By Derrick Lane
(Source: BlackDoctor.org)
While the idea of getting “snipped” is painful for some men to even think about, actually having a vasectomy may lead to more than just temporary pain. Findings from a new study published in the Journal of Clinical Oncology show that men who have the surgery have an increased risk for fatal prostate cancer.
For 24 years (1986-2010), Harvard researchers tracked the health of 49, 405 U.S. men between the ages of 40 and 75. One in four men in the study reported having a vasectomy. More than 6,000 men were diagnosed with prostate cancer, with 811 fatal cases, during the study.
The men who had vasectomies had a 20 percent increased risk for developing the most aggressive form of prostate cancer and likewise, a 19 percent raised risk of death.
Black Men & Prostate Cancer
Black men are two times more likely to be diagnosed with prostate cancer than Caucasian men and 2.5 times more likely than them to die from the disease.
“African American men, in particular, display increased risk of suffering and death from prostate cancer, compared to men of other ancestral backgrounds. Black men are more likely to be diagnosed with prostate cancer, are diagnosed at a younger age, display larger tumors, and are more than twice as likely to die from prostate cancer that has spread throughout the body than white males ,” says Isla Garraway, MD, PhD, a prostate cancer researcher at UCLA.
Vasectomy 101
Besides condoms, having a vasectomy is the only other form of male birth control to prevent pregnancy. An estimated one million men undergo vasectomies each year in the U.S. However, according to Planned Parenthood Federation of America, Black and Latino men receive the fewest vasectomies.
Considered a safe operation, a vasectomy is typically a short procedure (under two hours) done right in the doctor’s office or as an outpatient surgery under local anesthesia.
What Happens During a Vasectomy?
In a vasectomy, a doctor cuts and seals the vas deferens, the tubes carrying sperm from the testicles, to prevent sperm from mixing with semen, making it a permanent birth control method. The procedure uses local anesthetic, takes about 15-30 minutes, and involves either a small cut (conventional) or a tiny puncture (no-scalpel) in the scrotum to access and block the tubes. Patients can go home the same day, but must continue using other contraception until a follow-up semen test confirms success.
During the actual procedure:
Numbing:
A local anesthetic is injected to numb the scrotum, so you’re awake but don’t feel pain.
Accessing the tubes:
Conventional: The doctor makes one or two small cuts in the scrotum.
No-Scalpel: A tiny hole is made with forceps, stretched open, and the tubes are accessed without a major incision.
Blocking the vas deferens:
The surgeon locates the vas deferens, pulls it out, cuts it, and seals the ends by tying, clipping, or using heat (cauterization). A small piece may be removed.
Closing up:
The tubes are placed back, and the skin is closed with dissolvable stitches or left to heal on its own.
So, Does Getting A Vasectomy Cause Prostate Cancer?
Another two large, well-designed Harvard studies were published in 1993 in the Journal of the American Medical Association which suggest that such a relationship may exist. The two studies compared the number of prostate-cancer diagnoses in almost 25,000 men who had undergone vasectomy with nearly 50,000 men who had not. Men who had undergone vasectomy more than 20 years earlier were almost twice as likely as their unsterilized counterparts to have been diagnosed with prostate cancer. Overall, the rate of such diagnoses was about 60% higher among the men who had been sterilized. These widely-reported studies stirred up some fears of a possible prostate-cancer/vasectomy connection and no doubt convinced some men to avoid the operation all together.
But, the short answer is no. There isn’t an exact known causes of prostate cancer, but there are risk factors, such as being African American or of African descent.
Scientists behind the Harvard study emphasize that their findings only establish a statistical link – and not a cause – between the disease and vasectomies. ‘The results support the hypothesis that vasectomy is associated with an increased risk of advanced or lethal prostate cancer,” said study co-author Lorelei Mucci, associate professor of epidemiology at Harvard School of Public Health.
Additional urgent investigation is needed to find out why men who had the procedure showed increased cancer risk.
In the meantime, if a trip to get snipped just got knocked waaaay down on your list of things to consider, condoms are still a 98% effective option. Use them EACH AND EVERY encounter.
