Köhler Tobias S, Fazili Anees A, Brannigan Robert E
Division of Urology, Southern Illinois University, 747 North Rutledge, No. 9649, Springfield, IL 62702, USA.
Urol Clin North Am. 2009 Aug;36(3):337-45. doi: 10.1016/j.ucl.2009.05.004.
Vasectomy is widely regarded as a safe method of contraception, but over the years there have been many reports suggesting putative health risks associated with the procedure. Concerns over the possible association of vasectomy with a number of medical conditions, including cardiovascular disease, testicular cancer, prostate cancer, psychologic distress, and a variety of immune complex-mediated disease processes have been reported. Most recently, a manuscript from the neurology literature has described an association between vasectomy and primary progressive aphasia, a rare variety of frontotemporal dementia. This article reviews the literature surrounding each of these purported health concerns. Because the ultimate findings have important ramifications for both informed consent of vasectomy patients and for public health, the reported health risks in question should be critically evaluated.
输精管切除术被广泛认为是一种安全的避孕方法，但多年来有许多报告表明该手术存在一些假定的健康风险。关于输精管切除术与多种疾病可能存在关联的担忧，包括心血管疾病、睾丸癌、前列腺癌、心理困扰以及各种免疫复合物介导的疾病过程，都有相关报道。最近，一篇神经学文献手稿描述了输精管切除术与原发性进行性失语症之间的关联，原发性进行性失语症是一种罕见的额颞叶痴呆症。本文回顾了围绕这些所谓健康问题的相关文献。由于最终研究结果对输精管切除患者的知情同意以及公共卫生都具有重要影响，因此应对所报道的相关健康风险进行严格评估。
