Table of contents



Key sources

The following summarized guidelines for the management of vasectomy are prepared by our editorial team based on guidelines from the European Association of Urology (EAU 2024,2012), the American Urological Association (AUA/ASRM 2021), the Canadian Urological Association (CUA 2016), and the American Urological Association (AUA 2012). ...
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Perioperative care

Antimicrobial prophylaxis: as per AUA 2012 guidelines, avoid administering antimicrobial prophylaxis for routine vasectomy unless the patient presents a high risk of infection.
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Surgical interventions

Contraindications: as per EAU 2012 guidelines, recognize the possible relative contraindications to vasectomy:
age of < 30 years
not having children
no current relationship
scrotal pain
severe illness.

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  • Anesthesia

  • Surgical technique

Patient education

Preoperative counseling: as per EAU 2024 guidelines, counsel patients before vasectomy about the risk of post-vasectomy pain.

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  • Postoperative counseling

Follow-up and surveillance

Post-vasectomy SA: as per CUA 2016 guidelines, obtain post-vasectomy SA 3 months after vasectomy.
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  • Patients with vasectomy failure

  • Conception after vasectomy