title: Patient noncompliance after vasectomy.
abstract: OBJECTIVE
  To determine the postoperative instruction compliance rate in men undergoing bilateral vasectomy.
  
  
  METHODS
  Retrospective chart review.
  
  
  METHODS
  Private practice urological office.
  
  
  METHODS
  The records of all patients undergoing vasectomy were reviewed to determine the rate of compliance with postvasectomy follow-up instructions. It is our policy to have the patient continue to use some form of birth control until he achieves two consecutive negative semen analyses 1 month apart. In addition, we recommend a yearly semen analysis after achieving sterility to screen for the rare patient who recanalizes. Postvasectomy follow-up instructions are given to the patient both verbally and in writing.
  
  
  METHODS
  None.
  
  
  METHODS
  The records of 1,892 consecutive patients undergoing vasectomy were reviewed, and the results of semen analyses were noted to determine the rate of compliance with postvasectomy follow-up instructions.
  
  
  RESULTS
  Six hundred forty-four men (34%) never returned after vasectomy and, therefore, no semen analyses were available for examination. Six hundred nineteen men (33%) returned for a single semen analysis. Six hundred twenty-nine men (33%) returned for a second negative semen analysis. Only 60 men (3%) completed postvasectomy follow-up instructions and returned for a yearly semen analysis.
  
  
  CONCLUSIONS
  The rate of compliance with postvasectomy follow-up instructions for determining sterility is poor.
authors.affiliation: Michigan Urological Clinic, Grand Rapids, USA.
authors.forename: T J
authors.initials: TJ
authors.lastname: Maatman
authors.forename: L
authors.initials: L
authors.lastname: Aldrin
authors.forename: G G
authors.initials: GG
authors.lastname: Carothers
mesh_terms: D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D010349:Patient Compliance; D011247:Pregnancy; D012189:Retrospective Studies; D014659:Vasectomy