Abstract
Objective
To determine the effect of tobacco consumption on paternity rates in men with a history of cryptorchidism. To compare the paternity rates between formerly unilateral, bilateral cryptorchid smokers, and nonsmokers.
Methods
A retrospective cohort study of 153 men who had undergone orchiopexy between 1961 and 1985 at the Miguel Servet University Hospital (116 unilateral and 37 bilateral) and a control group of 100 men were evaluated by review of medical records and a questionnaire.
Results
A total of 197 men filled the questionnaire (76.7%). There was no difference in paternity rates between smokers compared to nonsmokers (P = 0.21). In the unilateral cryptorchid men (ULC) group, there is no difference in paternity rates when compared with the controls (P = 0.079) or when comparing ULC smokers to ULC nonsmokers (P = 0.35). In the bilateral cryptorchid men (BLC) group, there is no difference in paternity rates when compared to controls (P = 0.075) or when comparing BLC smokers to BLC nonsmokers (P = 0.36). When comparing according to consumption, there is no difference between mild, moderate or heavy smoker cases and controls.
Conclusion
There is no difference in paternity rates between men with a history of cryptorchidism that consume tobacco compared to nonsmokers or controls. More studies are needed to determine the impact of tobacco consumption in formerly cryptorchid men.
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References
Berkowitz GS, Lapinski RH, Dolgin SE, Gazella JG, Bodian CA, Holzman IR (1993) Prevalence and natural history of cryptorchidism. Pediatrics 92(1):44–49
Lee PA, Coughlin MT (2001) Fertility after bilateral cryptorchidism. Evaluation by paternity, hormone, and semen data. Horm Res 55(1):28–32
Miller KD, Coughlin MT, Lee PA (2001) Fertility after unilateral cryptorchidism. Paternity, time to conception, pretreatment testicular location and size, hormone and sperm parameters. Horm Res 55(5):249–253
Lee PA, Coughlin MT (2002) The single testis: paternity after presentation as unilateral cryptorchidism. J Urol 168(4 Pt 2):1680–1682 (discussion 2–3)
Bilius V, Verkauskas G, Dasevicius D, Kazlauskas V, Malcius D, Hadziselimovic F (2015) Incidence of high infertility risk among unilateral cryptorchid boys. Urol Int 95(2):142–145
Hadziselimovic F, Hocht B, Herzog B, Buser MW (2007) Infertility in cryptorchidism is linked to the stage of germ cell development at orchidopexy. Horm Res 68(1):46–52
Hadziselimovic F, Hadziselimovic NO, Demougin P, Krey G, Oakeley E (2015) Piwi-pathway alteration induces LINE-1 transposon derepression and infertility development in cryptorchidism. Sex Dev 9(2):98–104
Saha SP, Bhalla DK, Whayne TF, Gairola C (2007) Cigarette smoke and adverse health effects: an overview of research trends and future needs. Int J Angiol 16(3):77–83
Sharma R, Harlev A, Agarwal A, Esteves SC (2016) Cigarette smoking and semen quality: a new meta-analysis examining the effect of the 2010 world health organization laboratory methods for the examination of human semen. Eur Urol 70(4):635–645
Mostafa RM, Nasrallah YS, Hassan MM, Farrag AF, Majzoub A, Agarwal A (2018) The effect of cigarette smoking on human seminal parameters, sperm chromatin structure and condensation. Andrologia 50(3):e12910
Asare-Anane H, Bannison SB, Ofori EK, Ateko RO, Bawah AT, Amanquah SD et al (2016) Tobacco smoking is associated with decreased semen quality. Reprod Health 13(1):90
Beal MA, Yauk CL, Marchetti F (2017) From sperm to offspring: assessing the heritable genetic consequences of paternal smoking and potential public health impacts. Mutat Res 773:26–50
Bhasin S, de Kretser DM, Baker HW (1994) Clinical review 64: pathophysiology and natural history of male infertility. J Clin Endocrinol Metab 79(6):1525–1529
Thompson ST (1994) Prevention of male infertility: an update. Urol Clin North Am 21(3):365–376
Mohamad Al-Ali B, Eredics K (2017) Synergistic effects of cigarette smoking and varicocele on semen parameters in 715 patients. Wien Klin Wochenschr 129(13–14):482–486
Hughes EG, Lamont DA, Beecroft ML, Wilson DM, Brennan BG, Rice SC (2000) Randomized trial of a “stage-of-change” oriented smoking cessation intervention in infertile and pregnant women. Fertil Steril 74(3):498–503
Curtis KM, Savitz DA, Arbuckle TE (1997) Effects of cigarette smoking, caffeine consumption, and alcohol intake on fecundability. Am J Epidemiol 146(1):32–41
Zitzmann M, Rolf C, Nordhoff V, Schräder G, Rickert-Föhring M, Gassner P et al (2003) Male smokers have a decreased success rate for in vitro fertilization and intracytoplasmic sperm injection. Fertil Steril 79(Suppl 3):1550–1554
Nizard J (2005) What are the epidemiological data on maternal and paternal smoking? J Gynecol Obstet Biol Reprod 34 Spec No 1:3S347–52
Jensen MS, Mabeck LM, Toft G, Thulstrup AM, Bonde JP (2005) Lower sperm counts following prenatal tobacco exposure. Hum Reprod 20(9):2559–2566
Marczylo EL, Amoako AA, Konje JC, Gant TW, Marczylo TH (2012) Smoking induces differential miRNA expression in human spermatozoa: a potential transgenerational epigenetic concern? Epigenetics 7(5):432–439
Verkauskas G, Malcius D, Eidukaite A, Vilimas J, Dasevicius D, Bilius V et al (2016) Prospective study of histological and endocrine parameters of gonadal function in boys with cryptorchidism. J Pediatr Urol 12(4):238.e1-6. https://doi.org/10.1016/j.jpurol.2016.05.007
Lee PA, Coughlin MT, Bellinger MF (2001) No relationship of testicular size at orchiopexy with fertility in men who previously had unilateral cryptorchidism. J Urol 166(1):236–239
Ateş F, Soydan H, Okçelik S, Çırakoğlu A, Yılmaz İ, Malkoç E et al (2016) Clinical and histopathological results of the adult patients with unilateral cryptorchidism. Turk J Urol 42(2):74–79
Kovac JR, Khanna A, Lipshultz LI (2015) The effects of cigarette smoking on male fertility. Postgrad Med 127(3):338–341
Li Y, Lin H, Cao J (2011) Association between socio-psycho-behavioral factors and male semen quality: systematic review and meta-analyses. Fertil Steril 95(1):116–123
Kovac JR, Labbate C, Ramasamy R, Tang D, Lipshultz LI (2015) Effects of cigarette smoking on erectile dysfunction. Andrologia 47(10):1087–1092
Povey AC, Clyma JA, McNamee R, Moore HD, Baillie H, Pacey AA et al (2012) Modifiable and non-modifiable risk factors for poor semen quality: a case-referent study. Hum Reprod 27(9):2799–2806
Dikshit RK, Buch JG, Mansuri SM (1987) Effect of tobacco consumption on semen quality of a population of hypofertile males. Fertil Steril 48(2):334–336
Hassa H, Yildirim A, Can C, Turgut M, Tanir HM, Senses T et al (2006) Effect of smoking on semen parameters of men attending an infertility clinic. Clin Exp Obstet Gynecol 33(1):19–22
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All the authors contributed to the study conception and design. Material preparation and data collection were performed by Dr. RF, Dr. EC and Dr. BE. Analysis was performed by Dr. NÁ, Dr. ASH and Dr. PB. The first draft of the manuscript was written by Dr. RF and all the authors commented on previous versions of the manuscript. All the authors read and approved the final manuscript. The study was supervised by Dr. JG.
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This retrospective study was approved by the Aragonese Institute of Health Sciences and approved by the ethical committee for research of the autonomous community of Aragon (CEICA) N°CP12/2014.
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Fernández Atuan, R., Calleja Aguayo, E., Estors Sastre, B. et al. The effects of tobacco consumption on paternity rates of adults with a history of cryptorchidism. Pediatr Surg Int 36, 241–246 (2020). https://doi.org/10.1007/s00383-019-04598-8
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DOI: https://doi.org/10.1007/s00383-019-04598-8