TITLE:
Clinicobiological Profile and Management Outcomes of Male Subfertility
AUTHORS:
Kimassoum Rimtebaye, Franklin Danki Sillong, Arya Zarif Agah Tashkand, Mignagnal Kaboro, Lamine Niang, Serigne Magueye Gueye
KEYWORDS:
Subfertility, Andrology, Hormone, Semen Analysis, Varicocele
JOURNAL NAME:
Open Journal of Urology,
Vol.5 No.11,
November
16,
2015
ABSTRACT: Introduction: We aim to determine the
epidemiology, clinical, paraclinical and etiologic aspects and to evaluate the
management of male subfertility in urology. Methodology: We conducted a
retrospective descriptive study of 137 patients referred to the urology
department for male sub-fertility over a period of 4 years. The analyzed
variables were: clinical, paraclinical characteristics and the post therapeutic
evolution. Results: The mean age was 38.41 years (range: 24 to 67 years). The
semen analysis was normal in 18 patients. The semen analysis showed
oligoasthenozoospermia (45.3%) and total azoospermia (24.8%). Disease history
was represented by: gonorrhea (27.7%), urogenital schistosomiasis (13.2%) and
hernia repair (1.2%). The hormonal test showed abnormal hormone levels
including: FSH (43.8%), LH (46.7%), testosterone (36.5%), prolactin (22.6%).
The incriminated etiologic factors were: varicocele (5.8 %), smoking (23.7%),
alcohol intake (25.4%) and sexually transmitted diseases (42.3%). The treatment
was medical in 67.9% and surgical in 32.1% of cases. After a year of follow up,
13.9% of patient’s wives were pregnant. Conclusion: Male subfertility is common
in Chad. The causes are numerous and diverse. The treatment is etiology based.
A better management of sexually transmitted diseases and urogenital
schistosomiasis is the best way to prevent it.