PDF(Pubmed)
Abstract：
UNASSIGNED: Post-vasectomy semen analysis (PVSA) completion rates after vasectomy are poor, and minimizing the need for an additional in-person visit may improve compliance. We hypothesized that providing PVSA specimen cup at time of vasectomy instead of at a postoperative appointment might be associated with higher PVSA completion rates.
UNASSIGNED: We performed a retrospective cohort study with historical control using medical records of all patients seen by a single provider for vasectomy consultation between October 2016 and June 2022. All patients who underwent vasectomy were included. Patients who underwent vasectomy prior to 05/01/2020 had PVSA specimen cup given at postoperative appointment two weeks following vasectomy, and those who underwent vasectomy after 05/01/2020 were given PVSA specimen cup at time of vasectomy. PVSA completion, demographic, and clinical outcomes data were collected. Logistic regressions were used to investigate associations between PVSA completion rates and timing of PVSA specimen cup provision.
UNASSIGNED: There were no significant differences among study cohorts across all patient demographics analyzed, including age, body mass index (BMI), age of primary partner, presence of children, and history of prior genitourinary infection. A total of 491 patients were seen for vasectomy consultation between October 2016 and June 2022; among these patients, 370 underwent vasectomy. Of these, 173 (46.8%) patients underwent vasectomy prior to 05/01/2020 and were given PVSA specimen cup at postoperative visit; 197 (53.2%) patients underwent vasectomy after 05/01/2020 and were given PVSA specimen cup at vasectomy. Providing PVSA specimen cup at time of vasectomy was associated with higher odds of PVSA completion than providing PVSA specimen cup at postoperative visit [62.4% vs. 49.7%; odds ratio (OR) =1.68; 95% confidence interval (CI): 1.11, 2.55]. Adjusting for all identified confounders excludes 35 (9.5%) patients without a primary partner and shows no statistically significant association in cup timing [adjusted OR (aOR) =1.53; 95% CI: 0.98, 2.39]. Adjusting for all identified confounders except age of primary partner revealed timing of specimen cup provision at time of vasectomy was associated with higher odds of PVSA completion (aOR =1.64; 95% CI: 1.08, 2.52).
UNASSIGNED: PVSA specimen cup provision at time of vasectomy versus at postoperative appointment is associated with higher rates of PVSA completion in this retrospective cohort study.
UNASSIGNED: We performed a retrospective cohort study with historical control using medical records of all patients seen by a single provider for vasectomy consultation between October 2016 and June 2022. All patients who underwent vasectomy were included. Patients who underwent vasectomy prior to 05/01/2020 had PVSA specimen cup given at postoperative appointment two weeks following vasectomy, and those who underwent vasectomy after 05/01/2020 were given PVSA specimen cup at time of vasectomy. PVSA completion, demographic, and clinical outcomes data were collected. Logistic regressions were used to investigate associations between PVSA completion rates and timing of PVSA specimen cup provision.
UNASSIGNED: There were no significant differences among study cohorts across all patient demographics analyzed, including age, body mass index (BMI), age of primary partner, presence of children, and history of prior genitourinary infection. A total of 491 patients were seen for vasectomy consultation between October 2016 and June 2022; among these patients, 370 underwent vasectomy. Of these, 173 (46.8%) patients underwent vasectomy prior to 05/01/2020 and were given PVSA specimen cup at postoperative visit; 197 (53.2%) patients underwent vasectomy after 05/01/2020 and were given PVSA specimen cup at vasectomy. Providing PVSA specimen cup at time of vasectomy was associated with higher odds of PVSA completion than providing PVSA specimen cup at postoperative visit [62.4% vs. 49.7%; odds ratio (OR) =1.68; 95% confidence interval (CI): 1.11, 2.55]. Adjusting for all identified confounders excludes 35 (9.5%) patients without a primary partner and shows no statistically significant association in cup timing [adjusted OR (aOR) =1.53; 95% CI: 0.98, 2.39]. Adjusting for all identified confounders except age of primary partner revealed timing of specimen cup provision at time of vasectomy was associated with higher odds of PVSA completion (aOR =1.64; 95% CI: 1.08, 2.52).
UNASSIGNED: PVSA specimen cup provision at time of vasectomy versus at postoperative appointment is associated with higher rates of PVSA completion in this retrospective cohort study.
摘要：
■输精管结扎后精液分析（PVSA）完成率低，尽量减少额外的面对面访问的需要可能会提高合规性。我们假设在输精管结扎术时而不是在术后预约时提供PVSA标本杯可能与更高的PVSA完成率相关。
■我们在2016年10月至2022年6月期间，使用单一提供者进行输精管结扎术咨询的所有患者的病历，进行了一项具有历史对照的回顾性队列研究。包括所有接受输精管结扎术的患者。在2020年5月1日之前接受输精管切除术的患者在输精管切除术后两周的术后预约时给予PVSA标本杯，2020-05-01后进行输精管结扎术的患者在输精管结扎术时给予PVSA标本杯。PVSA完成,人口统计学,并收集临床结局数据.逻辑回归用于研究PVSA完成率与PVSA标本杯提供时间之间的关联。
■在所有患者人口统计学分析中，研究队列之间没有显着差异，包括年龄,体重指数（BMI），主要伴侣的年龄，儿童的存在，和既往泌尿生殖系统感染史。2016年10月至2022年6月期间，共有491例患者接受输精管结扎咨询；在这些患者中，370人接受了输精管切除术。其中,173例（46.8％）患者在2020年5月1日之前接受了输精管切除术，并在术后访视时给予了PVSA标本杯；197例（53.2％）患者在2020年5月1日之后接受了输精管切除术，并在输精管切除术时给予了PVSA标本杯。在输精管切除术时提供PVSA标本杯比在术后就诊时提供PVSA标本杯具有更高的PVSA完成几率[62.4％vs.49.7%；比值比（OR）=1.68；95%置信区间（CI）：1.11，2.55]。对所有确定的混杂因素进行调整排除了35例（9.5％）没有主要伴侣的患者，并且在杯赛时间上没有统计学上的显着关联[调整后的OR（aOR）=1.53；95％CI：0.98，2.39]。调整除主要伴侣年龄外的所有已确定的混杂因素，显示输精管结扎术时提供标本杯的时机与更高的PVSA完成几率相关（aOR=1.64；95％CI：1.08，2.52）。
■在这项回顾性队列研究中，在输精管结扎术时与在术后预约时提供的PVSA标本杯与更高的PVSA完成率相关。
■我们在2016年10月至2022年6月期间，使用单一提供者进行输精管结扎术咨询的所有患者的病历，进行了一项具有历史对照的回顾性队列研究。包括所有接受输精管结扎术的患者。在2020年5月1日之前接受输精管切除术的患者在输精管切除术后两周的术后预约时给予PVSA标本杯，2020-05-01后进行输精管结扎术的患者在输精管结扎术时给予PVSA标本杯。PVSA完成,人口统计学,并收集临床结局数据.逻辑回归用于研究PVSA完成率与PVSA标本杯提供时间之间的关联。
■在所有患者人口统计学分析中，研究队列之间没有显着差异，包括年龄,体重指数（BMI），主要伴侣的年龄，儿童的存在，和既往泌尿生殖系统感染史。2016年10月至2022年6月期间，共有491例患者接受输精管结扎咨询；在这些患者中，370人接受了输精管切除术。其中,173例（46.8％）患者在2020年5月1日之前接受了输精管切除术，并在术后访视时给予了PVSA标本杯；197例（53.2％）患者在2020年5月1日之后接受了输精管切除术，并在输精管切除术时给予了PVSA标本杯。在输精管切除术时提供PVSA标本杯比在术后就诊时提供PVSA标本杯具有更高的PVSA完成几率[62.4％vs.49.7%；比值比（OR）=1.68；95%置信区间（CI）：1.11，2.55]。对所有确定的混杂因素进行调整排除了35例（9.5％）没有主要伴侣的患者，并且在杯赛时间上没有统计学上的显着关联[调整后的OR（aOR）=1.53；95％CI：0.98，2.39]。调整除主要伴侣年龄外的所有已确定的混杂因素，显示输精管结扎术时提供标本杯的时机与更高的PVSA完成几率相关（aOR=1.64；95％CI：1.08，2.52）。
■在这项回顾性队列研究中，在输精管结扎术时与在术后预约时提供的PVSA标本杯与更高的PVSA完成率相关。
