(437) Post-Vasectomy Semen Analysis (PVSA) Compliance Rates and Associations

Abstract Introduction Vasectomy is a highly effective, permanent method of contraception. Poor compliance rates have been observed for patients in obtaining their post-vasectomy semen analyses (PVSA). Few studies looked at associations with low compliance. Objective The objective our study was to identify analysis and that may increase or decrease the Methods We studied 111 between November 2018 April 2022 who underwent vasectomy single institution. Only fertility-related reasons were included final analysis. excluded any had undergone previous reversal. Variables analyzed age, relationship status, presence primary care provider, anxiety diagnosis, race. obtained via chart review which but not limited reviewing notes, summary diagnostic pages, problem lists, medication lists. All performed using R version 4.1.2 (R Foundation Statistical Computing, Vienna, Austria). Categorical data described number percentage patients. Continuous median, minimum, maximum. Associations race diagnosis PVSA explored Fisher’s exact test. p-values two-sided 5% significance level without adjustment multiple testing. Results Our cohort men exclusion 1 patient non-fertility reasons. median age 38 years (range 26-59 years). Of 110 patients, 83 (75%) returned PVSA. There 103 (94%) married Additional characteristics can be seen Table 1. As shown 2, African American less likely return than either white (14% vs. 79%, p<0.001) Hispanic 100%, p=0.015). we did find evidence difference (p=0.58). Patients an more undergo compared (p<0.001). Conclusions significantly This suggests opportunity improved counseling population. do recognize disparity (n=95) versus (n=7) (n=5) Additionally, disorder disorder. prevalence somewhat high relative overall population United States. could due questionnaires used institution timeliness those questionnaires. Personality traits also lead confounding diagnoses. Overall, 75% rate speaks better regarding PVSA, especially particular populations such as Disclosure No