Early effects of extracorporeal shock‐wave lithotripsy exposure on testicular sperm morphology

Başar, M. Murad; Samli, Murat; Erbil, Mine; Ozergin, Osman; Başar, Ruhgün; Atan, Ali

doi:10.1080/00365590310015723

Cited by 18 publications

(4 citation statements)

References 13 publications

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“…Complication rates are low (7%–18%) and complications are most commonly UTI, renal coli, and steinstrasse [76] , [77] , [78] . Long-term evaluation following SWL treatment is very limited in children, however, to date there is no association between SWL and long-term renal scarring, or renal, gonadal or pancreatic functional impairment [82] , [83] , [84] . Currently, SWL is considered the preferred treatment modality for uncomplicated renal and proximal calculi less than 20 mm in the pediatric population [85] .…”

Section: Pediatricsmentioning

confidence: 99%

Stones in pregnancy and pediatrics

Bjazevic

Razvi

2018

Asian Journal of Urology

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Urinary stone disease is a highly prevalent condition affecting approximately 10% of the population, and has increased in incidence significantly over the past 20 years. Along with this, the rate of stone disease among women and children is also on the rise. The management of stone disease in specific populations, such as in children and during pregnancy can present unique challenges to the urologist. In both populations, a multi-disciplinary approach is strongly recommended given the complexities of the patients. Prompt and accurate diagnosis requires a high degree of suspicion and judicious use of diagnostic imaging given the higher risks of radiation exposure. In general, management proceeds from conservative to more invasive approaches and must be individualized to the patient with careful consideration of the potential adverse effects. However, innovations in endourologic equipment and techniques have allowed for the wider application of surgical stone treatment in these patients, and significant advancement in the field. This review covers the history and current advances in the diagnosis and management of stone disease in pregnant and pediatric populations. It is paramount for the urologist to understand the complexities of properly managing stones in these patients in order to maximize treatment efficacy, while minimizing complications and morbidity.

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Section: Pediatricsmentioning

confidence: 99%

Stones in pregnancy and pediatrics

Bjazevic

Razvi

2018

Asian Journal of Urology

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“…A sufficiently high amount of clinical and experimental evidence exists to exclude any permanent effects on testicular or ovarian function to thus confirm that there are no existing correlations between SWL and fertility [48, 49]. Pregnancy, however, constitutes an absolute contraindication to the procedure itself because of any potentially harmful effects to the foetus from shock waves, as has repeatedly been shown in the results of many experimental studies [50].…”

Section: Classificationmentioning

confidence: 99%

Complications of Extracorporeal Shock Wave Lithotripsy for Urinary Stones: To Know and to Manage Them—A Review

D’Addessi

Vittori

Racioppi

et al. 2012

The Scientific World Journal

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To identify the possible complications after extracorporeal shock wave lithotripsy (SWL) and to suggest how to manage them, the significant literature concerning SWL treatment and complications was analyzed and reviewed. Complications after SWL are mainly connected to the formation and passage of fragments, infections, the effects on renal and nonrenal tissues, and the effects on kidney function. Each of these complications can be prevented adopting appropriate measures, such as the respect of the contraindications and the recognition and the correction of concomitant diseases or infection, and using the SWL in the most efficient and safe way, tailoring the treatment to the single case. In conclusion, SWL is an efficient and relatively noninvasive treatment for urinary stones. However, as with any other type of therapy, some contraindications and potential complications do exist. The strictness in following the first could really limit the onset and danger of the appearance of others, which however must be fully known so that every possible preventive measure be implemented.

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“…Mid to lower ureteral stones should be approached with caution when considering SWL therapy due to the potential for injury to reproductive organs [5], as well as the difficulty in visualization of the stone overlying the pelvic bones.…”

Section: Surgical Optionsmentioning

confidence: 99%

Clinical practice

2010

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The incidence of urolithiasis in children is increasing. Adequate knowledge of treatment modalities and surgical options is therefore essential for every pediatrician. Surgical approaches to urolithiasis in children continue to evolve with advancements in technology and sophistication of current equipment and techniques. Perhaps the most significant development in new techniques is the advent of robotic-assisted laparoscopy. This review, for the general pediatrician, summarizes the most recent pediatric data and guidelines for surgical approaches to treatment of urolithiasis.

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Early effects of extracorporeal shock‐wave lithotripsy exposure on testicular sperm morphology

Abstract: No detrimental effect of ESWL on sperm morphology was detected in this study. We conclude that shock waves do not cause severe permanent effects but only transient disorders in testes.

Cited by 18 publications

References 13 publications

Stones in pregnancy and pediatrics

Stones in pregnancy and pediatrics

Complications of Extracorporeal Shock Wave Lithotripsy for Urinary Stones: To Know and to Manage Them—A Review

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