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Compliance with semen analysis.
MedLine Citation:
PMID:  23357212     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
PURPOSE: The objective of this study was twofold. Firstly, to calculate compliance rate, and secondly, to determine which 'population' of men is more/less likely to follow-up with semen analysis based on demographic information and complication rates. MATERIALS AND METHODS: This study retrospectively reviewed 946 consecutive ambulatory clinic vasectomies performed by one urologist at a single institution. Standard follow-up consisted of a telephone call or a pre-booked appointment made for 2 months post-vasectomy and for 2 semen analyses at 4 months post-vasectomy. RESULTS: The average age in the study was 33.6 (5.4). Of the 946 patients in the study 47.9% did not submit a negative semen sample, 15.7% submitted one negative sample and 36.4 % submitted the required 2 negative samples for confirmation of a successful vasectomy according to the sampling protocol. The mean time to semen analysis was 4.53 (2.14) months. Complications included: infection = 1.9%, hematoma = 1%, and spermatogranuloma = 0.5%. It was noted that men 34 years of age or younger, men with 3 or more children and men without complications were more likely to be non-compliant with semen analysis. CONCLUSIONS: The number of men providing samples for semen analysis in this study is very low, regardless of being given both written and verbal reminders. However, the poor patient compliance is similar to that of previous studies. Interestingly, this study identified a subset of patients with poor compliance rates. This finding may allow urologists to target their pre-procedure counseling more appropriately.
Authors:
Jon Duplisea; Thomas Whelan
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2013-1-25
Journal Detail:
Title:  The Journal of urology     Volume:  -     ISSN:  1527-3792     ISO Abbreviation:  J. Urol.     Publication Date:  2013 Jan 
Date Detail:
Created Date:  2013-1-29     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0376374     Medline TA:  J Urol     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
Copyright © 2013 American Urological Association Education and Research, Inc. Published by Elsevier Inc. All rights reserved.
Affiliation:
PGY-1 Urology, Dalhousie University , Halifax, NS Canada.
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