Bibliographic record
Abstract
Introduction: Following the 2022 overturning of Roe v. Wade and gradual ease of COVID era restrictions, the rate of men seeking vasectomy has been reported higher.At the same time, post-vasectomy followup has historically been poor due to problems with patient compliance.In response, we developed and implemented a structured clinical pathway designed to improve efficiency, reduce unplanned clinic contact, and maximize followup adherence.This study aimed to evaluate the initial effectiveness of that pathway.Methods: We retrospectively reviewed patients who sought vasectomy consultation between May 2023 and December 2024.All procedures were performed by a single surgeon.Data collected included pathway completion, unplanned calls or visits (UPC), and responses to patient surveys regarding their own preparation, experience, and decision-making factors.Results: Of 364 men who presented for consultation, 241 (66%) underwent vasectomy and 190 (52%) completed the full clinical pathway.The most common reason for not proceeding with vasectomy was reconsideration of family planning (46%).Only 3% of respondents cited the supreme court decision as a factor in their choice, with just one individual identifying it as the primary reason for considering vasectomy.Among those who went through with vasectomy, 190 (78.8%) completed a post-vasectomy semen analysis, and 140 (58%) attended a followup visit.Most patients reported resolution of bruising or swelling within two weeks (92%), and 72% felt fully recovered within the same timeframe.UPC occurred in 13% of cases and was consistent throughout the study period.Nursing followup phone calls did not alter this rate.The most common reasons for UPCs included swelling, pain, and incision-or suture-related concerns.Conclusions: After initial review of the implemented pathway, UPC rates were consistent, and followup compliance was strong.Only 3% of NY men cited the supreme court decision was involved in their vasectomy interest.A surprising (34%) number of men did not proceed from vasectomy consultation to the procedure.Future work will address lowering UPC and increasing progression to vasectomy procedure.
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How this classification was reachedexpand
Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.002 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.000 | 0.000 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.001 |
| Insufficient payload (model declined to judge) | 0.001 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one teacher head, not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".