Post-vasectomy semen analysis: Optimizing laboratory procedures and test interpretation through a clinical audit and global survey of practices

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dc.authorid0000-0002-6308-1763
dc.authorid0000-0002-9976-9666
dc.contributor.authorAgarwal, Ashok
dc.contributor.authorGupta, Sajal
dc.contributor.authorSharma, Rakesh K.
dc.contributor.authorFinelli, Renata
dc.contributor.authorKuroda, Shinnosuke
dc.contributor.authorVij, Sarah C.
dc.contributor.authorBoitrelle, Florence
dc.contributor.authorKavoussi, Parviz
dc.contributor.authorRambhatla, Amarnath
dc.contributor.authorSaleh, Ramadan
dc.contributor.authorChung, Eric
dc.contributor.authorMostafa, Taymour
dc.contributor.authorZini, Armand
dc.contributor.authorKo, Edmund
dc.contributor.authorParekh, Neel
dc.contributor.authorMartinez, Marlon
dc.contributor.authorArafa, Mohamed
dc.contributor.authorTadros, Nicholas
dc.contributor.authorRosette, Jean de la
dc.contributor.authorLe, Tan V.
dc.contributor.authorRajmil, Osvaldo
dc.contributor.authorKandil, Hussein
dc.contributor.authorBlecher, Gideon
dc.contributor.authorLiguor, Giovanni
dc.contributor.authorCaroppo, Ettore
dc.contributor.authorHo, Christopher C.K.
dc.contributor.authorAltman, Andrew
dc.contributor.authorBajic, Petar
dc.contributor.authorGoldfarb, David
dc.contributor.authorGill, Bradley
dc.contributor.authorZylbersztejn, Daniel Suslik
dc.contributor.authorMolina, Juan Manuel Corral
dc.contributor.authorGava, Marcello M.
dc.contributor.authorCardoso, Joao Paulo Greco
dc.contributor.authorKosgi, Raghavender
dc.contributor.authorÇeker, Gökhan
dc.contributor.authorZilaitiene, Birute
dc.contributor.authorPescatori, Edoardo
dc.contributor.authorBorges Jr, Edson
dc.contributor.authorDuarsa, Gede Wirya Kusuma
dc.contributor.authorPinggera, Germar-Michael
dc.contributor.authorBusetto, Gian Maria
dc.contributor.authorBalercia, Giancarlo
dc.contributor.authorFranco, Giorgio
dc.contributor.authorÇalik, Gökhan
dc.contributor.authorSallam, Hassan N.
dc.contributor.authorPark, Hyun Jun
dc.contributor.authorRamsay, Jonathan
dc.contributor.authorAlvarez, Juan
dc.contributor.authorKhalafalla, Kareim
dc.contributor.authorBowa, Kasonde
dc.contributor.authorHakim, Lukman
dc.contributor.authorSimopoulou, Mara
dc.contributor.authorRodriguez, Marcelo Gabriel
dc.contributor.authorSabbaghian, Marjan
dc.contributor.authorElbardisi, Haitham
dc.contributor.authorTimpano, Massimiliano
dc.contributor.authorAltan, Mesut
dc.contributor.authorElkhouly, Mohamed
dc.contributor.authorAl-Marhoon, Mohamed S.
dc.contributor.authorGilani, Mohammad Ali Sadighi
dc.contributor.authorSoebadi, Mohammad Ayodhia
dc.contributor.authorNasr-Esfahani, Mohammad Hossein
dc.contributor.authorGarrido, Nicolas
dc.contributor.authorVogiatzi, Paraskevi
dc.contributor.authorBirowo, Ponco
dc.contributor.authorPatel, Premal
dc.contributor.authorJaved, Qaisar
dc.contributor.authorAmbar, Rafael F.
dc.contributor.authorAdriansjah, Ricky
dc.contributor.authorAlSaid, Sami
dc.contributor.authorMicic, Sava
dc.contributor.authorLewis, Sheena E.
dc.contributor.authorMutambirwa, Shingai
dc.contributor.authorFukuhara, Shinichiro
dc.contributor.authorParekattil, Sijo
dc.contributor.authorAhn, Sun Tae
dc.contributor.authorJinda, Sunil
dc.contributor.authorTakeshima, Teppei
dc.contributor.authorPuigvert, Ana
dc.contributor.authorAmano, Toshiyasu
dc.contributor.authorBarrett, Trenton
dc.contributor.authorToprak, Tuncay
dc.contributor.authorMalhotra, Vineet
dc.contributor.authorAtmoko, Widi
dc.contributor.authorYumura, Yasushi
dc.contributor.authorMorimoto, Yoshiharu
dc.contributor.authorLima, Thiago Fernandes Negris
dc.contributor.authorKunz, Yannic
dc.contributor.authorKato, Yuki
dc.contributor.authorUmemoto, Yukihiro
dc.contributor.authorColpi, Giovanni M.
dc.contributor.authorDurairajanayagam, Damayanthi
dc.contributor.authorShah, Rupin
dc.date.accessioned2022-03-02T08:53:49Z
dc.date.available2022-03-02T08:53:49Z
dc.date.issued2022
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Üroloji Ana Bilim Dalı
dc.description.abstractPurpose: The success of vasectomy is determined by the outcome of a post-vasectomy semen analysis (PVSA). This article describes a step-by-step procedure to perform PVSA accurately, report data from patients who underwent post vasectomy semen analysis between 2015 and 2021 experience, along with results from an international online survey on clinical practice. Materials and Methods: We present a detailed step-by-step protocol for performing and interpretating PVSA testing, along with recommendations for proficiency testing, competency assessment for performing PVSA, and clinical and laboratory scenarios. Moreover, we conducted an analysis of 1,114 PVSA performed at the Cleveland Clinic’s Andrology Laboratory and an online survey to understand clinician responses to the PVSA results in various countries. Results: Results from our clinical experience showed that 92.1% of patients passed PVSA, with 7.9% being further tested. A total of 78 experts from 19 countries participated in the survey, and the majority reported to use time from vasectomy rather than the number of ejaculations as criterion to request PVSA. A high percentage of responders reported permitting unprotected intercourse only if PVSA samples show azoospermia while, in the presence of few non-motile sperm, the majority of responders suggested using alternative contraception, followed by another PVSA. In the presence of motile sperm, the majority of participants asked for further PVSA testing. Repeat vasectomy was mainly recommended if motile sperm were observed after multiple PVSA’s. A large percentage reported to recommend a second PVSA due to the possibility of legal actions. Conclusions: Our results highlighted varying clinical practices around the globe, with controversy over the significance of non-motile sperm in the PVSA sample. Our data suggest that less stringent AUA guidelines would help improve test compliance. A large longitudinal multi-center study would clarify various doubts related to timing and interpretation of PVSA and would also help us to understand, and perhaps predict, recanalization and the potential for future failure of a vasectomy.
dc.description.sponsorshipAmerican Center for Reproductive Medicineen_US
dc.identifier.citationAgarwal, A., Gupta, S., Sharma, R. K., Finelli, R., Kuroda, S., Vij, S. C. ... Shah, R. (2022). Post-vasectomy semen analysis: Optimizing laboratory procedures and test interpretation through a clinical audit and global survey of practices. The World Journal of Men's Health, 40. https://dx.doi.org/10.5534/wjmh.210191
dc.identifier.doi10.5534/wjmh.210191
dc.identifier.issn2287-4208
dc.identifier.issn2287-4690
dc.identifier.pmid35021311
dc.identifier.scopus2-s2.0-85124290879
dc.identifier.scopusqualityQ1
dc.identifier.urihttps://dx.doi.org/10.5534/wjmh.210191
dc.identifier.urihttps://hdl.handle.net/20.500.12511/9063
dc.identifier.volume40
dc.identifier.wos000748811500001en_US
dc.identifier.wosqualityQ1
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.institutionauthorRosette, Jean de la
dc.institutionauthorÇalık, Gökhan
dc.language.isoen
dc.publisherPusan National University's Medical School
dc.relation.ispartofWorld Journal of Men's Healthen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsAttribution-NonCommercial 4.0 International*
dc.rightsinfo:eu-repo/semantics/openAccess
dc.rights.urihttps://creativecommons.org/licenses/by-nc/4.0/*
dc.subjectMale Contraception
dc.subjectSemen
dc.subjectSperm
dc.subjectSurvey
dc.subjectVasectomy
dc.titlePost-vasectomy semen analysis: Optimizing laboratory procedures and test interpretation through a clinical audit and global survey of practices
dc.typeArticle

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