{"doi":"10.5489/cuaj.9435","title":"Poster Session 9: Female Urology, Infertility, Best Practices","abstract":"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.","journal":"Canadian Urological Association Journal","year":2025,"id":576336,"datarank":0.0,"base_score":0.0,"endowment":0.0,"self_citation_contribution":0.0,"citation_network_contribution":0.0,"self_endowment_contribution":0.0,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":0,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":0.9676,"is_data_producer":false,"deposit_databanks":null,"is_oa":true,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":"2025-01-01","fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":1485259,"name":"Editor CUAJ","orcid":null,"position":0,"is_corresponding":true}],"reference_count":0,"raw_metadata":null,"created_at":"2026-07-19T02:57:56.636458Z","pmid":"41082771","pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}