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Body image is affected by vasectomy, showing higher scores in Self-aggrandizement after surgery

Lamacova, K1; Ponholzer, A2; Huber, ER3

1: MUW, Austria; 2: Krankenhaus der Barmherzigen Brüder Wien, Austria; 3: Urologenzentrum, Austra

Objectives: As the most effective long-acting form of male contraception, vasectomy still is surrounded with various myths. Even in more developed countries, many men believe it to be a sort of castration, causing sexual dysfunctions or health problems, and therefore the procedure often is avoided. Previous studies tried to focus mainly on sexual health after vasectomy, showing mostly stable results before and after surgery and even an increase in sexual satisfaction in the female partner. Picking up on that topic, this single center study aimed to demonstrate changes in the body image of vasectomized men, using the Dresden Body Image Inventory (DKB-43).

Methods: During January and February of 2017, men scheduled for a bilateral non-scalpel vasectomy in a high-volume center for vasectomies were asked to participate in the study. 39 men, aged between 29 and 55 agreed to complete questionnaires including the DKB-43 before, and at least four months after vasectomy. Assuming stable results or an improvement, one-sided paired t-tests were used to show postsurgical changes in the six different components of the DKB-43 (Vitality, Body acceptance, Sexual fulfillment, Self-aggrandizement, Physical contact and Pressed sexuality).

Results: The results show a significant improvement in the component of Self-aggrandizement after vasectomy (p 0.033, Cohen’s d 0.30). Although there was a tendency toward increasement in the component of Pressed sexuality, there were no significant changes in any direction among the other components.

Conclusions: The component Self-aggrandizement describes, to which extent people tend to use their body to elevate self-confidence and to stimulate the narcissistic part of their personality. Therefore, an increasement in this part of the DKB would suggest, that men are more aware of the importance of their body and feel more attractive after vasectomy. The stable results in the other components show that men feel as vital and sexually fulfilled as before surgery. A tendency in increased pressed sexuality may be due to a higher sexual desire of the female partner, as has been shown in a previous study. This study will help to promote the positive effects of vasectomy, not only for couples, but also for those men, who might be reluctant due to negative perceptions towards vasectomy.


Work supported by industry: no.

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