ABSTRACT
OBJECTIVE: To evaluate methods of prevention of scrotal hyperthermia in laptop computer (LC) users. DESIGN: Experimental study. SETTING: University hospital. PATIENT(S): Twenty-nine healthy male volunteers. INTERVENTION(S): Right and left scrotal temperature and LC and lap pad temperatures were recorded during three separate 60-minute sessions using a working LC in a laptop position: session 1, sitting with closely approximated legs; session 2, sitting with closely approximated legs with a lap pad below the working LC; and session 3, sitting with legs apart at a 70°angle with a lap pad below the working LC. MAIN OUTCOME MEASURE(S): Scrotal temperature elevation. RESULT(S): Scrotal temperature increased significantly regardless of leg position or use of a lap pad. However, it was significantly lower in session 3 (1.41 °C ± 0.66 °C on the left and 1.47 °C ± 0.62 °C on the right) than in session 2 (2.18 °C ± 0.69 °C and 2.06 °C ± 0.72 °C) or session 1 (2.31 °C ± 0.96 °C and 2.56 °C ± 0.91 °C). A scrotal temperature elevation of 1 °C was reached at 11 minutes in session 1, 14 minutes in session 2, and 28 minutes in session 3. CONCLUSION(S): Sitting position with closely approximated legs is the major cause of scrotal hyperthermia. Scrotal shielding with a lap pad does not protect from scrotal temperature elevation. Prevention of scrotal hyperthermia in LC users presently is not feasible. However, scrotal hyperthermia may be reduced by a modified sitting position (legs apart) and significantly shorter use of LC.
