Cheng Yu-Sheng, Jiang Tommy, Pourabhari Langroudi Ashkan, Chen Abby L, Basran Satvir S, Eisenberg Michael L
Department of Urology, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan, Taiwan.
Department of Urology, School of Medicine, Stanford University, Stanford, CA, USA.
Int J Impot Res. 2025 Mar 25. doi: 10.1038/s41443-025-01043-4.
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.
输精管切除术是一种阻止精子释放的永久性节育方法，已被广泛用作有效的避孕手段，每年全球有数百万男性接受该手术。尽管输精管切除术有效且相对简单，但它仍是一个受到大量审视的主题，尤其是在任何健康影响方面。事实上，输精管切除术与健康风险之间的关系一直是个有争议的话题。本综述包括对将输精管切除术与肿瘤后遗症（即前列腺癌和睾丸癌）联系起来的证据的审查。此外，还对将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、抗精子抗体以及生殖激素变化联系起来的文献进行了综述。总体而言，输精管切除术似乎是安全的，没有令人信服的证据表明存在长期健康风险。
