Abstract:
PURPOSE:To determine the effects on semen of extracorporeal shockwave lithotripsy for distal-ureteral stones. PATIENTS AND METHODS:We examined the semen of 62 patients 1 day before and 1 week and 3 months after SWL for distal-ureteral stones. The results were compared with those of 62 patients similarly treated for upper- ureteral stones. RESULTS:Sperm density and motility decreased significantly after SWL for distal-ureteral stones (P < 0.001 for both). Macroscopic hemospermia was reported by 16 patients. These changes were reversed by 3 months. No change was observed after SWL for upper-ureteral stones. CONCLUSION:Transient deterioration of semen characteristics can be expected after SWL for distal-ureteral stones, which may be attributable to damage to the seminal vesicles or ejaculatory ducts. The changes are transient, and normal semen characteristics are found by 3 months after SWL. The long-term effects in subfertile men warrant further investigation.
journal_name
J Endouroljournal_title
Journal of endourologyauthors
Sayed MAdoi
10.1089/end.2006.20.483subject
Has Abstractpub_date
2006-07-01 00:00:00pages
483-5issue
7eissn
0892-7790issn
1557-900Xjournal_volume
20pub_type
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