Aspects cliniques, biologiques et thérapeutiques de la cryptorchidie diagnostiquée à l’âge adulte: analyse d’une série de 69 cas

Fall, B.; Fall, Papa Ahmed; Ali, M. Ben; Diao, Bo; Sow, Yaya; Kaboré, Fulgence; Sarr, Alioune; Ndoye, Alain Khassim; Diagne, B.A.

doi:10.1007/s12610-009-0029-8

Cited by 1 publication

(2 citation statements)

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“…On the other hand, the proportion of patients with a testicular decrease having a varicocele found by Fall B. [15] (63.6%) is superior to ours (35%)…”

Section: Discussioncontrasting

confidence: 81%

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Clinical and Therapeutic Management of Male Infertility in Thies, Senegal

Diallo¹,

Ndiaye²,

Kouka³

et al. 2019

OJU

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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.

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“…On the other hand, the proportion of patients with a testicular decrease having a varicocele found by Fall B. [15] (63.6%) is superior to ours (35%)…”

Section: Discussioncontrasting

confidence: 81%

“…Moreover, a study by Fall B. [15] showed that male subfertility was the main circumstance for the discovery of cryptorchidism. A decrease in testicular volume was found in 19.9% of patients with a significant predominance of testicular hypotrophy (18.4%) or more than 15 times the rate of patients with testicular atrophy (1.5%).…”

Section: Discussionmentioning

confidence: 99%