TITLE:
Clinical and Therapeutic Management of Male Infertility in Thies, Senegal
AUTHORS:
Yoro Diallo, Modou Diop N’diaye, Saint Charles Kouka, Mama Sy Diallo, Mehdi Daher, Amy Diamé, Modou Faye, Néné Mariama Sow, Ramatoulaye Ly, Cheikh Diop, Seydou Diaw, Cheickna Sylla
KEYWORDS:
Hypofertility, Clinical, Spermogram, Varicocele
JOURNAL NAME:
Open Journal of Urology,
Vol.9 No.1,
January
14,
2019
ABSTRACT: Objective: To evaluate the clinical and therapeutic aspects of male subfertility
in the Region of Thies. Patients and methods: This is a retrospective and
analytical study involving patients followed for subfertility over a period of 4
years from January 2013 to November 2017 at the level of 3 health structures
in the region of Thies. Results: During the period, we collected 201 patients.
The average age was 38 ± 8.4 years with a greater distribution in the age
group 30-39 years. Primary subfertility was predominant with 81.1% of cases.
The average duration was 5 years. We found a history of urethritis (4%) and
orchiepididymitis (2.5%). Thirty-three percent of patients presented a varicocele
(67 cases). Cryptorchidism was recorded in 2% of cases, testicular hypotrophy
in 18.4% and testicular atrophy in 1.5%. The spermogram identified
oligospermia-like abnormalities in 40.8% of cases, azoospermia 22.4%, and hypospermia
4%. For the qualitative abnormalities, we recorded cases of asthenospermia
in 60.2% of the cases or 121 patients, a necrospermia 58.2% and a
teratospermia 20.4%. A combination of these abnormalities was also reported
as astheno-necrospermia in 19.4% of cases, oligo-astheno-necrospermia 14.4%,
oligo-asthenotera-necrospermia 10% and oligo astero-teratospermia in 2.5%.
An assessment of FSH, LH and testosterone was performed in 5.9% of the
cases, or 12 patients. Varicocelectomy was performed in 68.4% of cases 19 patients,
and (medically) assisted procreation in 2 patients. We recorded 13
cases of pregnancy. Conclusion: Male hypofertility is a real problem of management,
and requires a particular approach.