PMID- 30680244 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20220331 IS - 2080-4806 (Print) IS - 2080-4873 (Electronic) IS - 2080-4806 (Linking) VI - 71 IP - 4 DP - 2018 TI - Impact of leukocytospermia on sperm dynamic motility parameters, DNA and chromosomal integrity. PG - 470-475 LID - 10.5173/ceju.2018.1724 [doi] AB - INTRODUCTION: To characterize sperm dynamic motility patterns and chromatin integrity in infertile men with leukocytospermia. MATERIAL AND METHODS: Fifty patients with primary infertility and oligoasthenoteratozoospermia included in this prospective, controlled, blind study. All patients underwent clinical evaluation, semen peroxidase stain, computer aided semen analysis (CASA), sperm DNA integrity evaluation with acridine orange test (AOT) and fluorescence in situ hybridization (FISH) analysis of 18, X and Y chromosomes. Pregnancy outcomes were documented following antibiotic treatment of patients with leukocytospermia. RESULTS: Infertile men with leukocytospermia had significantly lower progressive and total sperm motility percentages compared to the control group. Sperm dynamic motility parameters by CASA including curvilinear, straight line and average pathway velocities, straightness and amplitude of lateral head displacement were significantly lower in leukocytospermia. Sperm DNA fragmentation index was significantly higher in leukocytospermia. Percentages of sperm with disomy XY and 18 were significantly higher. These changes in sperm motility parameters and DNA integrity correlated with the number of peroxidase positive leukocytes. Follow-up of 23 of the 25 patients with leukocytospermia after antibiotic treatment revealed significantly higher pregnancy rates in cured patients than in those with persistent leukocytospermia. CONCLUSIONS: Leukocytospermia has a significant impact on sperm dynamic motility patterns, DNA and chromosomal integrity in infertile men which can adversely affect the likelihood of a successful pregnancy. FAU - Moubasher, Alaa AU - Moubasher A AD - Department of Dermatology, Venereology and Andrology, Faculty of Medicine, Assiut University, Egypt. FAU - Sayed, Heba AU - Sayed H AD - Department of Dermatology, Venereology and Andrology, Faculty of Medicine, Assiut University, Egypt. FAU - Mosaad, Eman AU - Mosaad E AD - Department of Clinical Pathology - South Egypt Cancer Institute, Assiut University, Egypt. FAU - Mahmoud, Ahmed AU - Mahmoud A AD - Department of Endocrinology and Andrology, Ghent University Hospital, Ghent, Belgium. FAU - Farag, Fawzy AU - Farag F AD - Department of Urology, Sohag University Hospital, Egypt. FAU - Taha, Emad A AU - Taha EA AD - Department of Dermatology, Venereology and Andrology, Faculty of Medicine, Assiut University, Egypt. LA - eng PT - Journal Article DEP - 20180927 PL - Poland TA - Cent European J Urol JT - Central European journal of urology JID - 101587101 PMC - PMC6338814 OTO - NOTNLM OT - FISH OT - computer aided semen analysis OT - leukocytospermia OT - sperm DNA EDAT- 2019/01/27 06:00 MHDA- 2019/01/27 06:01 PMCR- 2018/01/01 CRDT- 2019/01/26 06:00 PHST- 2018/05/27 00:00 [received] PHST- 2018/08/17 00:00 [revised] PHST- 2018/09/02 00:00 [accepted] PHST- 2019/01/26 06:00 [entrez] PHST- 2019/01/27 06:00 [pubmed] PHST- 2019/01/27 06:01 [medline] PHST- 2018/01/01 00:00 [pmc-release] AID - 1724 [pii] AID - 10.5173/ceju.2018.1724 [doi] PST - ppublish SO - Cent European J Urol. 2018;71(4):470-475. doi: 10.5173/ceju.2018.1724. Epub 2018 Sep 27.