Evidence map›Paper›PMID 38515820›Full record

ReviewReports of practical oncology and radiotherapy : journal of Greatpoland Cancer Center in Poznan and Polish Society of Radiation Oncology2023

Preservation of male fertility in patients undergoing pelvic irradiation.

Marigdalia K Ramirez-Fort, Mehdi Kardoust-Parizi, Ryan Flannigan, Phil Bach, Nicholas Koch, Casey Gilman, Paula Suarez, Digna V Fort, Shearwood McClelland, Christopher S Lange and 3 more

Open access · diamondAbstract readReview
In one paragraph

Review in Reports of practical oncology and radiotherapy : journal of Greatpoland Cancer Center in Poznan and Polish Society of Radiation Oncology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
3.3field-weighted citation impact, top 9% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 6 citations in OpenAlex.

  1. Review
  2. Article
  3. Review
  4. Understanding the impact of early onset colorectal cancer on quality of life: a qualitative analysis of online forum data.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2025
    Article
  5. Review
  6. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors at 7 institutions in 3 countries.

Marigdalia K Ramirez-FortLife Sciences & BioDefense, BioFort Corp, Guaynabo, Puerto Rico, United States.
Mehdi Kardoust-PariziDepartment of Urology, Medical University of Vienna, Vienna, Austria.
Ryan FlanniganDepartment of Urology, Weill Cornell Medicine, New York, NY, United States.
Phil BachDepartment of Urology, Weill Cornell Medicine, New York, NY, United States.
Nicholas KochDepartment of Medical Physics, CONE Health, Greensboro, NC, United States.
Casey GilmanLife Sciences & BioDefense, BioFort Corp, Guaynabo, Puerto Rico, United States.
Paula SuarezLife Sciences & BioDefense, BioFort Corp, Guaynabo, Puerto Rico, United States.
Digna V FortLife Sciences & BioDefense, BioFort Corp, Guaynabo, Puerto Rico, United States.
Shearwood McClellandDepartment of Radiation Oncology, Indiana University School of Medicine, Indianapolis, Indiana, United States.
Christopher S LangeLife Sciences & BioDefense, BioFort Corp, Guaynabo, Puerto Rico, United States.
John P MulhallDepartment of Sexual and Reproductive Medicine, Memorial Sloan Kettering Cancer Center, New York, NY, United States.
Migdalia FortLife Sciences & BioDefense, BioFort Corp, Guaynabo, Puerto Rico, United States.
Peter N SchlegelDepartment of Urology, Weill Cornell Medicine, New York, NY, United States.
Cornell University · USMayo Clinic · USWeill Cornell Medicine · USIndiana University School of MedicineMemorial Sloan Kettering Cancer Center · USSUNY Downstate Health Sciences University · USTehran University of Medical Sciences · IR

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Hongbiao Carl Lekaye · 1985 to 2026
$347.4M
NCI NIH HHS P30 CA008748
6 · The paper itself

Abstract

As the number of cancer survivors increases, so does the demand for preserving male fertility after radiation. It is important for healthcare providers to understand the pathophysiology of radiation-induced testicular injury, the techniques of fertility preservation both before and during radiation, and their role in counseling patients on the risks to their fertility and the means of mitigating these risks. Impaired spermatogenesis is a known testicular toxicity of radiation in both the acute and the late settings, as rapidly dividing spermatogonial germ cells are exquisitely sensitive to irradiation. The threshold for spermatogonial injury and subsequent impairment in spermatogenesis is ~ 0.1 Gy and the severity of gonadal injury is highly dose-dependent. Total doses < 4 Gy may allow for recovery of spermatogenesis and fertility potential, but with larger doses, recovery may be protracted or impossible. All patients undergoing gonadotoxic radiation therapy should be counseled on the possibility of future infertility, offered the opportunity for semen cryopreservation, and offered referral to a fertility specialist. In addition to this, every effort should be made to shield the testes (if not expected to contain tumor) during therapy.

Indexed as

electroejaculationgonadotoxic radiationmale fertilitypenile vibrostimulationsemen cryopreservation

Identifiers

PMID38515820
PMCPMC10954274
OpenAlexW4391031804

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.