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Vasectomy and prostate cancer risk.
C Mettlin1, N Natarajan, R Huben
1Dept. of Epidemiology, Roswell Park Memorial Inst., Buffalo, NY 14263.
American Journal of Epidemiology
|December 1, 1990
Summary
A history of vasectomy may increase prostate cancer risk. Men reporting vasectomy showed a 1.7 times higher risk, with risk increasing significantly 13-18 years post-procedure.
Area of Science:
- Epidemiology
- Urologic Oncology
Background:
- Prostate cancer is a leading cause of cancer death in men.
- The etiology of prostate cancer is multifactorial, with potential environmental and lifestyle risk factors under investigation.
Purpose of the Study:
- To investigate the hypothesis that a history of vasectomy is a risk factor in the development of prostate cancer.
Main Methods:
- A case-control study was conducted using data from Roswell Park Memorial Institute (1982-1988).
- Information on vasectomy history was collected for 614 prostate cancer cases and 2,588 control subjects with other cancers.
- Relative risks were calculated using age-specific and age-adjusted analyses.
Main Results:
- A history of vasectomy was associated with an increased risk of prostate cancer (relative risk = 1.7).
- Men reporting vasectomy 13-18 years prior to diagnosis had a higher adjusted relative risk (2.2).
- A significant trend was observed between the time since vasectomy and the risk of prostate cancer.
Conclusions:
- The findings suggest a potential association between vasectomy history and an elevated risk of prostate cancer.
- Further epidemiologic and biological research is warranted to explore vasectomy as a risk factor for prostate cancer.
Keywords:
AmericasBiasBiologyCancerCase Control StudiesControl GroupsData AnalysisData CollectionDemographic FactorsDeveloped CountriesDiseasesEpidemiologic MethodsError SourcesFamily PlanningGenitaliaGenitalia, MaleMale SterilizationMeasurementNeoplasmsNew YorkNorth AmericaNorthern AmericaPhysiologyPopulationProstateReliabilityResearch MethodologyRisk FactorsSterilization, SexualStudiesUnited StatesUrogenital SystemVasectomy--side effects