On balance, it appears that no compelling case can be made for neutering most male dogs, especially immature male dogs, in order to prevent future health problems. The number of health problems associated with neutering may exceed the associated health benefits in most cases.
On the positive side, neutering male dogs
• eliminates the small risk (probably <1%) of dying from testicular cancer
• reduces the risk of non-cancerous prostate disorders
• reduces the risk of perianal fistulas
• may possibly reduce the risk of diabetes (data inconclusive)
On the negative side, neutering male dogs
• if done before 1 year of age, significantly increases the risk of osteosarcoma (bone cancer); this is acommon cancer in medium/large and larger breeds with a poor prognosis.
• increases the risk of cardiac hemangiosarcoma by a factor of 1.6
• triples the risk of hypothyroidism
• increases the risk of progressive geriatric cognitive impairment
• triples the risk of obesity, a common health problem in dogs with many associated health problems
• quadruples the small risk (<0.6%) of prostate cancer
• doubles the small risk (<1%) of urinary tract cancers
• increases the risk of orthopedic disorders
• increases the risk of adverse reactions to vaccinations