AI Article Synopsis
- Most patients with heterotopic ossification are males, often due to traumatic injuries in the hip or femur area.
- The proximity of the testes to the radiation source puts them at risk for reduced sperm count and changes in sperm shape.
- A study found that using a testicular shield during radiation treatment could protect young males, as sperm abnormalities have been noted at doses above 15 cGy.
Article Abstract
The majority of patients with heterotopic ossification are males with traumatic injuries in the hip/femur region. The testes, given their proximity, are exposed to scatter radiation, which has the potential to alter sperm count and morphology. In a prospective study, patients were treated with an 800-cGy dose of radiation without direct exposure of the testes/scrotum but with a testicular shield. Thermoluminescent dosimeters were placed inside and outside the shield. Mean dose inside and outside the shield was 10.2 and 20.2 cGy, respectively (sperm abnormalities have been reported with 15 cGy). Given our study results, young males should be counseled and should be treated with a testicular shield.
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