The Quality Of The Sperm Influenced By The Transrectal Microwave Thermotherapy For Chronic Prostatitis

Purpose:Chronic prostatitis’s major symptoms are pelvic pain and paruria, while is poorly defined and understood. Though there are some treatment strategies, its therapeutic effect is unsatisfactory. In recent years, many researchers and clinical experiments have proved that the transrectal microwave thermotherapy (TRMT) is more effective to treat chronic prostatitis than other strategies. It also has some effects, the heat produced by microwave may hurt the sperm, result in influencing the number and the vitality of the sperm. So this study is to test this influence, also testify the relationship between the efficacy and the quality of the sperm.Methods:60patients (20to60years old) with major symptom of chronic pelvic pain and other accompany symptoms of chronic prostatitis have been married and have their own child were enrolled. Based on the age, they were randomly divided into two groups:20-40years (30cases),40-60years (30cases). According to the number of the white cells in their prostatic fluid and the NIH categories for prostatitis, we make two subgroups in each group, ⅢA (leukocytes’ number above the normal level)30cases; ⅢB (leukocytes’ number within the normal range)30cases. Before the treatment, they should have a semen examination. Then patients treated with thermotherapy alone by the ZRL-Ⅱ-A cavity intervention therapy instrument five days,1hour per day, the treat temperature was controlled at41-45℃. After the treatment, they should have semen examination immediately, and the first month, the third month and the sixth month after the treat they should have semen test again. We analyzed the quality of the semen including the number of the sperm; sperm density; sperm motility; the percentage of sperm of the level A plus level B.Results:The results indicated that the microwave can kill the sperm. After the treatment, the total number of sperm reduced23.8%(P<0.05), sperm motility after treatment reduced10.3%(P<0.05), sperm deformity rate increased17.2%(P<0.05). Three months after the treatment, sperm count and density returns to normal levels (No significant difference). Malformation rates was significantly lower in the sixth months after treatment, it explains that microwave therapy could improves the quality of sperm (P<0.05).Conclusion:Though the study of the sperm quality, we proved that TRMT is an effective therapy for CP/CPPS.