Requests for Vasectomy: Counselling and Consent

Abstract

Bilateral vasectomy is a safe and effective method of male sterilization. In the UK around 23% of couples of reproductive age choose vasectomy as their method of contraception and clinicians who care for and counsel these couples must be aware of their legal and moral responsibilities. Vasectomy is the urological operation that most commonly results in litigation. In counselling several steps are necessary before valid consent can be obtained. The process should encompass the following: An assessment of the patients contraceptive needs and discussion of alternative methods. A general discussion of the surgical technique tailored to the individual. A frank and honest discussion of the risks and specific complications associated with vasectomy. As with any medical intervention only patients of sound mind and capable of understanding these issues are able to give valid consent. This article focuses predominantly on the consent process and risks associated with vasectomy then outlines some additional issues of interest to clinicians involved in management of vasectomy patients. (excerpt)