The Literature shows that Vasectomy is NOT, I Repeat NOT Linked to increased risk of death from Pros

Vasectomy is a readily performed outpatient or in-office minor surgical procedure that offers a permanent method for male birth control.     The “newer” no scalpel technique has been available from urologists in the US for over forty years.   This option for family planning has gained increasing acceptance from all walks of US society over the past few decades and globally it is estimated to have been performed on tens of millions of men.  However, certain publications have raised the question as to whether there is increased risk from prostate cancer among men who undergo vasectomy.   A recent publication in the Journal of Clinical Oncology addresses this concern and concludes no increased risk of death from prostate cancer for vasectomized males.

The study appears in the March issue of the Journal of clinical oncology and is first authored by Karl Smith Byrnes.   The Study was a prospective study following 84,753 men with an average follow up of 15 years.  These were men from Denmark, Germany, Spain, and the United Kingdom who provided information on vasectomy status at recruitment.

Findings showed that  Vasectomy was NOT associated with prostate cancer risk  overall and that there was NO evidence of association of vasectomy death due to prostate cancer.   

It also demonstrated that vasectomy was associated with increased use of the PSA blood test, a test used for prostate cancer detection.   This finding was offered as a possible explanation for other investigations which suggested a possible minor increase in prostate cancer incidence.   In other words, if you look for cancer more aggressively in a population, you will find more.

Cancer Prevention Study

This study also serves to confirm the findings of a 2016 JCO study by Eric Jacobs et al which was a retrospective review of data from 363,726 men in the (US) Cancer Prevention Study II (CPS-II) cohort examining the association of vasectomy and prostate cancer mortality.  In addition, in the same study a subset of 66,542 men in the CPS-II Nutrition Cohort were examined for the association of vasectomy and prostate cancer incidence.    Results showed  that in the larger cohort, vasectomy was not associated with prostate cancer mortality  and that in the subset cohort vasectomy was not associated with overall prostate cancer incidence.    Again the conclusion of the study was that “results from these large prospective cohorts do not support associations of vasectomy with either prostate cancer incidence or prostate cancer mortality.”

In addition to these findings, most physicians acknowledge that there is no accepted biologic explanation for why there would be a cause effect of increased risk between  the two.   It is hoped that the findings of these studies will serve to decrease any related anxiety or misgivings on the part of men considering the procedure.

You Might Also Enjoy...

Can You Prevent Kidney Stones?

Kidney stones are common — and painful. Once you have one kidney stone, your risk of developing more increases. The good news is that there’s a lot you can do to lower your risk of kidney stone formation. Get our prevention tips here.

Recovering From a Vasectomy Reversal

Regretting your vasectomy? A vasectomy reversal could be the solution you’re seeking. It’s an outpatient procedure that can be up to 90% effective. Find out more about it and what to expect during recovery.

What Every Man Should Know About His Prostate

The prostate is a small gland in the male reproductive system. From how it functions to the importance of regular prostate screenings, find out what you need to know about your prostate health here.

A Closer Look at Testosterone

Testosterone is an important male hormone. It influences functions from sex drive and fertility to body weight and mood — but low testosterone is a common problem for many men. Learn the signs of low testosterone and what you can do about it.

The Importance of Prostate Cancer Screenings

Prostate cancer is common, especially among men over age 50. Early stage cancer is the most treatable, but without early symptoms, how is prostate cancer identified? Learn about the importance of regular prostate cancer screenings.

What to Expect From a Vasectomy Reversal

A vasectomy is considered a permanent method of male birth control. But if you’ve had a vasectomy, does that mean you can’t ever father a child? If your family planning goals have changed, vasectomy reversal could be right for you.