Does poor glycemic control influence your management of diabetic patients seeking vasectomy?

There is no "hard evidence" linking poor glycemic control to inferior vasectomy outcomes. That being said, I generally adhere to the rule that elective surgical cases should ideally be done with Hgb A1c levels under 8. As such, I will ask the patient if they can work with their endocrinologist or internist toward improving their control prior to this elective procedure. That being said, if this is not easily achievable for a given patient, the risk of adverse outcomes for this particular brief a...

It does not. Vasectomy is a very safe, low risk procedure. We do not check labs prior to vasectomy in general so to cancel for poor glycemic control really I think is unwarranted. I would use the consultation as an opportunity to encourage better control but would not refrain from scheduling.