Roland Noémie, Jourdain Hugo, Weill Alain, Lebâcle Cédric, Zureik Mahmoud
EPI-PHARE, Epidemiology of Health Products (French National Agency for the Safety of Medicines and Health Products, and French National Health Insurance), Saint-Denis, France.
Department of Urology, Bicêtre Hospital, AP-HP, Le Kremlin-Bicêtre, France.
Perspect Sex Reprod Health. 2025 Jun;57(2):154-161. doi: 10.1111/psrh.70013. Epub 2025 Jun 19.
While the annual rate of vasectomy has dropped worldwide, we have little knowledge of its prevalence in France.
To describe the use of vasectomy in France from 2010 to 2022.
This population-based study relied on the French national health data system (SNDS, 99.5% of the population). We described the use of vasectomy in France (2010-2022) by men aged 18-70, and compared changes in sterilization practices for both genders. We then focused on men's characteristics, assessed incidence rates (Poisson distribution), and sought sperm preservation procedures, postvasectomy semen analyses (PVSA) and complications.
In total, 109,544 vasectomies were performed from 2010 to 2022 on French men aged 18-70. There was a substantial rise in the number of vasectomies, which increased 15-fold (1,940 in 2010 vs. 30,288 procedures in 2022). In 2022, male sterilizations outnumbered female sterilizations by a ratio of 3:2. On average, men were younger over time and appeared to live in areas that are more privileged. Preoperatively, 6.8% of men opted for sperm cryopreservation. Post-vasectomy complications were rare (1.0%) and 64.7% of men underwent PVSA. We estimated the crude incidence of vasovasostomy was estimated at 0.56 [0.57-0.87] per 1000 person-years. The SNDS cannot provide information on the partners and the parity of the men in the study.
Our study shows that the practice of vasectomies performed in France has increased significantly over the last 12 years. Researchers will have to repeat this study in the coming years to confirm or refute this trend.
虽然全球范围内输精管切除术的年发生率有所下降，但我们对其在法国的流行情况知之甚少。
描述2010年至2022年法国输精管切除术的使用情况。
这项基于人群的研究依赖于法国国家卫生数据系统（SNDS，覆盖99.5%的人口）。我们描述了18至70岁男性在法国（2010 - 2022年）输精管切除术的使用情况，并比较了两性绝育手术的变化。然后我们关注男性的特征，评估发病率（泊松分布），并寻找精子保存程序、输精管切除术后精液分析（PVSA）和并发症。
2010年至2022年期间，法国18至70岁男性共进行了109,544例输精管切除术。输精管切除术的数量大幅上升，增加了15倍（2010年为1940例，2022年为30,288例）。2022年，男性绝育手术的数量超过女性绝育手术，比例为3:2。随着时间的推移，男性平均年龄更小，且似乎生活在更优越的地区。术前，6.8%的男性选择了精子冷冻保存。输精管切除术后并发症很少见（1.0%），64.7%的男性接受了PVSA。我们估计输精管吻合术的粗发病率为每1000人年0.56[0.57 - 0.87]。SNDS无法提供关于研究中男性伴侣和生育情况的信息。
我们的研究表明，在过去12年里，法国进行输精管切除术的情况显著增加。研究人员将不得不在未来几年重复这项研究以证实或反驳这一趋势。
