Vasectomy Clinical Protocol Templates

Released: 08/27/2024

These vasectomy service templates are intended to assist sexual and reproductive health/family planning providers develop or update local, service site-specific protocols for:

  • Pre-Operative Vasectomy Services
  • Vasectomy Surgical Procedure
  • Post Vasectomy Semen Analysis (PVSA)

Instructions are provided within the template so local agencies can fully customize their organization's protocol. Local agencies should only include information that reflects their own organization’s current practices.

University of Missouri – Kansas City
School of Nursing & Health Sciences
2464 Charlotte St.
Kansas City, MO 64108
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Supported by the Department of Health and Human Services / Office of Population Affairs / Office of Family Planning Grant #1 FPTPA006031-01-00.

CTC-SRH is supported by the office of Population Affairs of the U.S. Department of Health and Human Services. The information presented does not necessarily represent the views of OPA, OASH, or DHHS
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