Relationship between extracorporeal shock wave lithotripsy and semen parameters in patients with lower ureteral stones

The impact of low‐intensity extracorporeal shock wave therapy on testicular function in adult rats

“…Many studies have reported that ESWT can affect testicular function. Bedir et al (2004) studied 30 patients and concluded that ESWT (3000 sw, 19 kV) could permanently reduce semen concentration and motility. Basar et al (2004) reported swelling and vacuolation of mitochondria of Sertoli cells in New Zealand rabbits exposed to ESWT (2000 sw, 18 kV).…”

Ultrastructural Changes on Sperm After Extracorporeal Shock Wave Lithotripsy in Patients With Distal Ureteral Stone

“…Although the general acceptance in the literature is that ESWL affects male fertility parameters in patients with lower ureteral stones, this effect seems to be temporary until the recovery period (about 90 days), we reported previously ESWL could affect the sperm parameters permanently in patients with lower ureteral stone [3]. In the present study, we aimed to determine the long-term ultrastructural effects of ESWL on sperm.…”

Sperm DNA damage and seminal oxidative status after shock-wave lithotripsy for distal ureteral stones

“…Although clinical and experimental investigations have suggested the safety of SWL, its possible effects on the male reproductive system are still not known. Furthermore, the literature contains a limited body of research with contradictory results on the possible effects of SWL on semen characteristic and gonads (10,11,(14)(15)(16)(17)(18)(19). Although Puppo et al (16) reported no adverse effect on male fertility, Andreessen et al (10) noted macroscopic and microscopic hemospermia and decreased sperm motility and sperm density.…”