The Journal of Urology · 1990 · 45 citations · 11 references
MedicineSurgeryUrologyInfertilityReproductive HealthReproductive MedicineFemale InfertilityInfertility EvaluationMale InfertilitySemen AnalysisSperm Morphology AssessmentSperm Motility AssessmentAzoospermia DiagnosisMacroscopic Semen ExaminationNoncompliance AdjustmentNoncompliance BehaviorSemen Sample HandlingSperm Quality AbnormalitiesSperm Retrieval During Assisted ReproductionVasectomy Counseling
The records of 1,029 consecutive patients undergoing bilateral vasectomy were reviewed. Of the 1,029 patients 375 (36%) never returned postoperatively and the partners of 2 of these 375 later became pregnant. A total of 560 patients (54%) was followed until the recommended demonstration of azoospermia occurred on 2 consecutive occasions. There were 84 patients (8%) who did not return after the first demonstration of azoospermia, while 7 (1%) still had sperm in the semen at the last examination. Three other patients had persistent nonmotile sperm postoperatively; 2 of them underwent repeat vasectomy followed by azoospermia and 1 was placed in a special clearance category of sterility as described. We discuss practical and legal considerations regarding the management of noncompliant patients.
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Complications of Vasectomy: Review of 16,000 Patients
T. Philp, John Guillebaud, Daniel C. Budd · British Journal of Urology · 1984 · 124 citations