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Consequences a long terme de la vasectomie: Revue de la litterature

Long term effects of vasectomy: Review of the litterature

Abstract

Since 20 years, many contradictory data have been reported about vasectomy in animals and in humans, as regards its efficacy and safety. We have examined the main experimental and clinical reports, published these last 20 years. In particular experimental conditions, in animals subject to hypercholesterolemic diets, vasectomy would cause negative effects, particularly an increased atheroma risk. But, none of the large epidemiologic inquiries performed until now in several developed and on developing countries, showed an increased vascular and infarction risk in vasectomized males.

Resume

Depuis une vingtaine d’années, la vesectomie a fait l’objet de nombreux travaux contradictoires, chez l’animal et chez l’homme, quant à son efficacité et son innocuité. A partir d’une revue exhaustive de la littérature des vingt dernières années, nous avons examiné les principaux travaus, expérimentaux et cliniques, ayant eu lieu dans ce domaine. Dans des conditions expérimentales particulières, chez les animaux soumis à des régimes hypercholestérolémiants, la vasectomie produirait des conséquences néfastes et en particulier une majoration du risque athéromateux. Cela étant, aucune des grandes enquêtes épidémiologiques réalisées à ce jour dans plusieurs pays développés et en développement, n’a montré une quelconque majoration du risque cardio-vasculaire ou coronarien chez les hommes vasectomisés.

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Correspondence to Patrick Thonneau.

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Adapté de l’article des mêmes auteurs “Review: Does vasectomy have long-term effects on somatic and psychological health status?”, paru dans International Journal of Andrology, 1990, 13: 419–432

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Thonneau, P., D’Isle, B. Consequences a long terme de la vasectomie: Revue de la litterature. Androl. 1, 26–28 (1991). https://doi.org/10.1007/BF03035085

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Key-words

  • male sterilization
  • vasectomy
  • reproduction epidemiology

Mots clés

  • Stérilisation masculine
  • vasectomie
  • epidémiologie de la reproduction