Abstract
Objective: To determine the epidemiological and clinical characteristics of male hypofertility attending at urology for paternity desire. Materials and methods: Cross-sectional study conducted from January 1st to December 31 2012 at urology department of teaching hospital Yalgado Ouedraogo. We collated men attending for hypofertility. Only subjects living regularly with their partner were retained. Results: The study concerned 95 men. The average age was 36.9 years (range: 23 years and 53 years) and 28.6 years for their wives (range: 19 years and 40 years). Patients resided in urban areas in 90.5% of cases. Gynecologists and general physicians sent respectively 77.9% (N = 74) and 17.9% (N = 17) of cases. The average consultation delay time was 3 years. The average duration of infertility was 5.8 years (Extreme: 1 year and 20 years). Infertility was primary in 68.4% of cases and secondary in 31.6% of cases. 24.2% of patients admitted for history of genitourinary infection. Varicocele was found in 22.1% of cases. The semen analysis showed that 42 men had azoospermia. The semen culture isolated a germ in 19.1% of cases. Serum FSH was high in 47.3% of cases. Conclusion: Male hypofertility affected men of all age. Urologists are the last resort of the male hypo fertile, gynecologists constituting the first contact. Azoospermia is a problem commonly encountered in urological consultation.
Highlights
In the world and in Africa, infertility is more than a health problem but a psychosocial problem [1] [2]
Substantial progress has been made in the treatment of male infertility in terms of the rapeutic sinetiological research [5]
3151 patients were admitted at the urology department and 95 male for infertility
Summary
In the world and in Africa, infertility is more than a health problem but a psychosocial problem [1] [2]. Males’ responsibility for the couple’s infertility is in 40% - 50% of cases [3] [4]. Substantial progress has been made in the treatment of male infertility in terms of the rapeutic sinetiological research [5]. This contrasts the prevalence of the disease in steadily increasing [6]. Very few studies have been devoted to male infertility. The aim of this study was to identify clinical, etiological and epidemiological profile of male infertility at the urology department to improve its management. Epididymoorchitis Mumps orchitis Bilharzia Inguinal hernia Hydrocele Uretroplasty Scrotal injury
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