I had ESWL (extracorporeal shockwave lithotripsy) done for prostatitis. Will I still be able to have kids?

Hi doctor,

Can extracorporeal shockwave therapy damage your testis? I have undergone five sessions of shock therapy at the perineal area, done by a urologist as he suspected me to have chronic prostatitis.

Please help.

Thank you.

Hi doctor,

Thank you for your concern.

I have severe anxiety after the treatment course. I am scared that the shockwave could have affected my testis size and might reduce my testosterone level.

Kindly help.

Thank you.

Hi doctor,

Thank you for the reply.

I have tested my testosterone level two weeks before the treatment was done. It was at 20 nmol/L. My prostate was normal before the treatment, and the urologist suspected mild prostatitis. So can I assume that the shockwave treatment does not cause further damage to my prostate and testis?

Hi doctor,

Thank you for your explanation.

I went to the doctor due to the increased frequency of urination and unable to hold urine leading to urinary continence. As well as maintaining erection issues. At first, the prostate was checked using rectal examination using finger and ultrasound, and it came out to be normal. My PSA was slightly high at 2.7 ng/mL. My urine flow meter is average at 375 mL at 17.7 mL/s. The doctor proceeded with scope to examine my urethra, bladder, and prostate. He found very mild inflammation of the bladder and prostate. The doctor prescribed bladder control medication, Mirabegron, and some antibiotics. He also suggested taking five ESWL treatments in the perineal area twice a week. I was also affected by a very severe fungal infection in my penis a week after the treatment. It took about two weeks to recover fully. It affected my relationship greatly. Plus, this anxiety caused me great despair.

Kindly help.