Introduction
Decades ago surgeons performed vasectomy for several purposes. Normal adults had vasectomy to prevent pregnancies. Others had Vasectomy for Rejuvenation, to improve their Virility, Libido, general health and moods. Vasectomy was routinely performed to prevent ascending urinary tract infection, after suprapubic prostatectomy and GU tract tubercular disease.
Vasectomy was also performed in some parts of the world to prevent children being born of criminals and mentally deranged persons, where laws existed to that effect.
In the early studies of Vasectomy, carried out by several surgeons, a large number after uneventful Vasectomy, reported great improvement in virility, Libido, health & a happier state of mind. Steinache and many others believed, that the Testosterone levels in the body increased due to suppressed spermatogenesis after vasectomy, which lead to proliferation of Leydig cells in the testis and increased testosterone levels. To further improve on the rejuvenation results, Steinache ligated between Epididymis and testis. This technique was named Steinache ii operation. Those who followed Steinache and performed vasectomy to improve the virility were known as Rejuvenators.
In the early fifties there was a growing awareness to the problem of sudden acceleration in population growth. The word sex was taboo. Even though little was talked about sex, but much sex was practiced - how else did the population figures jump up so sharply?
In those years efforts were being made by NGO’s and Government agencies to check the menace of sudden and fast growing population. Measures taken in India to check the population growth in those years, a brief is in the paper THE UNSOLVED PROBLEM OF POPULATION published in JIMA Feb.1962
At that time all the emphasis was on contraceptives for females. Men feared vasectomy. Many didn’t know Sterilisation from Castration.
Also at that time I was studying for post-graduation in surgery. Research on a subject & thesis was the norm. My choice of subject was MALE STERILISATION AND ITS EFFECTS. This research was carried out between 1952-1954, and the results were compiled in a Thesis. Other papers published during the next twenty years are in here. Lastly the Research, which is proposed in 2003, is included along with this.
VASECTOMY RESEARCH SHOULD
CONTINUE
To study the subject of Vasectomy and to
verify the claims made by Steinache and others, a project was set
up in 1952 at the Medical College Indore (M.P. India) Clinical
follow up of Vasectomy cases over a specific period and
Experimental study on rats for histological studies of the testis
before and after Vasectomy. The results of this study were
compiled in a Thesis in 1954. Observations made from this study
were in conformity with the claims by Steinache & other
surgeons. At the end of the above study realization came that
this study should include Testosterone evaluation before and
after Vasectomy. But in those years laboratories didn’t
have facility for such investigations so it could not be
pursued.
Things have changed since. Laboratories do have facilities for Free Testosterone LH & FSH estimation and more. Andro-Pause, Male-Menopause and Male Hormone Replacement Therapy is the hot topic currently, widely recommended & practiced, Andrologists are advocating Male hormone replacement therapy for Ando-Pause, (also known as male-menopause). It is just like HRT for menopause in women. It’s an irony that after decades of HRT for female menopause there is a scare about after-effects of HRT. Gynecologists and patients alike are having second thoughts about HRT. It will not surprise any one if after some time HRT in men will meet the same fate. There are already known fears of side effects of therapy, which includes Prostate cancer, Liver / Kidney damage, Gynaecomastia (Male Breast enlargement) and even stroke (with Testosterone injection).
Hormones in HRT are not natural hormones produced by the body. Hormonal studies (Bio-available or Free Testosterone, LH. & FSH) the investigations are now done in Laboratories, which were not available till some years ago. Such hormonal studies before & after Vasectomy (as was suggested in 1954) will help establish Rejuvenation effects of Vasectomy. Results of the suggested research will meet the needs of those looking for safe and sure ways for dealing with the Andropause. It will also help people and the nations in their efforts for population control, and solve much neglected, malignant problem of population explosion world over more so in the poor under developed countries. This study is suggested and will hopefully be done simultaneously in India and Canada. This project should be based in the Government Research Institutes, dedicated to research on Reproduction & Health.
Articles published in Medical Journals
MALE STERILISATION AND ITS EFFECTS Clinical Studies in Men and Histological Studies in Sterilized Experimental Animals (1952-1954). Thesis Submitted to Agra University India - Dr. P.S. Jhaver M.B. B.S.
THE HISTORY OF EXPERIMENTAL & CLINICALWORK ON VASECTOMY Journal of International College Of Surgeons Editorial Vol.30 No.4 April 1960. Submitted for publication April 10, 1959. P.S.JHAVER, M.S., F.I.C.S.* & B.B. OHRI, M.S. F.R.C.S., F.A.C.S., F.I.C.S** INDIA
REVERSIBILITY OF STERILIZATION PRODUCED BY VAS-OCCLUSION CLIP Journal of Fertility & Sterility Vol.22 No.4 April 1971. P.S. JHAVER, JOSEPH E. DAVIS, HYUNG LEE, J.F.HULKA, GEORGE LEIGHT
SINGLE INCISION SINGLE STITCH TECHNIQUE FOR VASECTOMY The Indian Journal of Surgery Vol. XX Dec. 1968 No: Page 480-484
SURGERY OF THE EPIDIDYMIS & VAS Journal of The Indian Medical Association Vol.44, No 11, June 1 1965, P. 591-594. Paper Read at the SILVER JUBILEE SESSION of Association of Surgeons of India Bombay 27th December, 1964
VASECTOMY AFTER EFFECTS, MODERN TECHNIQUES, COMPLICATIONS, REPAIR Indian Journal of Medical Science. Vol. 27, No 5, May 1973 pp 411-416. Received for publication, August 4, 1972. Dr.P.S.JHAVER M.S., F.I.C.S.
VASECTOMY DIFFICULTIES AND COMPLICATIONS Journal of Indian Medical Association, March 1959. Vol. 32 No. 5
STERILISATION IN THE MALE FOR SPACING OF CHILD BIRTH Journal of the Indian Medical Association, Vol 34, No: 12, June 16, 1960 P.491-492
THE UNSOLVED PROBLEM OF POPULATION Journal of Indian Medical Association vol.38, no.4, 16th Feb. 1962.
PLACE OF SURGERY IN THE FAMILY PLANNING PROGRAMME Journal of Family Welfare June 1959
Other published articles
SURGERY AND FAMILY PLANNING Article published in the Times Of India, 25 Sept 1960
Until 20 years ago, surgeons who performed vasectomy used to be called "Rejuvenators". Article published in The times of India - Sunday May 10, 1970
MALE SEXUALITY AND STERILITY Article published in The times of India - Sunday Weekly. 16th January 1972
AGEING GRACEFULLY Article published in The times of India - Sunday Weekly. 21st January 1973