Pd40-02 Change in Vasectomy Practice Patterns Post-Dobbs: A Multi-Institutional Study

You have accessJournal of UrologyHealth Services Research: Practice Patterns, Quality of Life and Shared Decision Making III (PD40)1 May 2024PD40-02 CHANGE IN VASECTOMY PRACTICE PATTERNS POST-DOBBS: A MULTI-INSTITUTIONAL STUDY Rutul D. Patel, Justin Loloi, Reza Kianian, Juan J. Andino, Dattatraya Patil, Akansha Mehta, Peter Dietrich, Jay Sandlow, Susan M. MacDonald, Crystal L. Valadon, Ajay K. Nangia, Avi Sura, Robert C. Weliver, and Kara Watts Rutul D. PatelRutul D. Patel , Justin LoloiJustin Loloi , Reza KianianReza Kianian , Juan J. AndinoJuan J. Andino , Dattatraya PatilDattatraya Patil , Akansha MehtaAkansha Mehta , Peter DietrichPeter Dietrich , Jay SandlowJay Sandlow , Susan M. MacDonaldSusan M. MacDonald , Crystal L. ValadonCrystal L. Valadon , Ajay K. NangiaAjay K. Nangia , Avi SuraAvi Sura , Robert C. WeliverRobert C. Weliver , and Kara WattsKara Watts View All Author Informationhttps://doi.org/10.1097/01.JU.0001009356.04608.d5.02AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Following the Dobbs decision that overruled Roe vs. Wade, public interest in vasectomies has significantly increased, as evidenced by a dramatic increase in internet search for 'vasectomy.' This impact on practice patterns remains to be investigated. We conducted a multi-institutional study evaluating the change in volume of vasectomy consultations and procedures pre- versus post-Roe Vs. Wade. METHODS: 6 geographically distinct US academic medical centers participated in the study. Patients with initial vasectomy consults between 1/1/21 and 12/31/22 were screened and those with subsequent vasectomy procedures were included. Patients were categorized based on vasectomy consult being Pre-Dobbs (1/1/21–6/24/22) or Post-Dobbs (6/25/22–12/31/22). Dates of subsequent vasectomy and demographic information, including race/ethnicity, preferred language, relationship status, insurance payer, number of children, and distance-to-care were analyzed Pre- and Post-Dobbs groups using z-test. RESULTS: Between 1/1/21–12/31/22, there were 3879 initial vasectomy consults, of which 3284 had subsequent vasectomies (2425 Pre-Dobbs (134 cases per month) vs. 859 Post-Dobbs (143 cases per month)) (Table 1). Compared to the Pre-Dobbs group, men in the Post-Dobbs group were more likely to be younger (median age 38 years vs. 39, p<0.001), non-Hispanic white (68% vs. 63%, p=0.005), English-speaking (94% vs. 90%, p=0.005), have private insurance (93% vs. 87%, p=0.001), and have had an in-office consult (93% vs. 89%, p=0.005). Married men in the Post-Dobbs group were more likely to be childless (11% vs. 5%, p=0.001), as were single men (36% vs. 21%, p=0.003). The Post-Dobbs group also had fewer children (median number 2 1-2 vs. 22-3, p=0.003) and had a longer median wait between initial consult and vasectomy (59 days vs. 51, p<0.001). CONCLUSIONS: The Dobbs decision has not only affected vasectomy volume nationwide but has also impacted the type of patient seeking a vasectomy. In the Post-Dobbs era, men opting for vasectomies are not only younger than before, but more likely to be childless. Furthermore, the increased volume also had increased the wait time between initial consult and procedure. Urologists may need to adjust practice patterns to accommodate the volume as well as educate the new prototypical vasectomy candidate. Source of Funding: N/A © 2024 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 211Issue 5SMay 2024Page: e819 Advertisement Copyright & Permissions© 2024 by American Urological Association Education and Research, Inc.Metrics Author Information Rutul D. Patel More articles by this author Justin Loloi More articles by this author Reza Kianian More articles by this author Juan J. Andino More articles by this author Dattatraya Patil More articles by this author Akansha Mehta More articles by this author Peter Dietrich More articles by this author Jay Sandlow More articles by this author Susan M. MacDonald More articles by this author Crystal L. Valadon More articles by this author Ajay K. Nangia More articles by this author Avi Sura More articles by this author Robert C. Weliver More articles by this author Kara Watts More articles by this author Expand All Advertisement PDF downloadLoading ...