The review of the long-term health risks associated with vasectomy.

IF 2.5 3区 医学 Q2 UROLOGY & NEPHROLOGY International Journal of Impotence Research Pub Date : 2025-03-25 DOI:10.1038/s41443-025-01043-4
Yu-Sheng Cheng, Tommy Jiang, Ashkan Pourabhari Langroudi, Abby L Chen, Satvir S Basran, Michael L Eisenberg
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Abstract

Vasectomy, a permanent method of preventing the release of sperm, has been widely used as effective birth control, with millions of men undergoing the procedure worldwide each year. Although vasectomy is effective and relatively simple, it is still a subject that receives considerable scrutiny, especially regarding any health effects. Indeed, the relationship between vasectomy and health risks has been a controversial topic. This review includes the examination of the evidence linking vasectomy to oncologic sequelae (i.e. prostate and testicular cancer). In addition, a review of the literature linking vasectomy to sexual dysfunction, cardiovascular disease, primary progressive aphasia/frontotemporal dementia, anti-sperm antibodies, and reproductive hormone changes is also presented. Overall, vasectomy appears safe with no convincing evidence for long term health risks.

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输精管结扎术的长期健康风险综述
输精管结扎术是一种防止精子释放的永久性方法,已被广泛用作有效的节育措施,全世界每年有数百万男性接受这一手术。尽管输精管结扎术是有效且相对简单的,但它仍然是一个受到相当仔细审查的主题,特别是关于任何健康影响。事实上,输精管结扎术与健康风险之间的关系一直是一个有争议的话题。本文综述了输精管切除术与肿瘤后遗症(即前列腺癌和睾丸癌)相关的证据。此外,对输精管切除术与性功能障碍、心血管疾病、原发性进行性失语/额颞叶痴呆、抗精子抗体和生殖激素变化相关的文献进行了综述。总体而言,输精管结扎术似乎是安全的,没有令人信服的证据表明存在长期健康风险。
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来源期刊
International Journal of Impotence Research
International Journal of Impotence Research 医学-泌尿学与肾脏学
CiteScore
4.90
自引率
19.20%
发文量
140
审稿时长
>12 weeks
期刊介绍: International Journal of Impotence Research: The Journal of Sexual Medicine addresses sexual medicine for both genders as an interdisciplinary field. This includes basic science researchers, urologists, endocrinologists, cardiologists, family practitioners, gynecologists, internists, neurologists, psychiatrists, psychologists, radiologists and other health care clinicians.
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