Definition of a European pre-vasectomy scoring system to identify patients at risk of vasectomy regret
Year: 2024
Type: article
Study design: Observational Study
Abstract: Introduction: Vasectomy is a widely used, safe, effective method of permanent contraception and contributes to healthy sexuality. Aims: We have conducted a 3-step observational clinical study to develop a vasectomy regret risk score and guide patients and clinicians when discussing a vasectomy. Methods: A 3-step approach has been followed. First, experts involved in male health have proposed risk factors for regret (remorse) after vasectomy, defined by a vasectomy reversal surgery or medically assisted reproduction. The selected factors were evaluated in 1200 patients vasectomized in the last 15 years. Finally, the expert panel has constructed a score for predicting regret after vasectomy. Results: Fifty-two international experts identified 17 risk factors for vasectomy regret. Five of the risk factors were significant: an age <35 years old, a high Barrat Impulsivity Score, a low level of education, and a patient who didn't understand that the vasectomy might not be reversible or for whom the contraception responsibility is ideally feminine, or no responsible partner. On multivariate analysis, 3 risk factors and 2 "sine qua non" conditions were used to build the decision algorithm. A risk score ≥ 4 required information on sperm cryopreservation before vasectomy, and those with a risk score ≥ 7 required extra time for reflection. The scoring system was proposed to 52 international experts and accepted with 86.7% strongly agreeing. The model's sensitivity and specificity were 0.98 and 0.53, respectively. Conclusion: " conditions.
Source: Sexual Medicine
Authors: Amandine Degraeve, Lorenzo Tosco, Bertrand Tombal, Thierry Roumeguere, Jeanne Beirnaert, Robin Hamal, Céline Bugli, Marco Cosentino, Lee Wai Gin (Don), Marta Skrodzka, Maarten Albersen, Koenraad van Renterghem, Maxime Sempels, David Penning, Mikkel Fode, Antoine Faix, Marjan Waterloos, Borja Garcia Gomez, Damien Carnicelli, Jean-Pierre Graziana, Afonso Morgado, Kathleen D’Hauwers, Ege Serefoglu, Celeste Manfredi, Emmanuel Weyne, Jack Beck, Daniar Osmonov, Chris Roller, Ludovic Ferreti, Giogio Russo, Faysal A Yafi, Beatrice Cuzin, François-Xavier Madec, Geoffroy Vanoverschelde, François Hervé, Eric Chung, Ulla Nordström, Andrea Cocci, Rawad Abou Zahr, François Triffaux, Minhas Suks, Hussain Alnajjar, Julien Van Damme, Sam Ward
Institutions: Cliniques Universitaires Saint-Luc, UCLouvain, Université Libre de Bruxelles, Erasmus Hospital, University College Hospital, University College London Hospitals NHS Foundation Trust, University College London, St George's Hospital, St George's, University of London, Universitair Ziekenhuis Leuven, Jessa Hospital, Centre Hospitalier Universitaire de Liège, Herlev Hospital, Copenhagen University Hospital, Gentofte Hospital, Clinique du Millénaire, AZ Maria Middelares, Hospital Universitario 12 De Octubre, Hôpital Lyon Sud, Radboud University Nijmegen, Radboud University Medical Center, Biruni University, University of Campania "Luigi Vanvitelli", AZ Sint-Blasius, St. Antonius Ziekenhuis, University Hospital Schleswig-Holstein, Maison de Sante Protestante de Bordeaux-Bagatelle, University of Catania, University of California, Irvine, Hôpital Edouard Herriot, Inserm, Handicap neuromusculaire : Physiopathologie, Biothérapie et Pharmacologie appliquées, Hôpital Foch, Clinique Saint Jean, Ghent University Hospital, The University of Queensland, Princess Alexandra Hospital, Roskilde Sygehus, Rigshospitalet, Azienda Ospedaliero-Universitaria Careggi, University of Florence, Imperial College Healthcare NHS Trust, Imperial College London
Language: English
Subfield: General Health Professions
Field: Health Professions
Domain: Health Sciences
Open Access status: gold
Estimated APC paid: $2,888
OpenAlex ID: W4406744850