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Vasectomy in the United States, 1991
C M Marquette1, L M Koonin, L Antarsh
1AVSC International, New York, NY 10016, USA.
American Journal of Public Health
|May 1, 1995
Summary
In 1991, an estimated 493,487 vasectomies were performed in the US, with rates highest in the Midwest. This study provides the first national estimates for vasectomy numbers and procedures.
Area of Science:
- Urology
- Public Health
- Reproductive Health
Background:
- Conflicting findings on vasectomy health risks necessitate reliable data.
- Accurate estimates of vasectomy prevalence are crucial for public health assessments.
Purpose of the Study:
- To estimate the annual number, rate, and characteristics of vasectomies performed in the United States in 1991.
- To establish baseline data for monitoring vasectomy trends.
Main Methods:
- A national probability-based survey of 1685 urology, general surgery, and family practice physician practices.
- Data collection focused on the year 1991.
Main Results:
- An estimated 493,487 vasectomies were performed in 1991 (rate: 10.3 per 1000 men aged 25-49).
- Urologists performed the majority of procedures, typically in offices under local anesthesia using ligation.
- Vasectomy rates were highest in the Midwest region.
Conclusions:
- This survey provides the first national estimates for vasectomy numbers, rates, and occlusion methods in the US.
- Findings confirm urologists' predominant role and the common use of local anesthesia.
- Recommendations include ongoing monitoring of vasectomy data and demographic studies.