Poster Session 9: Female Urology, Infertility, Best Practices

Introduction: Following the 2022 overturning of Roe v. Wade and gradual ease of COVID era restrictions, the rate of men seeking vasectomy has been reported higher.At the same time, post-vasectomy followup has historically been poor due to problems with patient compliance.In response, we developed and implemented a structured clinical pathway designed to improve efficiency, reduce unplanned clinic contact, and maximize followup adherence.This study aimed to evaluate the initial effectiveness of that pathway.Methods: We retrospectively reviewed patients who sought vasectomy consultation between May 2023 and December 2024.All procedures were performed by a single surgeon.Data collected included pathway completion, unplanned calls or visits (UPC), and responses to patient surveys regarding their own preparation, experience, and decision-making factors.Results: Of 364 men who presented for consultation, 241 (66%) underwent vasectomy and 190 (52%) completed the full clinical pathway.The most common reason for not proceeding with vasectomy was reconsideration of family planning (46%).Only 3% of respondents cited the supreme court decision as a factor in their choice, with just one individual identifying it as the primary reason for considering vasectomy.Among those who went through with vasectomy, 190 (78.8%) completed a post-vasectomy semen analysis, and 140 (58%) attended a followup visit.Most patients reported resolution of bruising or swelling within two weeks (92%), and 72% felt fully recovered within the same timeframe.UPC occurred in 13% of cases and was consistent throughout the study period.Nursing followup phone calls did not alter this rate.The most common reasons for UPCs included swelling, pain, and incision-or suture-related concerns.Conclusions: After initial review of the implemented pathway, UPC rates were consistent, and followup compliance was strong.Only 3% of NY men cited the supreme court decision was involved in their vasectomy interest.A surprising (34%) number of men did not proceed from vasectomy consultation to the procedure.Future work will address lowering UPC and increasing progression to vasectomy procedure.