Abstract Introduction Vasectomy is a highly effective, minimally invasive, and permanent contraceptive method for men. Objective This study aimed to describe the demographics, semen analysis outcomes, regret rate and the adherence to follow up of a cohort of men with no children undergoing vasectomy. Methods This retrospective study evaluated 117 sexually active men undergoing vasectomy between 2016 and 2024 at a single tertiary-referral center in Barcelona, Spain. Baseline data, including age, BMI, relationship status, contraceptive methods used, follow up semen analysis, complications, re-vasectomy, testicular sperm extraction (TESE), regret rate and post-surgery pain were collected. Descriptive statistics was used to analyze the entire cohort. Results The median age was 41 years (IQR 37-45) with a median BMI of 26 (IQR 20-32). Among them, 38 (32.4%) were not in a relationship, while 79 (67.6%) were in a relationship. Contraceptive methods were distributed as follows: 52 men (44.4%) didn’t use contraceptive methods. 65 (55.6%) used contraceptive methods. Of them, 45 (69.2%) condom, 13 (20%) oral anticontraceptives, 6 (9.2%) intrauterine disposables, and 1 (1.6%) injectable anticontraceptive. In the first semen analysis, 102 patients (87.1%) were azoospermic, 2 (1.7%) had still spermatozoa and 13 (11.2%) did not show at the follow up. At the second assessment of the 15 patients, the 2 patients (13.3%) with spermatozoa at the previous control, achieved azoospermia and 13 (86.7%) again did not show at the analysis. Moreover, 0 patients reported regret with the procedure; no complications, re-vasectomies or TESEs were observed and no chronic pain was reported at follow-up. Conclusions Vasectomy can be considered a safe and effective procedure, with early azoospermia observed in most patients and no recorded early or late complications. 11% of these patients did not show at the post-vasectomy semen analysis. In this cohort of childless men who received structured preoperative counselling, none expressed post procedure regret, underscoring the value of thorough decision support in electing permanent contraception, and should be considered an option in men that don’t want to have children. Disclosure No
Raffo et al. (Mon,) studied this question.