15,000 cases of failed male sterilisation across the country since 2009, reveals RTI reply
Raju Vernekar 12 February 2018
While male sterilisation is being encouraged as a population control measure, there have been many cases of failed vasectomy and at all India level, nearly 199 failed cases of male sterilisation were reported in 2017, reveals data collected from several replies received under Right to Information (RTI) Act.
As per the data collected from the Union Ministry of Health by RTI activist Chetan Kothari, of these 199 failed cases, 5 were reported from urban areas and 194 from rural areas. They included 155 cases handled by public hospitals and 44 by private hospitals. The maximum failed cases were reported from Rajasthan.
The break up is : Assam-1 (rural), Chhattisgarh-1 (rural), Gujarat-1(rural), Haryana-2(rural), Karnataka-1 (rural), Karnataka-3 (rural), Madhya Pradesh-7 (rural), Maharashtra-2 (urban), 26 (rural), Odisha-1(urban), 1 (rural), Punjab-1 (rural), Rajasthan-127 (rural) (83 public hospitals, 44 private hospitals), Tamil Nadu-16 (rural), Telangana-1 (urban), Uttar Pradesh-5 (rural), West Bengal-1 (urban) and 2-(rural).
In Maharashtra, 28 cases of failed male sterilisation were reported in 2017, from various districts, of which maximum cases were reported from Chandrapur, followed by Amravati. The failed cases of vasectomy were mainly from rural areas. As per the information, the failures occurred due to lack of pathology services and in some instances, the cases were reportedly handled by inexperienced hands. The break up is : Chandrapur- 6 (rural), Amravati- 5 (rural), Gondiya -4 (rural), Bhandara- 1 (urban) and 3 (rural), Gadchiroli- 3 (rural), Akola- 2 (rural), Buldhana- 1 (urban), Nagpur- 1 (rural), Nashik- 1 (rural) and Washim- 1 (rural).
A senior official of Maharashtra’s Ministry of Public Health said that in rural areas there is a serious lack of medical infrastructure. Urban areas of Maharashtra have reported very few cases in recent years. Even the overall figures are dropping gradually and they will be in control once the medical infrastructure and expertise is developed in the rural parts of the state, he added.
In the meanwhile in all over 15,000 cases of failed male sterilisation were reported in the country since 2009. The break up is: Year 2017 (199), 2016 (200), 2015 (203), 2014 (611 ), 2013 (1163  ), 2012 (1550 ), 2011 (964  ), 2010 (792 ), 2009(1530  ), 2008 (8317 ).Total-15529. The maximum were reported from Odisha -7821, followed by Karnataka- 887, Bihar-665 and Andhra Pradesh-551.
In Mumbai, over 500 men underwent vasectomy last year. But by and large, the cases of vasectomy do not cross 1,000 annually and according to the BMC there is still a misconception in the minds of people that the surgery would affect their physical strength and virility. Under the scheme launched by the Central government, an incentive of Rs1,451 is given to each man, who undergoes the surgery. The BMC also offers Rs200 to the motivator for each participant.
In 2015-16, Maharashtra had carried out maximum vasectomies (nearly 18% of the overall vasectomies in the country), under the national family planning programme.  However, the number of women undergoing sterilisation in the state was 35 times more than men and over 4.5 lakh women underwent tubectomy in that year.
Meenal Mamdani
4 years ago
It is useless to report just the number of cases that failed unless we know how many total vasectomies were done.
No surgery has 100% success rate. For vasectomies the rate varies from 0.2% to 1%. The failure is likely to occur in the first 3 months or so as there may be some semen left in the vas deference. The patient should have his semen checked 3 months to 6 months after vasectomy to make sure that vasectomy is effective.
These numbers make the reader feel that everything is falling apart in the govt hospitals when the real percentages may not be so alarming.
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