Recovery from aspermia induced by low-dose radiation in seminoma patients.

Abstract:

:Gonadal dosimetry and spermatogenic activity was monitored in patients given radiation therapy (RT) after unilateral orchiectomy for seminoma. The RT given was, with minor variations, 3200 rad in 16 fractions in four weeks to the para-aortic and ipsilateral pelvic inguinal lymphatics in order to include the orchiectomy scar. The incidental amount of radiation to the remaining testicle averaged 78.4 +/- 7.4 rad and ranged from 32-178 rad as determined by thermoluminescent dosimetry. Induction of aspermia was documented in ten out of 14 patients who received over 65 rad to the gonad. At lower doses, aspermia may not have occurred or was of short duration. Recovery of sperm in the semen occurred in 12 patients within 30-80 weeks after start of treatment. The data suggest that the time of recovery may be dose dependent within the range of 19-148 rad. During the period of recovery, patients with oligospermic semen may be fertile and should be so advised.

journal_name

Cancer

journal_title

Cancer

authors

Hahn EW,Feingold SM,Simpson L,Batata M

doi

10.1002/1097-0142(19820715)50:2<337::aid-cncr28205

subject

Has Abstract

pub_date

1982-07-15 00:00:00

pages

337-40

issue

2

eissn

0008-543X

issn

1097-0142

journal_volume

50

pub_type

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