Patient Portal Engagement Affects Post-Vasectomy Semen Analysis Completion.

OBJECTIVES: To identify factors that affect completion of post-vasectomy semen analysis (PVSA) in men receiving telehealth pre-vasectomy counseling. Telehealth visits have become increasingly common for pre-vasectomy consultations. Prior studies have shown that men prefer telehealth vasectomy consultations over in-person options. Post-vasectomy semen testing should be completed to confirm sterilization.

METHODS: Three-hundred and seventy-one men aged 19 and older who saw a single physician for a telehealth pre-vasectomy consultation and completed an in-office vasectomy were included in the study. Demographic information such as age, patient relationship status, and distance from the clinic were accessed via EMR. Patients were assessed based on their engagement with electronic pre-procedure instructions, and the primary outcome measured was completion of PVSA.

RESULTS: 45.6% of men completed a PVSA. There was no significant difference in completion of the PVSA between those who opened their electronic instructions before their vasectomy and those who did not (46.1% vs 44.4%, p=0.77). Of those who messaged the clinic for any reason at least once after their consultation, 62% completed their PVSA; 41% who did not contact the clinic completed the PVSA (p=0.0009).

CONCLUSIONS: While there was no difference in completion of PVSA in patients who opened their instructions vs. those who did not, patients with a higher level of engagement with the patient portals were more likely to complete their semen test. By understanding factors influencing patient compliance with post-vasectomy semen testing, healthcare professionals can develop targeted interventions to ensure safe and successful outcomes.