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 in...

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.