Immune-related disease before and after vasectomy: an epidemiological database study.

BACKGROUND: Vasectomy can be followed by an autoimmune-antibody response. We aimed to determine whether men with immune-related diseases were more or less likely than others to have a vasectomy and then to determine whether vasectomy is associated with the subsequent development of immune-related di...

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Main Authors: Goldacre, M, Wotton, C, Seagroatt, V, Yeates, D
Format: Journal article
Language:English
Published: 2007
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author Goldacre, M
Wotton, C
Seagroatt, V
Yeates, D
author_facet Goldacre, M
Wotton, C
Seagroatt, V
Yeates, D
author_sort Goldacre, M
collection OXFORD
description BACKGROUND: Vasectomy can be followed by an autoimmune-antibody response. We aimed to determine whether men with immune-related diseases were more or less likely than others to have a vasectomy and then to determine whether vasectomy is associated with the subsequent development of immune-related diseases. METHODS: A database of linked records of hospital statistics was analysed. By comparing a population of men who underwent vasectomy with a reference population, we calculated the rate ratios for selected immune-related diseases before and after vasectomy. RESULTS: Some diseases studied (e.g. asthma and diabetes mellitus) were a little less common, prior to operation, in the vasectomy group than in the reference group. Others were not different. The mean period of follow-up was 13 years. We found no long-term elevation of risk following vasectomy of asthma, diabetes mellitus, ankylosing spondylitis, thyrotoxicosis, multiple sclerosis, myasthenia gravis, inflammatory bowel disease, rheumatoid arthritis or testicular atrophy. There was a short-term elevation of risk of orchitis/epididymitis. CONCLUSIONS: In this large study, with many years of follow-up, we found no evidence that vasectomy increases the subsequent long-term risk of immune-related diseases.
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spelling oxford-uuid:009240dd-2180-4a4e-9e22-1120722072162022-03-26T08:30:15ZImmune-related disease before and after vasectomy: an epidemiological database study.Journal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:009240dd-2180-4a4e-9e22-112072207216EnglishSymplectic Elements at Oxford2007Goldacre, MWotton, CSeagroatt, VYeates, DBACKGROUND: Vasectomy can be followed by an autoimmune-antibody response. We aimed to determine whether men with immune-related diseases were more or less likely than others to have a vasectomy and then to determine whether vasectomy is associated with the subsequent development of immune-related diseases. METHODS: A database of linked records of hospital statistics was analysed. By comparing a population of men who underwent vasectomy with a reference population, we calculated the rate ratios for selected immune-related diseases before and after vasectomy. RESULTS: Some diseases studied (e.g. asthma and diabetes mellitus) were a little less common, prior to operation, in the vasectomy group than in the reference group. Others were not different. The mean period of follow-up was 13 years. We found no long-term elevation of risk following vasectomy of asthma, diabetes mellitus, ankylosing spondylitis, thyrotoxicosis, multiple sclerosis, myasthenia gravis, inflammatory bowel disease, rheumatoid arthritis or testicular atrophy. There was a short-term elevation of risk of orchitis/epididymitis. CONCLUSIONS: In this large study, with many years of follow-up, we found no evidence that vasectomy increases the subsequent long-term risk of immune-related diseases.
spellingShingle Goldacre, M
Wotton, C
Seagroatt, V
Yeates, D
Immune-related disease before and after vasectomy: an epidemiological database study.
title Immune-related disease before and after vasectomy: an epidemiological database study.
title_full Immune-related disease before and after vasectomy: an epidemiological database study.
title_fullStr Immune-related disease before and after vasectomy: an epidemiological database study.
title_full_unstemmed Immune-related disease before and after vasectomy: an epidemiological database study.
title_short Immune-related disease before and after vasectomy: an epidemiological database study.
title_sort immune related disease before and after vasectomy an epidemiological database study
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AT wottonc immunerelateddiseasebeforeandaftervasectomyanepidemiologicaldatabasestudy
AT seagroattv immunerelateddiseasebeforeandaftervasectomyanepidemiologicaldatabasestudy
AT yeatesd immunerelateddiseasebeforeandaftervasectomyanepidemiologicaldatabasestudy