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vasectomy
Indications:
- in connection with prostatectomy for prostate cancer
- to produce sterility in men
Procedure:
- excision of a segment of the vas deferens
- California state law requires that any patient wishing a vasectomy must 1st attend an informational class prior to the procedure
Complications:
- 5 year risk of pregnancy after vasectomy is about 1% [3]
- either no association or weak association between vasectomy &
a) prostate cancer
- not associated with increased risk of prostate cancer [4,5]
- 0.6% absolute increase in prostate cancer risk [5]
- no associations between vasectomy & incident high-grade, advanced, or fatal prostate cancer [5]
b) testicular cancer [4]
General
genitourinary surgery (urogenital surgery)
reproductive sterilization
References
- Stedman's Medical Dictionary 26th ed, Williams &
Wilkins, Baltimore, 1995
- V Altebarmakian, Kaiser Permanente, Fresno CA, 1/2000
- Journal Watch 24(12):95, 2004
Jamieson DJ, Costello C, Trussell J, Hillis SD, Marchbanks PA,
Peterson HB; US Collaborative Review of Sterilization Working Group.
The risk of pregnancy after vasectomy.
Obstet Gynecol. 2004 May;103(5 Pt 1):848-50.
PMID: 15121555
- Jacobs EJ, Anderson RL, Stevens VL et al
Vasectomy and Prostate Cancer Incidence and Mortality in a Large
US Cohort.
J Clin Oncol. September 19, 2016
PMID: 27646949
http://jco.ascopubs.org/content/early/2016/09/15/JCO.2015.66.2361
- Nayan M et al.
Vasectomy and risk of prostate cancer: Population based matched
cohort study.
BMJ 2016 Nov 3; 355:i5546
PMID: 27811008 Free PMC Article
http://www.bmj.com/content/355/bmj.i5546
- Bhindi B, Wallis CJD, Nayan M et al
The Association Between Vasectomy and Prostate Cancer.
A Systematic Review and Meta-analysis.
JAMA Intern Med. Published online July 17, 2017
PMID: 28715534
http://jamanetwork.com/journals/jamainternalmedicine/article-abstract/2643778
- Vasectomy and Cancer Risk
http://cis.nci.nih.gov/fact/3_26.htm