Annual Audit Information

Balance Street Practice

Vasectomy Audit

Dr P J H Trewin and Dr O P Barron

Failure of patient to respond to invitation to discuss procedure following GP referral:

1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010
No. of referrals (includes those on waiting lists) 353 341 375 381 312 280 240 198 170 154
No. of referrals (excludes those on waiting lists) 189 213 195 232 290 246 275 297 332 368 309 247 231 198 170 154
Failure to respond 33 26 44 39 45 36 31 47 45 47 51 69 52 44 28 27
% Failure to respond 18 12 23 17 16 15 11 16 14 12 16 25 22 22 16 18
Failure to attend after discussion and consent 20 10 9 5 11 7 6 12 16 8 12 2
% Failure to attend 8.2 4.7 3.3 1.7 3.3 1.9 2.3 4.2 8.5 4 7 1.3
No. of referrals unsuitable for operation 0 0 1 0 1 1 2 0 0 2 5 6
No. referred who default from operation 65 46 41 52 57 55 57 81 68 54 45 35
% of referrals who default from operation         22 18.6 14.9 17.5 17.2 15 18 29 29 27 26 23

Failure of patient to send in semen for analysis, after vasectomy:

1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010
No. of vasectomies 156 187 151 193 225 200 233 245 275 313 250 236 214 220 194 166
No. of semen defaults 9 17 30 45 45 33 6 5 4 6 9 10 10 6 6 7
% defaults 5.8 9 19.9 23.3 20 16.5 2.5 2 1.45 1.9 3.6 4.2 4.6 2.7 3.1 4.2

Number of patients who did not complete the vasectomy package:

1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010
Number of patients who did not complete the vasectomy package of discussion, consent, operation and semen analysis even after reminding letters.         110 79 47 57 60 61 68 91 78 60 51 42
% of total numbers of GP referrals         38 46 17 19 18 16.5 22 36.8 33.7 30 30 27.3

 

Heamatoma

> 2cm is regarded as significant

  None 2-5cm >5cm Total
No. % No. % No. %
1994 88 96.7 3 3.3 0 0 91
1995 150 96.2 5 3.2 1 0.6 156
1996 179 95.7 8 4.3 0 0 187
1997 142 94 5 3.3 4 2.7 151
1998 181 94.8 10 5.2 2 1 193
1999 200 89 24 10.9 1 0.1 225
2000 188 94 11 5.5 1 0.5 200
2001 214 91.8 17 7.2 2 0.8 233
2002 234 95.5 6 2.5 5 2 245
2003 260 94.5 12 4.36 3 1.09 275
2004 281 89.7 28 8.9 4 1.4 313
2005 234 93.6 14 5.6 2 0.8 250
2006 219 92.8 13 5.5 4 1.7 236
2007 203 93 10 5 4 2 214
2008 217 98 2 1 4 2 220
2009 190 98 3 1.5 1 0.5 194
2010 158 95.2 4 2.4 2 1.2 166
Total 3344 94 175 4.9 37 1.0 3556

Infection

Early infection up to and including 5 days post-op
Late infection is > 5 days

  None Early Infection Late Infection Declined 2nd procedure 2nd procedure Failure
  No. % No. % No. % No. No. No.

1994

 89 97.8 0 0 2 2.2 0 0 0

1995

 154 98.7 1 0.65 1 0.65 0 0 0

1996

 184 98.4 2 1 1 0.6 0 2 0

1997

 143 94.7 5 3.3 3 2 0 1 0

1998

 192 99.5 0 0 1 0.5 0 2 0

1999

 224 99.96 1 0.04 0 0 0 0 0

2000

 199 99.5 1 0.5 0 0 0 0 1

2001

 233 100 0 0 0 0 1 0 0

2002

 238 97.2 2 0.8 5 2 0 0 0

2003

 273 99.2 0 0 2 0.8 1 1 (hospital) 1

2004

 313 100 0 0 0 0 1 0 1

2005

 250 100 0 0 0 0 0 3 1

2006

 234 99.2 1 0.4 1 0.4 0 1 0

2007

 213 99.1 1 0.5 0 0 3 0 0

2008

 218 99 1 0.5 1 0.5 0 2 0

2009

 194 100 0 0 0 0 0 1 0

2010

 164 98.8 1 0.6 1 0.6 0 1 0
Total 3515 98.8 16 0.5 18 0.5 10 17 7