urology Open Science, vol. 22, pp. 74-78 . https://doi.org/10.1016/j.euros.2020.10.006 European Urology Open Science, Vol 22, Iss, Pp 74-78 (2020) |
| ISSN: | 2666-1683 |
| DOI: | 10.1016/j.euros.2020.10.006 |
| Popis: | Background A postvasectomy semen analysis (PVSA) is recommended 8–16 wk after vasectomy to ensure azoospermia. Patient compliance with submitting a semen sample for PVSA has historically been low. To increase patient compliance, a policy change was made to schedule patients for PVSA appointments instead of a previous “drop-in” option. Objective To compare patient compliance for PVSA when scheduling appointments as opposed to a “drop-in” appointment 8–16 wk after the procedure. Design, setting, and participants Ethical approval was obtained to retrospectively evaluate patients undergoing vasectomy. A total of 400 patients were evaluated, 200 consecutive patients before and 200 after the policy change. Patients were excluded from analysis if they had other surgeries at the same time of vasectomy or if the vasectomy was a repeat procedure. Outcome measurements and statistical analysis Percent of patients attending PVSA and time to PVSA were assessed. Nominal data were compared using chi-square analysis and interval data were compared using Student unpaired t test. Results and limitations Thirteen patients were excluded from analysis: six before and seven after the policy change. Compliance rates were similar before and after the policy change (144/194 [74%] and 154/193 [80%], p = 0.19). There was no difference in the time from vasectomy to PVSA between groups (before: mean [standard deviation] 69 [55] d vs after: 74 (63) d, p = 0.44). This study is limited by its retrospective design. Conclusions Scheduling appointments for PVSA has no impact on compliance rates or the time between vasectomy and semen analysis when compared with “drop-in” appointments. Patient summary Sterility after a vasectomy is guaranteed by delivering a semen sample. Many men do not deliver this sample, and sterility cannot be guaranteed. This study found that scheduling appointments did not increase the number of men who delivered a semen sample compared with “drop-in” appointments. Take Home Message Scheduling appointments for postvasectomy semen analysis 8–16 wk after the vasectomy did not improve compliance rates or time between vasectomy and semen analysis significantly when compared with “drop-in” appointments. |
| Databáze: | OpenAIRE |
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