Clinical and Therapeutic Management of Male Infertility in Thies, Senegal
| العنوان: | Clinical and Therapeutic Management of Male Infertility in Thies, Senegal |
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| المؤلفون: | Seydou Diaw, Ramatoulaye Ly, Amy Diame, Modou Ndiaye, Néné Mariama Sow, Modou Faye, M. Diallo, Saint Charles Kouka, Sylla C, Mehdi Daher, Cheikh Diop, Yoro Diallo |
| المصدر: | Open Journal of Urology. :1-10 |
| بيانات النشر: | Scientific Research Publishing, Inc., 2019. |
| سنة النشر: | 2019 |
| مصطلحات موضوعية: | Azoospermia, Gynecology, Teratospermia, Pregnancy, medicine.medical_specialty, Testicular atrophy, business.industry, Varicocele, medicine.disease, Male infertility, Necrospermia, medicine, Urethritis, medicine.symptom, business |
| الوصف: | 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. |
| تدمد: | 2160-5629 2160-5440 |
| DOI: | 10.4236/oju.2019.91001 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_________::7b7743e3d00dee65ffd6c140eab9d73e https://doi.org/10.4236/oju.2019.91001 |
| Rights: | OPEN |
| رقم الانضمام: | edsair.doi...........7b7743e3d00dee65ffd6c140eab9d73e |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 21605629 21605440 |
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| DOI: | 10.4236/oju.2019.91001 |