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Table 1 Links between vacuoles and sperm chromatin condensation status

From: The nature of human sperm head vacuoles: a systematic literature review

 

Number of patients

Chromatin condensation assessment

Vacuolated spermatozoa

Spermatozoa used as “controls”

P

   

Number and size of vacuoles

Presence of other potential abnormalities

Proportion of vacuolated spermatozoa with a non condensed chromatin (%)

Type of spermatozoa used as “controls”

Proportion of “control” spermatozoa with a non condensed chromatin (%)

 

Cassuto 2012 [18]

26

AB

At least one vacuole (size not specified)

Yes

19.5

Unselected spermatozoa (obtained after two-layer density centrifugation)

10.1

p<0.0001

Perdrix 2011 [19]

20

AB

A single vacuole occupying > 13% of the sperm head area

Yes

50.4

Whole sperm

26.5

p<0.0001

Franco 2012 [20]

66

CMA3

At least one vacuole occupying > 50% of the sperm head area

Yes

53.2

Morphologically normal and vacuole-free

40.3

p<0.0001

Boitrelle 2011 [16]

15

AB

A single vacuole occupying > 25% of the sperm head area

No

36.2

Morphologically normal and vacuole-free

7.6

p<0.0001

Boitrelle In press

15

AB

At least three vacuoles occupying each < 4% of the sperm head area

No

39.8

Morphologically normal and vacuole-free

9.3

p<0.0001

  1. Studies (with sample sizes and methodological details) evaluating the relationship between the presence of vacuoles (or not) and sperm chromatin condensation status. AB: aniline blue staining, CMA3: chromomycin A3 staining. P values in bold type are statistically significant.