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Abstract：
Except for condom use, vasectomy is the only approved form of male contraception. The American Urological Association published guidelines on vasectomy in 2012, which clearly outlined patient counseling, vasectomy techniques to maximize successful occlusion, and postvasectomy care. However, there are certainly areas of further improvement to be addressed. Vasectomy is severely underutilized compared with tubal ligation for sterilization, likely due to lack of patient awareness. Although the majority of vasectomies are performed in the office with local anesthesia, some patients are still routinely prescribed narcotics for postprocedural pain, despite the well-described opioid pandemic. Finally, although patients are counseled on the necessity of a postvasectomy semen analysis to confirm sterility prior to the discontinuation of alternative contraceptives, more than 50% of men do not complete this test. Therefore, alternative strategies must be pursued to improve patient compliance.
摘要：
除了使用避孕套,输精管结扎术是唯一被批准的男性避孕方式。美国泌尿外科协会在2012年发布了输精管切除术指南，其中清楚地概述了患者咨询，输精管结扎技术，以最大限度地成功闭塞，和输精管切除术后的护理.然而,当然还有需要进一步改进的地方。与输卵管结扎术进行绝育相比，输精管结扎术的应用严重不足，可能是由于缺乏患者意识。尽管大多数输精管切除术都是在办公室局部麻醉下进行的，一些患者仍然常规地开麻醉药治疗术后疼痛，尽管描述良好的阿片类药物大流行。最后,尽管建议患者在停止替代避孕药之前必须进行输精管切除术后精液分析以确认不育，超过50%的男性没有完成这项测试。因此,必须采取替代策略来提高患者的依从性.
