Vasectomy Procedures on the Rise in France From 2010 to 2022.

IF 3.4 2区 医学 Q1 DEMOGRAPHY
Perspectives on Sexual and Reproductive Health Pub Date : 2025-06-01 Epub Date: 2025-06-19 DOI:10.1111/psrh.70013
Noémie Roland, Hugo Jourdain, Alain Weill, Cédric Lebâcle, Mahmoud Zureik
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引用次数: 0

Abstract

Context: While the annual rate of vasectomy has dropped worldwide, we have little knowledge of its prevalence in France.

Objective: To describe the use of vasectomy in France from 2010 to 2022.

Methods: This population-based study relied on the French national health data system (SNDS, 99.5% of the population). We described the use of vasectomy in France (2010-2022) by men aged 18-70, and compared changes in sterilization practices for both genders. We then focused on men's characteristics, assessed incidence rates (Poisson distribution), and sought sperm preservation procedures, postvasectomy semen analyses (PVSA) and complications.

Results: In total, 109,544 vasectomies were performed from 2010 to 2022 on French men aged 18-70. There was a substantial rise in the number of vasectomies, which increased 15-fold (1,940 in 2010 vs. 30,288 procedures in 2022). In 2022, male sterilizations outnumbered female sterilizations by a ratio of 3:2. On average, men were younger over time and appeared to live in areas that are more privileged. Preoperatively, 6.8% of men opted for sperm cryopreservation. Post-vasectomy complications were rare (1.0%) and 64.7% of men underwent PVSA. We estimated the crude incidence of vasovasostomy was estimated at 0.56 [0.57-0.87] per 1000 person-years. The SNDS cannot provide information on the partners and the parity of the men in the study.

Conclusions: Our study shows that the practice of vasectomies performed in France has increased significantly over the last 12 years. Researchers will have to repeat this study in the coming years to confirm or refute this trend.

从2010年到2022年,输精管结扎手术在法国呈上升趋势。
背景:虽然世界范围内输精管结扎术的年发生率有所下降,但我们对其在法国的流行情况知之甚少。目的:描述2010年至2022年法国输精管结扎术的使用情况。方法:这项基于人群的研究依赖于法国国家健康数据系统(SNDS, 99.5%的人口)。我们描述了法国(2010-2022年)18-70岁男性输精管切除术的使用情况,并比较了男女绝育做法的变化。然后,我们关注男性的特征,评估发病率(泊松分布),并寻求精子保存方法,输精管切除术后精液分析(PVSA)和并发症。结果:从2010年到2022年,法国18-70岁男性共进行了109,544例输精管切除术。输精管切除术的数量大幅增加,增加了15倍(2010年为1940例,2022年为30288例)。2022年,男性绝育人数超过女性绝育人数,比例为3:2。平均而言,随着时间的推移,男性更年轻,似乎生活在更有特权的地区。术前,5.8%的男性选择精子冷冻保存。输精管切除术后的并发症很少见(1.0%),64.7%的男性接受了PVSA。我们估计血管输精管造口术的粗发生率估计为每1000人年0.56[0.57-0.87]。SNDS不能提供研究中男性伴侣和性别平等的信息。结论:我们的研究表明,在过去的12年里,在法国进行输精管切除术的做法显著增加。研究人员将在未来几年重复这项研究,以证实或反驳这一趋势。
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来源期刊
CiteScore
5.10
自引率
3.40%
发文量
24
期刊介绍: Perspectives on Sexual and Reproductive Health provides the latest peer-reviewed, policy-relevant research and analysis on sexual and reproductive health and rights in the United States and other developed countries. For more than four decades, Perspectives has offered unique insights into how reproductive health issues relate to one another; how they are affected by policies and programs; and their implications for individuals and societies. Published four times a year, Perspectives on Sexual and Reproductive Health includes original research, special reports and commentaries on the latest developments in the field of sexual and reproductive health, as well as staff-written summaries of recent findings in the field.
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