Patient Factors Influencing Decision to Undergo Vasectomy Reversal

Abstract

IntroductionVasectomy reversal is one of the options for children following a vasectomy. While previous reports have demonstrated this as a cost-effective procedure, barriers continue to exist preventing some couples from utilizing this method. This study’s goal was to determine factors that influence patients’ decision to undergo vasectomy reversal (VR) as well as identify possible barriers. MethodsA review was conducted of 398 patients who were seen for consultation regarding vasectomy reversal between January 2006 and January 2016. Patients were contacted via mail and asked to fill out an anonymous survey. Medical records of patients who returned surveys were reviewed and de-identified data accrued in our data set. Patient demographics, socioeconomic data, family composition, and patient-identified barriers to VR were characterized. Data was analyzed with standard comparative and descriptive statistical analysis. ResultsOverall, 30.9% of patients responded to the survey and subsequently underwent chart review. Patient demographics were similar for individuals who did and did not undergo VR. The most common reason for initial consultation was both patient and partner’s desire for children (74.0%). The most commonly identified barrier to VR was cost (53.7%) followed by concern about success rate (31.7%). Patients who underwent VR more often had an income greater than $100,000 per year as compared to those who did not undergo VR (50.5% v. 21.9%, p=0.004). Individuals who did not undergo VR more often had a new partner since vasectomy (87.5% v. 70.3%, p=0.05) and were unmarried (28.1% v. 8.8%, p=0.02). ConclusionsThe most common reason for presentation for VR is a joint desire for children. The largest barrier to VR was cost. Individuals with lower incomes, a new partner, and unmarried status were less likely to undergo VR.