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Updated: Aug 16, 2026

Murine Prostate Micro-dissection and Surgical Castration
Published on: May 11, 2016
Male sterilization
1New York University School of Medicine, New York.
Abstract:
This review of recent information and advances in the area of male sterilization deals with recent epidemiologic studies that discuss potential ill effects hypothesized to be a result of vasectomy, including carcinoma of the prostate and carcinoma of the testicle. Rebuttals to these hypotheses are presented. Recent advances in techniques of vasectomy including the "no-scalpel" vasectomy technique and open-ended vasectomy are presented, including the rationale for their use. A good deal of attention is given to postvasectomy follow-up, particularly the use of the technique of measuring numbers of ejaculations following vasectomy rather than the period of time afterward to determine when a man is sterile. The final two sections deal with complications of vasectomy and the most recent percentages on reversing vasectomy with particular reference to return of sperm to the ejaculate and pregnancy rates.
Insights
This review examines vasectomy safety, addressing concerns about cancer risks and presenting evidence-based rebuttals. It highlights advanced techniques and effective post-vasectomy follow-up for confirming sterility and discusses reversal success rates.
Area of Science:
- Urology
- Reproductive Health
- Surgical Techniques
Background:
- Vasectomy is a common method of male sterilization.
- Concerns exist regarding potential long-term health effects, including cancer risks.
Purpose of the Study:
- To review recent evidence on vasectomy safety and efficacy.
- To discuss advancements in vasectomy techniques and follow-up protocols.
- To present data on vasectomy reversal outcomes.
Main Methods:
- Literature review of recent epidemiologic studies and surgical technique advancements.
- Analysis of post-vasectomy follow-up methods.
- Examination of vasectomy reversal data.
Main Results:
- Epidemiologic studies show no increased risk of prostate or testicular cancer post-vasectomy.
- "No-scalpel" and open-ended vasectomy techniques offer advantages.
- Counting ejaculations is a reliable method for confirming sterility.
Conclusions:
- Vasectomy is a safe and effective sterilization method with no increased cancer risk.
- Modern techniques improve outcomes and patient experience.
- Effective follow-up and reversal options are available.
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