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  • Title: Role of the urologist in population stabilization. I. Male sterilization and its contribution to solution of population problems.
    Author: Speidel JJ.
    Journal: Urology; 1973 Apr; 1(4):277-85. PubMed ID: 4588624.
    Abstract:
    The present and potential contribution of vasectomy to family planning is discussed as well as the role that urologists have in the resolution of the demographic crisis. In 1960, the number of vasectomies in the U.S. was believed to have been 40,000, in 1970, 750,000, and in 1971, 1,000,000. In 1970, 24.1% of user couples employed a male method which might come under the supervision of or be obtained from a urologist. It appears likely that sterilization also has great potential for use in less-developed countries for both males and females. Sterilization is a major component of national family-planning programs in only a few countries including India, Pakistan, and South Korea. As expressed in religious doctrine, political consensus and legal codes, sterilization is less acceptable then most other means of contraception. It is suggested that where no barriers to sterilization exist, large numbers of men and women will take advantage of this method of fertility control. Age-parity requirements and availability of medical care facilities and services have been a constraint to free availability of sterilization. Current experience indicates that sterilization is adequately acceptable to individuals and will be an increasingly important and demographically effective means of fertility control for use in family planning programs. Restrictive administrative requirements should be eliminated. The campaign approach appears promising but the use of incentives should be attempted cautiously. Improvements in technique can be expected. The urologist delivers the service and carries out research to improve vasectomy.
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