Publication

Stay cool! Special underwear for cyclic cooling significantly decreases scrotal skin temperature

Journal Paper/Review - Jul 8, 2021

Units
PubMed
Doi

Citation
Zumstein V, Vetterlein M, Hoffer A, Schmid H, Engeler D, Betschart P. Stay cool! Special underwear for cyclic cooling significantly decreases scrotal skin temperature. Cent European J Urol 2021; 74:468-470.
Type
Journal Paper/Review (English)
Journal
Cent European J Urol 2021; 74
Publication Date
Jul 8, 2021
Issn Print
2080-4806
Pages
468-470
Brief description/objective

Introduction
Male reproductive health is rapidly declining during the past decades and it is well known that scrotal temperature is linked to male infertility.

Material and methods
We performed a prospective data evaluation within a counterfactual analysis study design. Scrotal cooling was performed using Snowballs™ underwear, scrotal temperature was monitored using a wireless temperature sensor (SensorPush, Brooklyn, NY, 11215).

Results
Overall, scrotal skin temperatures were monitored for 1008 hours. Median scrotal skin temperature was 34.6°C (IQR 33.1 to 35.3) and 35.3°C (IQR 34.4 to 35.9) in the experimental (SnowWedge™) period and control period, respectively, which was significantly different (P <0.001).

Conclusions
Cyclic scrotal skin cooling using specialized underwear is feasible and efficacious without impairing the activities of daily living and reduces median scrotal skin temperature significantly by 0.7°C. Given the proven association of scrotal skin temperature and semen quality, cyclic scrotal skin cooling by a device such as Snowballs™ underwear may eventually increase semen quality and fertility.