What is the Impact of Extracorporeal Shock Wave Lithotripsy on Semen Parameters? A Systematic Review and Meta-Analysis

Radfar, Mohammad Hadi; Simforoosh, Nasser; Sotoudeh, Mehdi; Ramezani, Mehdi; Mollakoochakian, Mohammad Javad; Nikravesh, M; Shemshaki, Hamidreza

doi:10.5301/uro.5000205

Cited by 2 publications

(4 citation statements)

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“…[4][5][6] ESWT is generally described as a safe andrological procedure characterized by mild and transient side effects. 4,5,7 However, the still limited knowledge of the biological effects of shock waves, 2,3 the description of testicular damage following ESWL, 25,26 and espe-cially some recent pre-clinical studies showing the negative impact of low-intensity ESWT (Li-ESWT) on testicular function 8,27 have raised several concerns about the possible testicular effects of ESWT in ED or PD setting because of tissue contiguity between penis and testes.…”

Section: Discussionmentioning

confidence: 99%

“…found a significant worsening in sperm concentration and motility and a significant increase in hematospermia rate after ESWL for lower ureteral calculi. However, these sperm parameters recovered 3 months after ESWL 25 . Despite this noteworthy background, it is essential to underline that energy settings, protocols, and sites of application of ESWL for distal ureteral stones and ESWT for ED and PD differ substantially 4,5,26 ; therefore, it was not possible to extend the conclusions of the ESWL studies to patients undergoing shock waves for andrological purposes.…”

Section: Discussionmentioning

confidence: 99%

“…However, these sperm parameters recovered 3 months after ESWL. 25 PD differ substantially 4,5,26 ; therefore, it was not possible to extend the conclusions of the ESWL studies to patients undergoing shock waves for andrological purposes. Currently, only a few articles are available on the impact of Li-ESWT on the testis, all being pre-clinical studies on rat models.…”

Section: Kalla Et Al Published the First Article On The Impact Of Sho...mentioning

confidence: 99%

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Impact of extracorporeal shockwave therapy for erectile dysfunction and Peyronie's disease on reproductive and hormonal testicular function

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Introduction: Extracorporeal shock wave therapy is an established treatment for erectile dysfunction and Peyronie's disease. Concerns regarding the safety of extracorporeal shock wave therapy for andrological purposes on testicular function were raised by animal studies. Aim: To evaluate the impact of extracorporeal shock wave therapy for erectile dysfunction or Peyronie's disease on reproductive and hormonal testicular function. Methods: We designed a prospective controlled study in which consecutive patients were enrolled. Males aged between 18 and 40 years with mild vasculogenic erectile dysfunction or acute inflammatory Peyronie's disease and normozoospermia were included. All enrolled patients were offered extracorporeal shock wave therapy, and subjects who refused extracorporeal shock wave therapy for any reason were considered as the Control group. All patients in the Intervention group were treated with DUOLITH SD1 T-TOP by a single expert urologist. Semen analysis and serum total testosterone dosage were performed before the start (T0) and 3 months after the end of extracorporeal shock wave therapy (T1) in Intervention group. The same parameters were evaluated after the extracorporeal shock wave therapy refusal (T0) and at the end of the following 3 months (T1) in Control group. Normozoospermia wasThis is an open access article under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are made.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Kalla Et Al Published the First Article On The Impact Of Sho...mentioning

confidence: 99%

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Impact of extracorporeal shockwave therapy for erectile dysfunction and Peyronie's disease on reproductive and hormonal testicular function

et al. 2022

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“…The TS parameter is the sampling period, and the reciprocal is the sampling frequency f s . According to Nyquist sampling theorem, if the original signal is to be completely recovered from the sampled signal, f s ≥ 2f m must be satisfied [23].…”

Section: Shock Wave Storage Test Methods Based Onmentioning

confidence: 99%

Design of Shock Wave Storage and Test System with Variable Parameters Based on the Sensor of Piezoelectric Circuit

2021

Wireless Communications and Mobile Computing

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With the wide application of science and technology in the field of weapons, shock wave is an important breakthrough point in weapon research, and the storage and testing system of shock wave is a breakthrough point that people pay most attention to at present. Shock wave data storage has the characteristics of large scale, complex structure, low cost efficiency, and strong timeliness. This paper mainly studies the design of shock wave storage test system with variable parameters based on numerical piezoelectric circuit sensor. Based on fluid dynamics simulation theory and numerical simulation method, the normal and concave-convex three-dimensional models of two pressure measuring devices are constructed by using the flow waveform of calculator, and then, the network is divided. The results show that, under the same inlet pressure, the larger the bulge or depression value, the greater the influence on the experimental results. The influence of disk is 10% higher than that of pen, and the change rate of relative difference is increased by 1.5% with the increase of concave-convex value. Finally, experiments are carried out in different environments to verify the reliability, survivability, and flexibility. The shock wave storage test system is optimized when the parameters of the digital voltage circuit sensor are variable.

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What is the Impact of Extracorporeal Shock Wave Lithotripsy on Semen Parameters? A Systematic Review and Meta-Analysis

Abstract: This study showed sperm concentration, motility, and rate of hematospermia (microscopic and macroscopic) were affected by ESWL that was used for the treatment of lower ureteral stone. Long-term studies with a focus on male fertility (i.e., pregnancy rates) after ESWL are warranted.

Cited by 2 publications

References 16 publications

Impact of extracorporeal shockwave therapy for erectile dysfunction and Peyronie's disease on reproductive and hormonal testicular function

Impact of extracorporeal shockwave therapy for erectile dysfunction and Peyronie's disease on reproductive and hormonal testicular function

Design of Shock Wave Storage and Test System with Variable Parameters Based on the Sensor of Piezoelectric Circuit

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