Secondary azospermia due to leprous involvement of testis − a case report

Abstract

Leprosy is a chronic infective granulomatous disease with clinical features depending upon the host immune response. Leprosy affects cooler areas of body i.e nose, superficial nerve trunks, anterior chamber of eyes and scrotum and testis in male however; leprous involvement of scrotal skin and orchitis with resultant azoospermia has been not reported till date. Many Indian authors have reported sporadic involvement of scrotum and male genitalia in leprosy. however, simultaneous involvement of testes and scrotum leading to male infertility has been sparingly reported. In this paper, we report a case of unmarried male presenting with leprous affection of external genitalia leading to hypergonadotropic hypogonadism with absolute azoospermia. though leprosy is rare on genitalia, one should not neglect examination of genitalia in all male leprosy patients.