| Post vasectomy analysis: call for a uniform evidence-based protocol. | |
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MedLine Citation:
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PMID: 11432136 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: Vasectomy is a safe and reliable means of contraception that is used by 42 million couples world-wide. There are no standardised guidelines in the follow-up of these patients to assess the efficacy of the procedure, however. Through this paper we aim to recommend a guideline that is both clinically effective and cost effective, and would avoid medicolegal debate. PATIENTS AND METHODS: A questionnaire was sent to consultant general surgeons and urologists working both within and outside the North-West region, to assess the range of protocols used in the follow-up of patients undergoing vasectomy. RESULTS: Of respondents, 75% sent the vas deferens routinely for histology: 90.4% requested 2 sperm samples routinely whilst 4.8% requested 1 sample and 4.8% requested 3 samples. 95.2% requested further sperm samples if non-motile sperm were present. 98.8% performed their first sperm sample by 12 weeks. CONCLUSIONS: There is a wide range of protocols used in the follow-up of patients post-vasectomy. Most do not appear to be evidence-based. We recommend a guideline which re-emphasises the importance of pre-operative counselling, only 1 routine sperm sample taken 16 weeks post-vasectomy, and further samples taken only if motile sperm is seen. Non-motile sperm is not an indication for further sperm samples. We believe this guideline would be both clinically effective and cost effective. |
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Authors:
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K A Sivardeen; M Budhoo |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Annals of the Royal College of Surgeons of England Volume: 83 ISSN: 0035-8843 ISO Abbreviation: Ann R Coll Surg Engl Publication Date: 2001 May |
Date Detail:
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Created Date: 2001-07-02 Completed Date: 2001-07-12 Revised Date: 2009-11-18 |
Medline Journal Info:
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Nlm Unique ID: 7506860 Medline TA: Ann R Coll Surg Engl Country: England |
Other Details:
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Languages: eng Pagination: 177-9 Citation Subset: IM |
Affiliation:
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Department of Surgery, Manchester Royal Infirmary, Manchester, UK. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Aftercare
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methods,
standards* Clinical Protocols England Evidence-Based Medicine* Humans Male Postoperative Period Practice Guidelines as Topic* Questionnaires Sperm Count Sperm Motility Treatment Outcome Vasectomy / standards* |
| Comments/Corrections | |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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