{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T18:03:11Z","timestamp":1790704991184,"version":"4.1.0"},"reference-count":69,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2024,8,27]],"date-time":"2024-08-27T00:00:00Z","timestamp":1724716800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100004361","name":"Krebsliga Schweiz","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100004361","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Andrology"],"published-print":{"date-parts":[[2025,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Testicular cancer is the most common solid tumour among young men in the reproductive phase. After completing cancer treatment, up to 77% of cancer survivors report an interest in paternity after completing cancer treatment. To preserve fertility, most guidelines recommend that physicians should counsel their patients about sperm cryopreservation before initiating gonadotoxic therapy. However, few studies have assessed fertility parameters after testicular cancer therapies over the last 20 years.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objectives<\/jats:title><jats:p>To close the gap of data regarding gonadotoxicity of testicular cancer therapies to enable more accurate counselling regarding fertility preservation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Materials and methods<\/jats:title><jats:p>A systematic literature search was conducted in Medline, Embase and Cochrane until December 2022. The systematic review included studies of men who had undergone all types of unilateral testicular cancer treatment, whereas the meta\u2010analysis excluded studies with unspecified treatments, less than 10 patients for outcome evaluation or rare tumours. Infertility (i.e. azoospermia, failure to achieve paternity or the usage of cryosperm) was defined as outcome.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The qualitative analysis included 30 studies with a total of 13,718 men after unilateral testicular cancer. Treatment comprised active surveillance after unilateral orchidectomy (32.7%), radiotherapy (23.1%), standard\u2010 or low\u2010dose chemotherapy (33.7%) and high\u2010dose chemotherapy (1.4%). Post\u2010treatment spermiograms were analysed in 17 studies. The quantitative synthesis included 23 studies, revealing an overall pooled prevalence of infertility (95% CI) of 14% (9%\u201321%). Azoospermia occurred in 8% (6%\u201312%). For good\u2010prognosis patients who received standard therapy, the overall prevalence of infertility was only 4% (2%\u201310%).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>So far, this very first meta\u2010analysis of overall infertility prevalence provides the best approximation of fertility prognosis for men who have undergone testicular cancer therapy. Despite the low prevalence of infertility, it is still recommended to undergo sperm cryopreservation because of the uncertainty of the subsequent therapy and the lack of large longitudinal data on individual treatment effects.<\/jats:p><\/jats:sec>","DOI":"10.1111\/andr.13741","type":"journal-article","created":{"date-parts":[[2024,8,27]],"date-time":"2024-08-27T13:39:04Z","timestamp":1724765944000},"page":"731-746","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":13,"title":["Oncological treatments have limited effects on the fertility prognosis in testicular cancer: A systematic review and meta\u2010analysis"],"prefix":"10.1111","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7858-2288","authenticated-orcid":false,"given":"Janna","family":"Pape","sequence":"first","affiliation":[{"name":"Division of Gynecological Endocrinology and Reproductive Medicine University Women's Hospital Inselspital Bern University of Bern  Bern Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-6990-9300","authenticated-orcid":false,"given":"Jancy","family":"Fernando","sequence":"additional","affiliation":[{"name":"Frauenarztpraxis Langenthal  Langenthal Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7448-6838","authenticated-orcid":false,"given":"Dimitrios","family":"Megaritis","sequence":"additional","affiliation":[{"name":"Division of Gynecological Endocrinology and Reproductive Medicine University Women's Hospital Inselspital Bern University of Bern  Bern Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1846-1628","authenticated-orcid":false,"given":"Susanna","family":"Weidlinger","sequence":"additional","affiliation":[{"name":"Division of Gynecological Endocrinology and Reproductive Medicine University Women's Hospital Inselspital Bern University of Bern  Bern Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3229-6200","authenticated-orcid":false,"given":"Angela","family":"Vidal","sequence":"additional","affiliation":[{"name":"Division of Gynecological Endocrinology and Reproductive Medicine University Women's Hospital Inselspital Bern University of Bern  Bern Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8166-2131","authenticated-orcid":false,"given":"Fr\u00e9d\u00e9ric D.","family":"Birkh\u00e4user","sequence":"additional","affiliation":[{"name":"Department of Urology Urology St. Anna  Lucerne Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1200-7149","authenticated-orcid":false,"given":"Tanya","family":"Karrer","sequence":"additional","affiliation":[{"name":"Medical Library University Library Bern University of Bern  Bern Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4303-2734","authenticated-orcid":false,"given":"Michael","family":"von Wolff","sequence":"additional","affiliation":[{"name":"Division of Gynecological Endocrinology and Reproductive Medicine University Women's Hospital Inselspital Bern University of Bern  Bern Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,8,27]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2013.11.004"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj\u20102022\u2010070499"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejca.2011.08.020"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.2147\/PPA.S381812"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(01)61781-6"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.21037\/tau.2019.08.08"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.fertnstert.2013.08.010"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140\u20106736(14)60495\u20105"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.2013.49.2678"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.fertnstert.2019.09.013"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10147\u2010021\u201002082\u20109"},{"key":"e_1_2_9_13_1","unstructured":"Fertility preserv ation for patients with malig nant disease. 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