Universiteit van Brussel, H6pital Universitaire Brugmann, Brussels, Belgium Mitotic and meiotic chromoqome studies in 202 consecutive infertile male patients are reported. From our rnults and those available from the literature, the following conclusions can be drawn. 1. Mitotic chromosome analysis definitely must be included in the laboratory investigations of male infertility; meiotic studies are recommended, especially in patients with a normal somatic karyotype and unexplained low sperm counts.2. About 10 % of all patients attending male infertility clinics show a mitotic chromosome abnormality: 6-7 % present a Klinefelter's syndrome or its variants, 1-3 have morphological rearrangements of the Y, or sex chromosome mosaicism, and 1-3 % present structural autosome rearrangements (translocations, minor variants, etc.). Decreasing sperm counts are associated with an increaqing probability of aneuploidy.
3.At present, identified meiotic abnormalities could explain about 2 % of male sterilkies in patients with apparently normal somatic chromosomes.