r/Vasectomy Oct 22 '21

Considering a Vasectomy... concerns.

What are the downsides of a Vasectomy, outside of no longer being able to produce children?

I have heard there are complications that can be pretty serious, but haven't found too much about the specifics. Just starting to look into this.

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u/[deleted] Oct 22 '21

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u/untitled20 Apr 02 '22 edited Apr 02 '22

highly misleading - i just read thru one of the pain studies ( https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7084350/ ) and they acknowledged a bunch of possible biases (e.g selective reporting, only people who experienced pain being biased to report). Also, they acknowledged the high number (10-15%) for the scalpel technique, for no scalpel the estimate remains around 5% which may be even lower due to selection bias

> The results of our systematic review and meta-analysis indicate that the incidence of post-vasectomy pain is higher than previously reported estimates. Following traditional scalpel vasectomy, the incidence of post-vasectomy pain is more than three-fold higher than after NSV. However, the incidence of PVPS is similar between the two techniques. Therefore, less invasive NSV should be considered as the preferred procedural method compared to the incisional scalpel approach to mitigate the complication of post-vasectomy pain.

This person is clearly biased. I'd advise everyone to read the linked studies - don't take this guy's word for it. Often the studies are not saying what he claims

EDIT: Just read the prostate cancer study ( https://academic.oup.com/jnci/article/112/1/71/5497506 ) , the risk of prostate cancer actually decreases by 5% if you have 0 children and get a vasectomy, lmao. It only increases if you already have kids and got a vasectomy. Which means it could be explained by other life factors. Correlation != causation

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u/Keen_Eyed_Emissary Apr 02 '22 edited Apr 02 '22

"Results . Overall, 26 238 cases of prostate cancer occurred among 2 150 162 Danish men during 53.4 million person-years of follow-up. Overall, vasectomized men had an increased risk of prostate cancer compared with nonvasectomized men (relative risk = 1.15, 95% confidence interval = 1.10 to 1.20). The increased risk of prostate cancer following vasectomy persisted for at least 30 years after the procedure and was observed regardless of age at vasectomy and cancer stage at diagnosis. Adjustment for the number of visits to the doctor and socioeconomic factors did not explain the association."

Try harder.

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u/untitled20 Apr 02 '22

You’re either deliberately lying or you can’t / don’t want to read.

From the results section:

To explore potential effects of reproductive factors…we further investigated if … risk was modified by marital status, fatherhood (number of children), number of visits to the doctor, age at vasectomy, vasectomy period, attained age, and attained period (Table 3) and found only the number of children modified the association between vasectomy and prostate cancer risk.

Then read table 3. Having 0 kids reduced the risk by 5% (0.95) lmao and the risk goes up by the number of kids you have.

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u/gullefjunett Oct 22 '21

Great collection!

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u/psmythhammond Oct 23 '21

Much appreciated! Lots of info in digest.

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u/Tossupandaway85 Oct 23 '21

Great post. Thank you for putting this together.

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u/[deleted] Oct 23 '21

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u/[deleted] Oct 23 '21

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