Semen changes after extracorporeal shockwave lithotripsy for distal-ureteral stones.

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 Endourol

journal_title

Journal of endourology

authors

Sayed MA

doi

10.1089/end.2006.20.483

subject

Has Abstract

pub_date

2006-07-01 00:00:00

pages

483-5

issue

7

eissn

0892-7790

issn

1557-900X

journal_volume

20

pub_type

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