Pada 2012, MUI mengubah fatwanya menjadi membolehkan vasektomi sepanjang “tujuannya sesuai syariat” dan “tidak memandulkan secara permanen”.
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Dokter spesialis urologi, Nur Rasyid, mengatakan bahwa vasektomi bisa menjadi opsi yang paling minim risiko bagi pasangan yang sudah benar-benar mantap untuk tidak memiliki anak lagi.
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"Misalnya kalau saya vasektomi atau tubektomi itu kan bukan berarti membatasi, tapi saya ingin mengatur keturunan saya sesuai kesejahteraan dan kemaslahatan yang saya bayangkan. Jadi tidak bisa dianggap apakah itu membatasi secara dini," ujar Marzuki.
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“MUI menyetujui karena saya bisa presentasikan ini. Jadi bisa saya perlihatkan bahwa orang yang sudah divasektomi, bisa disambung lagi sehingga secara syariat Islam, itu boleh,” tutur Dokter Nur.
Tetapi dia mengatakan bahwa prosesnya lebih rumit karena dia harus menggunakan mikroskop untuk menyambungkan kembali titik-titik penghubung salurannya. Selain itu, biayanya juga lebih mahal.
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