MP19-13 NO DETECTABLE ASSOCIATION BETWEEN VIRTUAL SETTING FOR VASECTOMY CONSULTATION AND VASECTOMY COMPLETION RATE

Abstract

You have accessJournal of UrologyCME1 Apr 2023MP19-13 NO DETECTABLE ASSOCIATION BETWEEN VIRTUAL SETTING FOR VASECTOMY CONSULTATION AND VASECTOMY COMPLETION RATE Ari Bernstein, Hunter Hernandez, Ethan Zhu, Bryce Saba, Eli Rapoport, and Bobby Najari Ari BernsteinAri Bernstein More articles by this author , Hunter HernandezHunter Hernandez More articles by this author , Ethan ZhuEthan Zhu More articles by this author , Bryce SabaBryce Saba More articles by this author , Eli RapoportEli Rapoport More articles by this author , and Bobby NajariBobby Najari More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000003244.13AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: The COVID-19 pandemic has fueled widespread incorporation of telehealth into Urology practices. Vasectomy consultation via telehealth is convenient and improves access to care for male contraception. However, it does not allow for physical examination, inherently leading to possible day-of-procedure cancellations due to unforeseen anatomic concerns. This study aimed to compare vasectomy completion rates between patients undergoing virtual versus in-person consultation. METHODS: All patients seen by a single provider at NYU Langone Health for vasectomy consultation between October 2016 and June 2022 were included in the study. Most patients seen before March 2020 had in-person consultations, whereas the majority of patients seen afterwards had virtual consultations due to the emergence of COVID-19. All patients seen virtually were examined in a consult room prior to being prepped for the vasectomy in the procedure room. Visit type, demographic information, and clinical outcomes data were collected for all patients. A chi-squared test was used to compare the rate of vasectomy completion between those with in-person and virtual consultation. Analysis was performed using R, version 4.0.5. RESULTS: 491 patients were seen by a single provider for vasectomy consultation between October 2016 and June 2022. 197 (40.1%) consultations were performed virtually and 294 (59.9%) consultations were performed in-person. 370 (75.4%) of all patients seen for consultation (both virtual and in-person) ultimately underwent vasectomy. There was no evidence of difference in rate of completing vasectomy after virtual (75.6%) and in-person (75.2%) consultation (p=.91). Two of the 197 (1%) patients who consulted virtually had their vasectomy procedures cancelled on the day of the procedure based on their pre-operative exam; one because of abnormal epididymal sensitivity after prior scrotal infection, the other because of a history of orchiopexy that the patient was not aware of until the surgeon started inquiring about scrotal scars present. CONCLUSIONS: Despite the lack of physical examination, virtual vasectomy consultation is both feasible and effective, with rates of vasectomy completion comparable to traditional in-person consultation. Source of Funding: None © 2023 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 209Issue Supplement 4April 2023Page: e270 Advertisement Copyright & Permissions© 2023 by American Urological Association Education and Research, Inc.MetricsAuthor Information Ari Bernstein More articles by this author Hunter Hernandez More articles by this author Ethan Zhu More articles by this author Bryce Saba More articles by this author Eli Rapoport More articles by this author Bobby Najari More articles by this author Expand All Advertisement PDF downloadLoading ...