Profile of the Infertile Man at the University Hospital of Conakry (Guinea)  

作　　者：Bah Mamadou Bissiriou Kanté Daouda Sow Thierno Amadou Oury Thierno Mamadou Oury Diallo Koulalerou Aimon Axel Cédric Cissé Demba Mamadou Diawo Bah Barry Mamadou Dian Thierno Oumar Diallo Diallo Alimou Ibrahima Bah Abdoulaye Bobo Diallo Oumar Raphiou Bah Bah Mamadou Bissiriou;Kanté Daouda;Sow Thierno Amadou Oury;Thierno Mamadou Oury Diallo;Koulalerou Aimon Axel Cédric;Cissé Demba;Mamadou Diawo Bah;Barry Mamadou Dian;Thierno Oumar Diallo;Diallo Alimou;Ibrahima Bah;Abdoulaye Bobo Diallo;Oumar Raphiou Bah(Faculty of Health Sciences and Techniques, Gamal Abdel Nasser University of Conakry, Conakry, Guinea;Urology Department, CHU of Conakry, Guinea)

机构地区：[1]Faculty of Health Sciences and Techniques, Gamal Abdel Nasser University of Conakry, Conakry, Guinea [2]Urology Department, CHU of Conakry, Guinea

出　　处：《Open Journal of Urology》2023年第7期223-237,共15页泌尿学期刊（英文）

摘　　要：Introduction: Male infertility is defined as the inability of a man to impregnate a woman after 12 months of regular sexual intercourse without contraception. Objective: To improve the state of knowledge on the profile of the infertile man in Guinea. Methodology: We conducted a prospective, descriptive study over a period of 6 months from October 1st, 2020 to March 31st, 2021. Results: We collected an overall number of 71 patients seen onroutine consultation for infertility. They had a mean age of 36.4 years. More than half of our patients were monogamous (79% of cases). Civil servants were the most affected with 38.02% of cases. Primary infertility was dominant in 65% (n = 46) of cases. On clinical examination, varicocele was the most remarkable abnormality with 88.73% (n = 63) followed by testicular hypotrophy with 59.15% (n = 42). Azoospermia was the most frequent sperm abnormality with 22.54% (n = 16) followed by oligospermia with 15.49% (n = 11). Hormonal assessment based on FSH and LH was performed in 16 patients with azoospermia (22.53%). FSH elevation was associated with azoospermia in 6 patients, i.e. 8.45%, azoospermia associated with a normal FSH level accounting for 14.08% in our series. Conclusion: In our practice, male infertility is becoming more and more of a concern due to the increasing number of patients seeking treatment. The scarcity of a medical assistance for procreation unit alongside with more efficient diagnostic means constitutes a handicap for its management.Introduction: Male infertility is defined as the inability of a man to impregnate a woman after 12 months of regular sexual intercourse without contraception. Objective: To improve the state of knowledge on the profile of the infertile man in Guinea. Methodology: We conducted a prospective, descriptive study over a period of 6 months from October 1st, 2020 to March 31st, 2021. Results: We collected an overall number of 71 patients seen onroutine consultation for infertility. They had a mean age of 36.4 years. More than half of our patients were monogamous (79% of cases). Civil servants were the most affected with 38.02% of cases. Primary infertility was dominant in 65% (n = 46) of cases. On clinical examination, varicocele was the most remarkable abnormality with 88.73% (n = 63) followed by testicular hypotrophy with 59.15% (n = 42). Azoospermia was the most frequent sperm abnormality with 22.54% (n = 16) followed by oligospermia with 15.49% (n = 11). Hormonal assessment based on FSH and LH was performed in 16 patients with azoospermia (22.53%). FSH elevation was associated with azoospermia in 6 patients, i.e. 8.45%, azoospermia associated with a normal FSH level accounting for 14.08% in our series. Conclusion: In our practice, male infertility is becoming more and more of a concern due to the increasing number of patients seeking treatment. The scarcity of a medical assistance for procreation unit alongside with more efficient diagnostic means constitutes a handicap for its management.

关 键 词：Male Infertility VARICOCELE AZOOSPERMIA Spermogram 

分 类 号：R69[医药卫生—泌尿科学]