Urology

Other Vasectomy Issues

Cardiovascular Risks

An animal model in the early 1980s based on a small number of animals suggested that vasectomized monkeys develop a high cardiovascular plaque burden several years after their surgery, and this has led to concerns that anti-sperm antibodies that form after cutting the ends of the vasa promote endothelial injury. However, large population-based studies have shown no correlation between vasectomy history and either atherosclerosis or myocardial infarction.

Cancer Risks

Retrospective and prospective studies have suggested a possible link between vasectomy and the development of prostate cancer. This was evaluated in population-based studies both in the U.S. and abroad; while there is a small elevation of the relative risk of prostate cancer, all of the studies concluded that this is more likely due to introduced biases rather than a causal relationship. For example, men who have vasectomies by urologists are more likely to have follow-up later by urologists and thus have screening for prostate cancer.

A large Danish study looked at the relationship between vasectomy and testicular cancer and concluded that there was neither a causal relationship nor did vasectomy promote the growth of preexisting testicular lesions.

Bone Density and Autoimmune disorders

Antisperm antibodies may develop after the blood-testis barrier is violated by dividing the vasa. However, even with long-term follow-up, no relationship has been found between vasectomy and a wide variety of immune-related conditions, and also no relationship between vasectomy and dementia (which was suggested in a case-controlled study). Additionally, although there may be alterations in the hypothalamic-pituitary-testis axis, vasectomy does not appear to cause decrease in bone density.

William O. Brant, M.D., FECSM

Locations
Redstone Health Center (801) 213-2700
South Jordan Health Center
University Hospital (801) 213-2704

Specialties: Erectile Dysfunction, General Urology, Male Incontinence, Men's Health, Trauma and Reconstructive Urology, Urology, Vasectomy

Craig A. Ensign, P.A.

Locations
South Jordan Health Center (801) 213-4500

Specialties: General Urology, Physician Assistant, Urology

Blake D. Hamilton, M.D.

Locations
South Jordan Health Center
University Hospital (801) 581-7674

Specialties: Endourology, General Urology, Laparoscopy, Stone Disease, Urology, Vasectomy

James M. Hotaling, M.D., FECSM

Locations
Utah Center for Reproductive Medicine (801) 587-1454

Specialties: Andrology, General Urology, Men's Health, Reproductive Endocrinology & Infertility, Urology

Jeremy B. Myers, M.D.

Locations
University Hospital (801) 213-2702

Specialties: Bladder Augmentation, Complications of Spinal Cord Injury, Complications of Urologic Surgery, Female Incontinence, General Urology, Mesh Erosion, Neurogenic Bladder, Pelvic Fractures and Urethral Injury, Radiation Injuries, Trauma and Reconstructive Urology, Ureteral Stricture, Urethral Stricture, Urinary Diversion, Urinary Strictures and Fistula, Urology, Vesicovaginal Fistula

Andrew W. Southwick, M.D.

Locations
South Jordan Health Center
University Hospital (801) 587-4888

Specialties: Endourology, General Urology, Laparoscopy, Stone Disease, Vasectomy

Kathryn M. Trueheart, PA-C, MPAS

Locations
Redstone Health Center
South Jordan Health Center

Specialties: Erectile Dysfunction, General Urology, Men's Health, Physician Assistant, Trauma and Reconstructive Urology, Urology