Introduction: After the overturning of Roe v. Wade, a significant increase in public internet searches for vasectomies was reported. We present preliminary results from a multi-institutional study investigating the change in vasectomy consultations and procedures following the reversal of Roe v. Wade. Methods: Ten geographically distinct U.S. academic medical centers participated. Number of vasectomy consults and procedures 3 months post-Roe (06/26/22 – 09/25/22) were compared to 3 months pre-Roe (03/25/22 – 06/25/22). Data was collected for the same time periods in 2021 to serve as a control. Percent change in vasectomy consults and procedures pre-Roe vs. post-Roe was calculated for each institution and compared between 2021 and 2022. Results: Aggregate data from 2022 revealed average number of vasectomy consults increased by 10.9% from pre- to post-Roe, compared to a decrease of -0.5% in 2021. Similarly, average number of vasectomy procedures increased by 8.5% pre- to post-Roe in 2022 compared to only 3.6% in 2021. Site-specific changes (Figures 1 and 2) reveal geographic variations in comparative year trends. While some institutions experienced a decrease in practice volume between the pre- and post-Roe intervals, the reduction was far smaller in 2022 than 2021. In states where the legal status of abortion is threatened or banned, institutions reported the greatest change in number of vasectomy consult and/or procedures Conclusions: The overruling of Roe v. Wade led to an increase in the number of patients requesting vasectomy consults and subsequent procedures. The impact of this overruling is likely to be long-lasting, and urologists and practices may need to adjust their practice patterns to account for this increased demand. We are evaluating granular data regarding ethnic and socioeconomic differences that may contribute to the reported geographic variation. SOURCE OF Funding: None
