ArticleTranslational andrology and urology2026
Vasectomy in Israel: motivations, satisfaction, regret, and healthcare counseling.
Article in Translational andrology and urology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: Vasectomy is a simple, safe, and intended permanent surgical procedure for male contraception, yet its utilization in Israel remains low. This study aimed to characterize the demographic profile, motivations, decision-making process, satisfaction, and postoperative outcomes among Israeli men undergoing no-scalpel vasectomy. Methods: A 14-item questionnaire was administered to men undergoing no-scalpel vasectomy at Assuta Medical Centre, Haifa, assessing demographics, decision-making, consultation, concerns, symptoms, satisfaction, and regret. Results: Of 55 invited patients, 35 (63.6%) completed the questionnaire. Most were married (65.7%) with two or three children; educational attainment was predominantly bachelor's degree (34.3%) or master's degree and above (28.6%); and 54.3% were employed in technology/high‑tech sectors. Primary motivations included avoidance of female contraceptive methods (80.0%), desire for permanent contraception (65.7%), procedural simplicity and safety (42.9%), and high efficacy (37.1%). Discussion initiation was by the male partner in 54.2% of cases, jointly in 22.9%, and by the female partner in 22.9%. Only 37.1% consulted a physician preoperatively, and few received a recommendation to proceed. Postoperatively, 60.0% reported mild symptoms (most commonly testicular discomfort); 48.6% resumed routine activities within three days and 40.0% resumed sexual activity within one to two weeks. Overall satisfaction was high-91.4% reported complete or general satisfaction; 100% reported no regret; and 91.4% would recommend vasectomy to others. Conclusions: Among Israeli men undergoing no-scalpel vasectomy, satisfaction was high (91.4%) with no regret. Partner involvement facilitates couple-centered counseling. However, the low rate of preoperative counseling and the limited provision of proactive referrals may reflect provider-level gaps when compared with Western primary care systems. Standardized, multidisciplinary, primary-care-anchored counseling on risks, irreversibility, and psychosocial factors may reduce anxiety and enhance informed decision-making.
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