PD09-09 PREDICTORS OF MALE FACTOR INFERTILITY MANAGEMENT BY REPRODUCTIVE ENDOCRINOLOGIST VERSUS REFERRAL TO A NEARBY UROLOGIST

Abstract

You have accessJournal of UrologyCME1 May 2022PD09-09 PREDICTORS OF MALE FACTOR INFERTILITY MANAGEMENT BY REPRODUCTIVE ENDOCRINOLOGIST VERSUS REFERRAL TO A NEARBY UROLOGIST Julie Shabto, Dattatraya Patil, Katherine Poulose, Mackenzie Bennett, Angel Xiao, Heather Hipp, Jennifer Kawwass, and Akanksha Mehta Julie ShabtoJulie Shabto More articles by this author , Dattatraya PatilDattatraya Patil More articles by this author , Katherine PouloseKatherine Poulose More articles by this author , Mackenzie BennettMackenzie Bennett More articles by this author , Angel XiaoAngel Xiao More articles by this author , Heather HippHeather Hipp More articles by this author , Jennifer KawwassJennifer Kawwass More articles by this author , and Akanksha MehtaAkanksha Mehta More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000002535.09AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: The AUA/ASRM male infertility guideline recommends urologic evaluation for all subfertile men. Our study evaluates fertility clinic management of male factor infertility, including referral for urologic care. METHODS: Using 2015-2018 CDC Fertility Clinic Success Rates Reports, we identified 480 operative U.S. fertility clinics. We systematically reviewed clinic websites for content regarding male infertility and performed structured phone interviews of clinic staff to determine clinic-specific practices in managing male infertility. Multivariable logistic regression was used to investigate factors that predicted primary management of male factor infertility by the REI, as compared to referral to an outside urologist for medical and/or surgical management of male infertility. Factors considered included: geographic region, practice size, practice setting, in-state andrology fellowship, state-mandated fertility coverage, annual in vitro fertilization (IVF) cycles, and percentage of IVF cycles for male factor infertility. RESULTS: The analysis included data collected from 477 fertility clinics. Ninety-two clinics had REIs manage male partner’s treatment with medication (n=89) or surgical sperm retrieval (n=30). Clinics that were academically affiliated, had embryo laboratory accreditation and those that referred patients to a urologist were less likely to have REIs manage male infertility (Table 1). Larger practice size, academic affiliation and website discussion of surgical sperm retrieval predicted referral to a urologist within 5 miles (Table 2). CONCLUSIONS: Private practice setting, lack of embryo laboratory accreditation and lack of urologic referral predicted REI management of male infertility. Academic affiliation, larger practice, and website educational content predicted referral to a nearby urologist. Source of Funding: None © 2022 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 207Issue Supplement 5May 2022Page: e180 Advertisement Copyright & Permissions© 2022 by American Urological Association Education and Research, Inc.MetricsAuthor Information Julie Shabto More articles by this author Dattatraya Patil More articles by this author Katherine Poulose More articles by this author Mackenzie Bennett More articles by this author Angel Xiao More articles by this author Heather Hipp More articles by this author Jennifer Kawwass More articles by this author Akanksha Mehta More articles by this author Expand All Advertisement PDF DownloadLoading ...