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The impact of shock wave lithotripsy on male fertility: a critical analysis of existing evidence.

Abstract：

:We review the literature about the impact of shock wave lithotripsy (SWL) on male reproduction. Studies investigating the in vitro effect of shock waves on semen samples indicate that spermatozoa are vulnerable to SWL. According to animal studies, intratesticular bleeding is common, but pregnancy rates are not affected by shock waves. In the clinical setting, SWL causes an acute deterioration in sperm quality, but semen parameters return to baseline 3 months later. Long-term data on male fertility (ie, pregnancy rates) after SWL have yet to be reported and the significance of preexisting infertility has not been elucidated to date.

journal_name

Urology

journal_title

Urology

authors

Philippou P,Ralph DJ,Timoney AG

doi

10.1016/j.urology.2011.12.003

subject

Has Abstract

pub_date

2012-03-01 00:00:00

pages

492-500

issue

3

eissn

0090-4295

issn

1527-9995

pii

S0090-4295(11)02732-4

journal_volume

79

pub_type

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